Med Surg II Exam 4
A nurse is providing discharge teaching to a client following an open radical prostatectomy. The client is going home with an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
"I will change the catheter drainage bag once a week" The nurse should teach client how to change the catheter drainage bag and explain the importance of changing the bag at least once each week.
A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for latex allergy when the client reports an allergy to which of the following foods?
Banana An allergy the bananas us a risk factor that indicates the client could also be allergic to latex. Other cross-reactive foods include avocados, kiwi, chestnuts, mangoes, pineapple and passion fruit. The health care team should wear non-latex gloves and use only latex free supplies when caring for this client.
A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. Which of the following laboratory values us consistent with diabetic ketoacidosis?
Bicarbonate level 12 mEq/L A client who has DKA should have a bicarb level that is <15 mEq/L due to the increased production of counter-regulatory hormones that lead to metabolic acidosis.
A nurse is caring for a client who is postoperative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?
Change the collection pouch early in the morning. Expect to change early in the morning when urine output is reduced.
A nurse is caring for a client who is receiving brachytherapy. Which of the following measures should the nurse include in the client's plan of care?
Keep the door to the client's room closed. Brachytherapy is a type of radiation therapy during which the radiation source is in direct contact with the client's tumor. During the therapy, the client emits radiation and is potentially hazardous to others. The client should be in a private room with a private bathroom, and the nurse should keep the door to the client's room closed.
Which structure controls calcium concentration?
Parathyroid gland Parathyroid gland secretes parathyroid hormones, which are substances that help the kidneys reabsorb calcium and increase calcium absorption from the gastrointestional tract
A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client?
offer mints. encourage the client to suck on mints, which can overcome the metallic taste the client is experiencing as a result of the radiation therapy.
