Term
| The nurse should assess the client with bladder cancer for which of the flowing? |
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Definition
Painless hematuria (bloody urine)
**Classic sign of bladder cancer. Usually painless.
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Term
| The nurse is evaluating the discharge teaching for a client who has ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? (Select All - 2 ) |
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Definition
1. "I can usually keep my ostomy pouch on for 3- 7 days before changing it"
2. "I must use a skin barrier to protect my skin from urine"
*The more you take off the patch the more irritation so want to keep on as long as possibly can. Can get a rash if don't have a barrier.Make sure to empty bag when 1/2 full. |
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Term
| In the oliguric phase of acute renal failure, the nurse should assess the client for: |
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Definition
Pulmonary edema
*Not getting rid of fluid.
Oliguric= <400 mL in 24 hr of urine, not making a lot of urine. Want to normally urinate 30mL every hour. |
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Term
| During dialysis, the client has disequilibrium syndrome. The nurse should first? |
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Definition
Slow the rate of dialysis.
*Can cause temporary edema so balance becomes off so we slow down the rate. |
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Term
| The client receives heparin while receiving hemodialysis. The nurse explains the rational supporting anticoagulation by making which of the following statements? |
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Definition
"Regional anticoagulation is achieved by putting Heparin in the dialysis machine and Protamine Sulfate, which reverses the anticoagulation, in the client"
*As blood goes through the system, make sure the blood doesnt get too thin.
**Protamine Sulfate = Heparin
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Term
| The client with Cystitis is given a prescription for Phenazopyridine Hydrochloride (Pyridium). The nurse should teach the client that this drug is used to treat urinary tract infections by: |
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Definition
Providing an analgesic effect on the bladder mucoas.
*This med makes urine orange. It helps with discomfort and is not an antibiotic so can be given a few times a day. This med is often given with an antibiotic |
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Term
| A client has been prescribed Nitrofurantoin (Macrodantin) for treatment of a lower urinary tract infection. Which of the following instructions should the nurse include when teaching the client how to take this medication? Select all that apply (2 answers) |
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Definition
1. "Your urine may become brown in color"
2. "Increase your fluid intake"
*Safe antibiotic for UTIs, often used it have sulfa/bactrum allergy. You should take the med on a full stomach and make sure to take the full course of meds. dont take with an antacid bc it will interfere with the absorption. want to wait at least 2 hrs if want to take the antacid. |
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Term
| In the client with Pyelonephritis to assess the client renal status, the nurse should monitor which of the following lab tests? Select all (2) |
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Definition
1. Serum blood urea nitrogen
2. Creatinine levels.
*Both related. Cr tells how well the kidney breaks down protein. A sign for bad kidney function/tells if something is wrong. |
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Term
| Which of the following interventions would be most appropriate for a client who has urge incontinence? |
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Definition
Have a client urinate on a timed schedule.
*Urge incontinence means can't keep the urine in. So doing so keeps the bladder form getting too full. |
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Term
| What should the nurse teach the client to do to prevent stress incontinence? select all that apply (2) |
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Definition
1. Use techniques that strengthen the sphincter and structural supports of the bladder, such as Kegel exercises.
2. Avoid dietary irritants (ex/ caffeine, alcoholic beverages)
*kegel exercises - stop and go urination |
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Term
| A client with benign prostatic hypertrophy (BPH) is being treated with Terazosin (Hytrin) 2mg at bedtime. The nurse should monitor the client's: |
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Definition
Blood pressure
*Since relaxes the prostate. |
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Term
| Although the cause of testicular cancer is unknown, it is associated with a history of: |
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Definition
Undescended testes
*If you have a baby born this way, check for hard nodules |
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Term
| The client is taking Sidenafil (Viagra) P.O. for erectile dysfunction. The nurse should instruct the client about which of the following? |
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Definition
| The health care provider should be notified promptly if the client experiences sudden or diminished vision. |
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Term
| A male client complains of impotence. The nurse examines the client's medication regimen and is aware that a contributing factor for impotence could be: |
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Definition
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Term
| A client being monitored for transcient ischemic attacks. She is oriented, can open her eyes spontaneously, and follow commands. What is her Glasgow Coma Scale score? |
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Definition
15.
This is a high score. |
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Term
| A client arrives in the emergency department with an ischemic stroke and receives tissue plasminogen activator (t-PA) administration. The nurse should first: |
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Definition
Identify the time of the onset of the stroke.
*<3 hours have a better outcome from stroke.
t-PA sometimes not done >3 hours because outcome is not great. |
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Term
| What is the expected outcome of thrombolytic drug therapy (ex/ tPA)for stroke? |
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Definition
Dissolved emboli.
TPAS break up clots. |
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Term
| The nurse is teaching client about taking prophylactic warfarin sodium (Coumadine). Which of statements indicates that the client understands how to take the drug? Select all that apply (3) |
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Definition
1. Maximum dosage is not achieved until 3-4 days after starting the medication.
2. Effects of the drug continue for 4-5 days after discontinuing the medication.
3. I should have my blood levels tested periodically.
*When switching to Coumadin, do heparin together until levels are good. Heparin 3x a day. Coumadin 1x a day. Need an I & R balance between 2- 3.
**Vitamin K is the antidote for Coumadine |
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Term
| A client with confusion has been admitted for observation following a motor vehicle accident when he was driving his wife to the hospital to deliver their child. The next morning , instead of asking about his wife and baby, he askd to see the football game on TV that he thinks is starting in 5 mins. He is agitated that the nurse will not turn on the TV. What should the nurse do next? (2 answers) |
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Definition
1. Determine if the client's pupils are equal and react to light. (can be due to intracranial pressure, bleed)
2. Ask the client if he has a headache. ("worst headache" - can be due to intracranial pressure) |
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Term
| What should the nurse do first when a client with a head injury begins to have a clear drainage from his nose? |
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Definition
Collect the fluid.
*Could be cerebrospinal fluid. Usually wont have allergy/sinus symptoms. |
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Term
| The nurse administers Mannitol (Osmitrol) to the client with increased intracranial pressure (ICP). Which parameter requires close monitoring? |
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Definition
Intake and output.
Can cause severe diaresis, strict watch of the I&Os |
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