Questions 47

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ATI Nur 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 of 5

A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

Correct Answer: D

Rationale: Overflow incontinence occurs when the bladder becomes overly full due to incomplete emptying, leading to continuous dribbling of urine.

Question 2 of 5

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

Correct Answer: 0.8

Rationale: Dose = 3800 / 5000 = 0.76 mL, rounded to 0.8 mL.

Question 3 of 5

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

Correct Answer: A;B;C

Rationale: Antimuscarinics reduce bladder contractions, decreasing urgency and frequency, and may alleviate dysuria by reducing irritation.

Question 4 of 5

An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?

Correct Answer: C

Rationale: Urge urinary incontinence involves a sudden urge leading to leakage before reaching the toilet.

Question 5 of 5

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Chronic laxative use can cause hypokalemia and dehydration.

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