Bowel Elimination
Urinary Elimination
Fluid Balance
Meds
Clinical Scenarios
100

Color of a healthy stoma

What is pink?

100

 Basic intervention to prevent CAUTIs

What is perineal hygiene or removing the catheter as soon as possible?

100

What’s a common sign of fluid overload?

What is crackles in the lungs or edema?

100

What med is commonly used to soften stool?

What is docusate sodium (Colace)?

100

What lab finding supports the effectiveness of hypertonic saline?

What is normalization of serum sodium?

200

Name one factor that can cause constipation after surgery.

What is opioid use (e.g., Norco)?

200

Bladder scan measures this

What is post-void residual urine volume?

200

What nursing action is needed if serum sodium returns to normal during 3% NaCl infusion?

What is document as an expected outcome and continue to monitor?

200

What should a nurse monitor for when giving digoxin?



What is bradycardia?

200

A child age 5, hasn’t had a bowel movement in 4 days and is fatigued. What might this indicate?

What is constipation with fluid volume deficit?

300

Type of colostomy is placed in the LLQ

What is a sigmoid colostomy?

300

Low urine output and dry mucous membranes indicates

What is dehydration?

300

What type of solution is 3% NaCl?

What is hypertonic?

300

Calculate the MiraLax dose for a child weighing 54 lbs. (0.6g/kg/day)

17 g

300

What is the most likely cause of overflow incontinence in a pediatric patient with a distended abdomen and low intake?

What is stool impaction/constipation?

400

Common side effect of bisacodyl (Dulcolax)

What is abdominal distention or cramping?

400

Why is urinary retention concerning in pediatrics?

May indicate dehydration or constipation affecting the bladder

400

A patient receiving 3% NaCl develops shortness of breath and JVD. What should the nurse do first?

What is stop the infusion and administer diuretics as ordered?

400

What is a common teaching point for patients on bisacodyl?

What is to increase fluids and expect possible abdominal discomfort?

400

A nurse notes elevated BP and crackles while a patient is receiving 3% NaCl. What is the next action?

What is stop the infusion and notify the provider?

500

Intervention for a patient hasn't had a bowel movement 3 days post-op. 

What is administering a laxative like bisacodyl or using non-pharmacological methods like ambulation and increased fluid intake?

500

A child has a bladder scan showing 220 mL and is leaking urine at night—what could this indicate?

What is overflow incontinence due to retention/constipation?

500

Name 3 signs of dehydration in children.

What are dry skin, poor skin turgor, and delayed capillary refill?

500

Calculate the bethanechol dose per administration if the order is 0.2 mg/kg and child weighs 48.4kg.

0.97 tablet per dose (approximately 1 tablet)

500

A 70-year-old male with a history of heart failure presents to the emergency department with shortness of breath, swollen legs, and fatigue. His vital signs are: BP 130/85 mmHg, HR 90 bpm, and SpO2 94% on room air.
What medication is commonly used to reduce fluid retention in patients with heart failure?

 

Furosemide (Lasix)