A 49-year-old man has been brought to the emergency department by his wife, who states that her husband is experiencing a repeat episode of kidneys stones.
When planning interventions for this patient's immediate care, what problem is likely to be the priority?
A) Decreased cardiac output
B) Pain
C) Fluid and electrolyte imbalance
D) Decreased level of consciousness (LOC)
Question 2A patient with spinal cord injury has a nursing diagnosis of altered mobility. Which of the following would be included as an appropriate nursing intervention to prevent deep vein thrombosis (DVT) from occurring?
A) Placing the patient on a fluid restriction
B) Applying thigh-high elastic stockings
C) Administering an antifibrinolytic agent
D) Assisting the patient with passive range of motion exercises
Question 3A nurse is providing care for a patient who has had an indwelling urinary catheter in place for the past several days. To reduce this patient's risk of developing a catheter-related infection, the nurse should:
A) Swab the length of the tubing with chlorhexidine once per day.
B) Ensure that the collection bag is always below the height of the patient's bladder.
C) Empty the collection bag whenever the contents are 250 mL of urine.
D) Clamp the collection tubing for 2 hours each day unless medically contraindicated.
Question 4An emergency department nurse has just received a call from EMS that they are transporting a 17-year-old male who has just sustained a spinal cord injury (SCI). The nurse recognizes that the most common cause of this type of injury is what?
A) Sports-related injuries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle accidents
Question 5A 62-year-old male patient was diagnosed with type 2 diabetes 5 years ago but has not implemented measures to closely monitor or control his blood sugar levels.
As a result, he has begun to experience some of the sequelae of diabetes, including flaccid bladder. In cases of flaccid bladder, what pathophysiological process takes place?
A) An incompetent sphincter results in a constant dribbling of urine.
B) Because of a neurological lesion, the patient has no control over when the bladder empties.
C) The patient's bladder overfills, leading to overflow incontinence without the patient's knowledge.
D) Due to a lesion, the patient experiences inappropriate urges to void that are unrelated to the quantity of urine in the bladder.
Question 6A 69-year-old man is postoperative day 2 following a transurethral prostatic resection (TUPR).
The patient had his urinary catheter removed at 06:00 this morning but has not voided in the 5 hours since the removal, despite the fact that he has been drinking large amounts of fluids. What nursing assessment will most accurately determine whether the patient is retaining urine?
A) Bladder palpation
B) Bladder ultrasound
C) Inspection of the patient's pubic region
D) An audit of the patient's recent intake and output
Question 7A 67-year-old woman whose medical history includes obesity, type 2 diabetes, and hypertension has admitted to her care provider that she has often been incontinent of urine over the past several months.
In an effort to control her problem, she has been using absorbent pads but is motivated to find a solution to her overactive bladder. What goal should the patient and the nurse emphasize to restore the patient's urinary continence?
A) Making lifestyle changes that will result in weight loss
B) Changing the woman's diet to reduce her sodium intake
C) Increasing the frequency of glucometer checks and improving her glycemic control
D) Monitoring the patient's blood pressure more closely
Question 8The staff educator is orientating a nurse new to the neurological ICU when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock.
What sign or symptom is consistent with this diagnosis?
A) Increased cardiac biomarkers
B) Hypotension
C) Tachycardia
D) Excessive sweating
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