Nokea
Which action can reduce the risk of skin impairment secondary to urinary incontinence?
- A. Decreasing fluid intake
- B. Catheterization of the older adult patient
- C. Limiting the use of medication (diuretics, etc.)
- D. Frequent toileting and meticulous skin care
Correct Answer: D
Rationale: Frequent toileting of the incontinent patient will prevent retained moisture in undergarments and bed linens and will preserve the integrity of the skin.
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Which foods will the home health nurse counsel patients with hypokalemia to include in their diet?
- A. Bananas, oranges, cantaloupe
- B. Carrots, summer squash, green beans
- C. Apples, pineapple, watermelon
- D. Winter squash, cauliflower, lettuce
Correct Answer: A
Rationale: The use of most diuretics, with the exception of the potassium-sparing diuretics, requires adding daily potassium sources (e.g., baked potatoes, raw bananas, apricots, or navel oranges, cantaloupe, winter squash).
To help a patient control incontinence, which food item will the nurse recommend the patient avoid?
- A. Spicy foods
- B. Citrus fruits
- C. Organ meats
- D. Shellfish
Correct Answer: A
Rationale: Incontinence may be improved by omitting spicy foods, alcohol, and caffeine from the diet.
A patient with cystitis is receiving phenazopyridine for pain and is voiding a bright red-orange urine. Which action will the nurse take?
- A. Report this immediately.
- B. Explain to the patient that this is normal.
- C. Increase fluid intake.
- D. Collect a specimen.
Correct Answer: B
Rationale: Phenazopyridine will turn the urine reddish-orange.
Which sign is indicative of fluid overload in the patient with chronic glomerulonephritis?
- A. Increase in blood pressure
- B. Increase in daily weight
- C. Clear lung sounds
- D. Edema
- E. Labored respirations
Correct Answer: A,B,D,E
Rationale: Signs and symptoms of fluid overload: increased blood pressure, respirations, cardiac sounds, and lung fields. Increase in daily morning weights.
___ is a prostatic pain without evidence of infection or inflammation.
- A. Prostatodynia
Correct Answer: Prostatodynia
Rationale: Prostatodynia is a prostatic pain without evidence of infection or inflammation.