NURS 323 Quiz #2
A confused patient is restless and continues to try to remove the oxygen cannula and
urinary catheter. What is the priority nursing diagnosis and intervention to implement for
this patient?
a. Risk for suffocation: Place "Oxygen in Use" sign on door.
b. Disturbed body image: Encourage patient to express concerns about body.
c. Risk for injury: Check on patient every 15 minutes.
d. Deficient knowledge: Explain the purpose of oxygen therapy and the urinary catheter.
- ansc. Risk for injury: Check on patient every 15 minutes.
A home health nurse is assessing the home for fire safety. Which information from the
family will cause the nurse to intervene? (Select all that apply.)
a. We use the RACE method when using the fire extinguisher.
b. We never leave candles burning when we are gone.
c. There is a fire extinguisher in the kitchen and garage workshop.
d. Smoking in bed helps me relax and fall asleep. - ansa. We use the RACE method
when using the fire extinguisher.
d. Smoking in bed helps me relax and fall asleep.
A nurse is caring for a hospitalized patient with a urinary catheter. Which nursing action
best prevents the patient from acquiring an infection?
a. Inserting the catheter using strict clean technique
b. Maintaining a closed urinary drainage system
c. Fully inflating the catheter's balloon according to the manufacturer's recommendation
d. Disconnecting and replacing the catheter drainage bag once per shift - ansb.
Maintaining a closed urinary drainage system
A nurse is caring for a patient who has had diarrhea for the past week. Which additional
assessment findings will the nurse expect?
a. Increased skin dryness
b. Increased energy levels
c. Distended abdomen
d. Elevated blood pressure - ansa. Increased skin dryness
A nurse is evaluating a nursing assistive personnel's (AP) care for a patient with an
indwelling catheter. Which action by the AP will cause the nurse to intervene?
