ELIMINATION

The nurse is providing care to a client being treated for bacterial cystitis. What is the goal before discharge for this client?

Achieve relief of symptoms and maintain kidney function

The parents of a boy born with hypospadias ask the nurse at what age the repair of this congenital defect is performed. What is the most appropriate response by the nurse?

After 6 months and before 1 year of age

A nurse in the pediatric clinic is examining a toddler with suspected enterobiasis (pinworm infestation). For which first sign of an infestation should the nurse assess the child?

Anal itching

A client with a recent colostomy expresses concern about the inability to control the passage of gas. What should the nurse teach the client to do?

Avoid foods that in the past caused flatus

A client was diagnosed with cancer of the head of the pancreas two months ago. The client is admitted to the hospital with weight loss, severe epigastric pain, and jaundice. When performing the client's assessment, the nurse expects the client's stool to be what color?

Clay-colored

A client asks the nurse to review a list of the foods the client has been choosing to combat constipation. Upon review, the nurse identifies that which food item has the least amount of fiber content?

Cream of wheat cereal

Monitoring vital signs, particularly the blood pressure and the rate and quality of the pulse, is essential in detecting physiologic adaptations in a preschool child with nephrotic syndrome. Which clinical manifestation should the nurse be able to detect from these vital signs?

Hypovolemia

A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which drug does the nurse expect the health care provider to prescribe?

Loperamide

Which drugs are contraindicated in a patient with infectious diarrhea? Select all that apply.

Loperamide Diphenoxylate with atropine

Which ovulation stimulant is derived from the urine of postmenopausal women?

Menotropins

On the second day after an abdominoperineal resection, the nurse anticipates that the colostomy stoma will have what appearance?

Moist, red, and raised above the skin surface

A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor?

Retention

A client who is suspected of having salmonellosis asks the nurse how the diagnosis is confirmed. The nurse responds that the medical diagnosis is established with what laboratory test?

Stool culture

A nurse provides education to a client about how to prevent constipation. The nurse concludes that the teaching has been understood when the client makes what statements? Select all that apply.

"I should drink eight glasses of water every day." "I can include bran muffins in my breakfast daily." "I will walk every day as part of my exercise regimen."

An older female client tells the nurse in the clinic that she has a cystocele that was diagnosed a year ago. She has urinary frequency and burning on urination. The client asks, "The primary healthcare provider wanted me to have surgery for the cystocele last year; but, I can manage with peripads. It won't hurt not to have surgery, will it?" How should the nurse respond?

"Yes, you're risking kidney damage."

A client has undergone surgery with general anesthesia. Within how many hours after surgery should the nurse notify the health care provider if the client does not void?

8 hours

The mother of a 2-year-old toddler tells the nurse that her child is frequently constipated. The nurse asks the mother how she handles the child's toileting. Which response indicates to the nurse that the mother requires further education?

"I schedule my child's toileting for before each meal."

A client who has just had a cesarean birth is receiving IV fluids and has an indwelling catheter. The client's fluid intake will need to be increased when the nurse identifies what?

Dark amber urine

Which condition refers to the rapid gastric emptying of undigested food from the stomach into the small intestine?

Dumping syndrome

A nurse is caring for a 3-month-old infant who was admitted to the pediatric unit with severe dehydration caused by diarrhea. After fluid and electrolyte balance is restored, Lactobacillus granules are prescribed. What does the nurse anticipate with this medication?

Flora in the intestinal tract will recolonize

A practitioner prescribes supplemental oral iron therapy for a child with iron-deficiency anemia. What side effect should the nurse tell the parents to anticipate?

Greenish-black stool

A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac disease. The nurse expects the mother to indicate what about her toddler?

Has bulky, foul, frothy stools

A nurse bases the plan of care for a 15-month-old toddler with celiac disease on the pathophysiology of the disorder, which is characterized by what?

Inability to metabolize gluten

Which client responses does the nurse determine represent the highest risk for the development of pressure ulcers?

Incontinence and inability to move independently.

A client has been diagnosed with cholelithiasis. Which fact about cholelithiasis should the nurse recall when assessing this client for risk factors?

Individuals who are obese are more prone to this condition than those who are thin.

When monitoring a client 24 to 48 hours after surgery, the nurse should assess for which problem associated with anesthetic agents?

Paralytic ileus

The health care provider prescribes mebendazole (Vermox) for a 4-year-old child with pinworms. For which expected response to the medication does the nurse teach the parents to be alert?

Passage of worms

After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome. The client says, "What does it mean when the health care provider said that I am experiencing dumping syndrome?" What information should the nurse include in a response to this question?

Rapid passage of concentrated fluid into the small intestine

A nurse is caring for a client with an indwelling urinary catheter. What is the most important action for the nurse to implement when irrigating the bladder?

Use sterile equipment.

Which vaccine may cause intussusception in children?

Which vaccine may cause intussusception in children?