The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [220]
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Multiple choice questions
1 When should a penile sheath be considered as a means of managing incontinence?
(a) When other methods of continence management have failed.
(b) Following the removal of a catheter.
(c) When the patient has a small or retracted penis.
(d) When a patient requests it.
2 What is the most important guiding principle when choosing the correct size of catheter?
(a) The biggest size tolerable.
(b) The smallest size necessary.
(c) The potential length of use of the catheter.
(d) The build of the patient.
3 When carrying out a catheterization, on which patients would you use anaesthetic lubricating gel prior to catheter insertion?
(a) Male patients to aid passage, as the catheter is longer.
(b) Female patients as there is an absence of lubricating glands in the female urethra, unlike the male urethra.
(c) Male and female patients require anaesthetic lubricating gel.
(d) The use of anaesthetic lubricating gel is not advised due to potential adverse reactions.
4 On removing your patient’s catheter, what should you encourage your patient to do?
(a) Rest and drink 2–3 litres of fluid per day.
(b) Rest and drink in excess of 5 litres of fluid per day.
(c) Exercise and drink 2–3 litres of fluid per day.
(d) Exercise and drink their normal amount of fluid intake.
5 What are the principles of positioning a urine drainage bag?
(a) Above the level of the bladder to improve visibility and access for the health professional.
(b) Above the level of the bladder to avoid contact with the floor.
(c) Below the level of the patient’s bladder to reduce backflow of urine.
(d) Where the patient finds it most comfortable.
6 Perdue (2005) categorizes constipation as primary, secondary or iatrogenic. What could be some of the causes of iatrogenic constipation?
(a) Inadequate diet and poor fluid intake.
(b) Anal fissures, colonic tumours or hypercalcaemia.
(c) Lifestyle changes and ignoring the urge to defaecate.
(d) Antiemetic or opioid medication.
7 A patient is admitted to the ward with symptoms of acute diarrhoea. What should your initial management be?
(a) Assessment, protective isolation, universal precautions.
(b) Assessment, source isolation, antibiotic therapy.
(c) Assessment, protective isolation, antimotility medication.
(d) Assessment, source isolation, universal precautions.
8 Your patient has undergone a formation of a loop colostomy. What important considerations should be borne in mind when selecting an appropriate stoma appliance for your patient?
(a) Dexterity of the patient, consistency of effluent, type of stoma.
(b) Patient