Fundamentals of Nursing Practice Quiz 13

Answer: C – Practice supported by scientific research

Explanation: The American Nurses Association (ANA) has developed standards of care, but they are unrelated to defining nursing as a profession or discipline. Having professional organizations is not included in accepted characteristics of either a profession or a discipline. A profession must have knowledge that is based on technical and scientific knowledge.

Answer: C – Functional nursing

Explanation: With team nursing, an RN or LVN is paired with a NAP. The pair is then assigned to render care for a group of patients. In case method nursing, one nurse cares for one patient during her entire shift. Private duty nursing is an example of this care model. This medical surgical floor is following the functional nursing model of care, in which care is partitioned and assigned to a staff member with the appropriate skills.

Answer: D – Speech therapist

Explanation: Respiratory therapists provide care for patients with respiratory disorders. Occupational therapists help patients regain function and independence. Dentists diagnose and treat dental disorders. Speech and language therapists provide assistance to clients experiencing swallowing and speech disturbances. They assess the risk for aspiration and recommend a treatment plan to reduce the risk.

Answer: C – In Maslow’s framework, physical needs are most basic.

Explanation: Theoretical knowledge consists of research findings, facts (e.g., “Antibiotics are ineffective . . .” is a fact), principles, and theories (e.g., “In Maslow’s framework . . .” is a statement from a theory). Instructions for taking a blood pressure and withdrawing medications are examples of practical knowledge—what to do and how to do it.

Answer: B – Check the penis for adequate circulation 30 min after applying

Explanation: The penis and condom should be checked 1/2 hour after application to ensure that it’s not too tight. A 1 in. space should be left btw the penis and the end of the condom, The condom is changed every 24h, and the tubing is taped to the leg or attached to a leg bag. An indwelling catheter is taped to the lower abdomen or upper thigh,

Answer: A – Leaves the catheter in place and gets a new sterile catheter

Explanation: The catheter in the vagina is contaminated and can’t be reused.If left in place, it may help avoid mistaking the vaginal opening for the urinary meatus. A single failure to catheterize the meatus doesn’t indicate that another nurse is needed although sometimes a second nurse can assist in visualization of the meatus,

Answer: C – “Soaking in a warm tub bath may ease the irritation associated with the catheter”

Explanation: Soaking in a bathtub can increase the risk of exposure to bacteria. The bag should be below the level of the bladder to promote proper drainage, Intake of cranberry juice creates an environment nonconducive to infection, Clean technique is appropriate for touching the exterior portions of the system.

Answer: D – urge urinary incontinence

Explanation: The key phrase is “the urge to void”, occurs when the client coughs, sneezes, or jars the body, resulting in accidental loss of urine, occurs with involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached. Option three is involuntary loss of urine related to impaired function.

Answer: B – Kock pouch

Explanation: The ileal conduit and vesicostomy, are in continent urinary diversions, and clients are required to use an external ostomy appliance to contain the urine. Clients with a neobladder can control their voiding.

Answer: C – Crede’s maneuver: apply gentle manual pressure to the lower abdomen

Explanation: Because the bladder muscles will not contract to increase the intra-bladder pressure to promote urination, the process is initiated manually. Options one, two, and four: to promote continence bladder contractions are required for habit training, bladder training, and increasing the tone of the pelvic muscles.