Science Medicine Nursing
Module 7 - Assignment
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Terms in this set (20)
The nurse is creating a care plan for older Patient with urge incontinence and abnormal detrusor muscle contractions.
adult patients with incontinence. For
which patient will a bladder-training
program be an appropriate intervention?
The RN is supervising a new graduate "Research has shown that a 3-day course of ciprofloxacin is effective for
nurse who is orientating to the unit. The uncomplicated cystitis and there is increased patient adherence to the plan of
new nurse asks why the patient with care."
uncomplicated cystitis is being
discharged with a prescription for
ciprofloxacin 250 mg twice a day for only
3 days. What is the RN's best response?
Which patient will the charge nurse assign A patient who has just undergone surgery for renal stent placement.
to an RN floated to the acute care unit
from the surgical intensive care unit
(SICU)?
The RN is supervising a nurse orientating "Report any signs of bruising to your health care provider (HCP) immediately
to the acute care unit who is discharging a because this indicates bleeding."
patient admitted with kidney stones and
who underwent lithotripsy. Which
statement by the orienting nurse to the
patient re-quires that the supervising RN
intervene?
The nurse is admitting a 66-year-old male Followed for prostate disease for 2 years.
patient suspected of having a urinary tract
infection (UTI). Which part of the patient's
medical history supports this diagnosis?
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The nurse is providing care for a patient Measure and record urine output.
after a kidney biopsy. Which actions Check vital signs every 4 hours for 24 hours.
should the nurse delegate to an Remind the patient about strict bed rest for 2 to 6 hours.
experienced assistive personnel (AP)? Reposition the patient by log-rolling with supporting backroll.
Select all that apply.
Measure and record urine output.
Teach the patient to resume normal
activities after 24 hours if there is no
bleeding.
Check vital signs every 4 hours for 24
hours.
Assess the dressing site for bleeding and
check complete blood count results.
Remind the patient about strict bed rest
for 2 to 6 hours.
Reposition the patient by log-rolling with
supporting backroll.
The charge nurse would assign the A 48-year-old patient with cystitis who is taking oral antibiotics.
nursing care of which patient to an
LPN/LVN, working under the supervision The patient with cystitis who is taking oral antibiotics is in stable condition with
of an RN? predictable out-comes and caring for this patient is therefore appropriate to the
scope of practice of an LPN/LVN under the supervision of an RN. The patient with
A 72-year-old patient with urinary a new order for lithotripsy will need teaching about the procedure, which should
incontinence who needs bladder training. be accomplished by the RN. The patient in need of bladder training will need the
A 48-year-old patient with cystitis who is RN to plan this intervention. The patient with flank pain needs a careful and skilled
taking oral antibiotics. assessment by the RN.
A 64-year-old patient with kidney stones
who has a new order for lithotripsy.
A 52-year-old patient with pyelonephritis
who has severe acute flank pain.
The nurse is providing care for a patient Reinforcing the importance of proper hand washing to prevent infection.
with reflex urinary incontinence. Which
action could be appropriately assigned to Teaching about bladder emptying, self-catheterization, and when to notify the
a new LPN/LVN? HCP about medication side effects requires additional knowledge and training
and is appropriate to the scope of practice of the RN. The LPN/LVN can reinforce
Reinforcing the importance of proper information that has already been taught to the patient.
hand washing to prevent infection.
Discussing when to report the side effects
of bethanechol chloride to the health
care provider (HCP).
Teaching the patient bladder emptying by
the Credé method.
Demonstrating how to perform
intermittent self-catheterization.
The nurse is caring for a patient admitted 1.002
with de-hydration secondary to deficient
antidiuretic hormone (ADH). Which A patient with dehydration as a result of deficient ADH would have dilute urine
specific gravity value supports this with a de-creased urine specific gravity. Normal urine specific gravity ranges from
diagnosis? 1.003 to 1.030. A specific gravity of 1.035 would indicate urine that is concentrated.
1.010
1.035
1.020
1.002
Page 2 Module 7 - Assignment Module 7 - Assignment.pdf