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Answers to the NCLEX Quiz Part II

11. Situation – Mrs. Seva, 52 years old, asks you about possible problems regarding her elimination now that she is in the menopausal stage. Instruction on health promotion regarding urinary elimination is important. Which would you include?

Hold urine as long as she can before emptying the bladder to strengthen her sphincter muscles- Correct answer!
If burning sensation is experienced while voiding, drink pineapple juice
After urination, wipe from anal area up towards the pubis
Tell client to empty the bladder at each voiding

12. Mrs. Seva also tells the nurse that she is often constipated. Because she is aging, what physical changes predispose her to constipation?

inhibition of the parasympathetic reflex
weakness of sphincter muscles of anus
loss of tone of the smooth muscles of the colon- Correct answer!
decreased ability to absorb fluids in the lower intestines

13. The nurse understands that one of these factors contributes to constipation:

excessive exercise
high fiber diet
no regular time for defecation daily
prolonged use of laxatives- Correct answer!

14. You will do nasopharyngeal suctioning on Mr. Abad. Your guide for the length of insertion of the tubing for an adult would be:

tip of the nose to the base of the neck
the distance from the tip of the nose to the middle of the neck
the distance from the tip of the nose to the tip of the ear lobe- Correct answer!
eight to ten inches

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