The nurse identifies that the patient with the greatest risk for a urinary tract
infection is:
a. 37-year-old man with renal colic associated with kidney stones.
b. 26-year-old pregnant woman who has a history of urinary tract infections.
c. 69-year-old man who has urinary retention caused by benign prostatic
hyperplasia.
d. 72-year-old woman hospitalized with a stroke who has a urinary catheter
because of urinary incontinence. - ANSWER d. 72-year-old woman hospitalized
with a stroke who has a urinary catheter because of urinary incontinence.
You plan to promote rest for N.G. during his hospitalization, but when entering
his room later, you find him pacing around the room, fretting because he is
missing classes. He asks you how long it will be until he can go back to school.
Your best response to him is that he:
a. Should be able to go back to school within a few days.
b. Should just be glad he isn't feeling bad and not worry about school.
c. Has the right to sign himself out of the hospital in order to prioritize his school
work.
d. Needs to take it easy until his blood pressure returns to normal and his edema
subsides. - ANSWER d. Needs to take it easy until his blood pressure returns to
normal and his edema subsides.
The nurse is caring for a patient after a radical perineal prostatectomy for
advanced cancer of the prostate. What is a priority nursing diagnosis for this
patient?
a. Risk for infection
b. Sexual dysfunction
c. Total urinary incontinence
, d. Risk for situational low self-esteem - ANSWER a. Risk for infection
The nurse should recognize that the liver
performs which functions (Select all that apply)?
a. Bile storage
b. Detoxification
c. Protein metabolism
d. Steroid metabolism
e. Platelet destruction - ANSWER b. Detoxification
c. Protein metabolism
d. Steroid metabolism
When caring for a patient with liver disease, the nurse recognizes the need to
prevent bleeding resulting from altered clotting factors and rupture of varices.
Which nursing interventions would be appropriate to achieve this outcome
(SELECT ALL THAT APPLY)?
a. Use smallest gauge needle possible when giving injections or drawing blood.
b. Teach the patient to avoid straining at stool, vigorous blowing of nose, and
coughing.
c. Advise patient to use soft-bristle toothbrush and avoid ingestion of irritating
food.
d. Apply gentle pressure for one minute after performing venipuncture.
e. Instruct patient to avoid aspirin and NSAIDS to prevent hemorrhage when
varices are present. - ANSWER a. Use smallest gauge needle possible when
giving injections or drawing blood.
b. Teach the patient to avoid straining at stool, vigorous blowing of nose, and
coughing.
c. Advise patient to use soft-bristle toothbrush and avoid ingestion of irritating
food.
infection is:
a. 37-year-old man with renal colic associated with kidney stones.
b. 26-year-old pregnant woman who has a history of urinary tract infections.
c. 69-year-old man who has urinary retention caused by benign prostatic
hyperplasia.
d. 72-year-old woman hospitalized with a stroke who has a urinary catheter
because of urinary incontinence. - ANSWER d. 72-year-old woman hospitalized
with a stroke who has a urinary catheter because of urinary incontinence.
You plan to promote rest for N.G. during his hospitalization, but when entering
his room later, you find him pacing around the room, fretting because he is
missing classes. He asks you how long it will be until he can go back to school.
Your best response to him is that he:
a. Should be able to go back to school within a few days.
b. Should just be glad he isn't feeling bad and not worry about school.
c. Has the right to sign himself out of the hospital in order to prioritize his school
work.
d. Needs to take it easy until his blood pressure returns to normal and his edema
subsides. - ANSWER d. Needs to take it easy until his blood pressure returns to
normal and his edema subsides.
The nurse is caring for a patient after a radical perineal prostatectomy for
advanced cancer of the prostate. What is a priority nursing diagnosis for this
patient?
a. Risk for infection
b. Sexual dysfunction
c. Total urinary incontinence
, d. Risk for situational low self-esteem - ANSWER a. Risk for infection
The nurse should recognize that the liver
performs which functions (Select all that apply)?
a. Bile storage
b. Detoxification
c. Protein metabolism
d. Steroid metabolism
e. Platelet destruction - ANSWER b. Detoxification
c. Protein metabolism
d. Steroid metabolism
When caring for a patient with liver disease, the nurse recognizes the need to
prevent bleeding resulting from altered clotting factors and rupture of varices.
Which nursing interventions would be appropriate to achieve this outcome
(SELECT ALL THAT APPLY)?
a. Use smallest gauge needle possible when giving injections or drawing blood.
b. Teach the patient to avoid straining at stool, vigorous blowing of nose, and
coughing.
c. Advise patient to use soft-bristle toothbrush and avoid ingestion of irritating
food.
d. Apply gentle pressure for one minute after performing venipuncture.
e. Instruct patient to avoid aspirin and NSAIDS to prevent hemorrhage when
varices are present. - ANSWER a. Use smallest gauge needle possible when
giving injections or drawing blood.
b. Teach the patient to avoid straining at stool, vigorous blowing of nose, and
coughing.
c. Advise patient to use soft-bristle toothbrush and avoid ingestion of irritating
food.
