Unit 5: gerontology

A nurse cares for a post menopausal client who has had 2 episodes of bacterial urethritis in the last 6 months. The client asks "I never have UTIs why is this happening now?" How would the nurse respond

Low estrogen levels can make the tissue more susceptible to infection

A nurse is caring for a client experiencing upper gastrointestinal (GI) bleeding. What is the priority action for the client care?

Maintain airway, breathing and circulation

After treating several young women for UTIs the college nurse plans an educational offering of reducing the risk of getting UTI. What information does the nurse include

Void before and after each act of intercourse Wipe or clean the perineum from front to back

The nurse assesses a client with a hx of urinary incontinence who presents w extreme dry mouth, constipation and an inability to void. Which question would the nurse ask first

What medication are you taking

A client has a recurrence of gastric cancer and is crying. What response by the nurse is most appropriate? a. "Do you have family or friends for support?" b. "Would you tell me what you are feeling now." c. "Well, we knew this would probably happen." d. "Would you like me to refer you to hospice?"

Would you tell me what you are feeling now

A nurse is instructing a client who is scheduled for a transurethral resection of the prostate about postoperative care. Which of the following information should the nurse include in the teaching

You might have a continuous sensation of needing to void even though you have a catheter

A nurse teaches a client with functional urinary incontinence. Which statement would the nurse include in this clients teaching

You might want to get pants w elastic waistbands

A client is preparing to have a fecal occult blood test. What health teaching would the nurse include prior to the test?

You need to avoid red meats and NSAIDs for 48 hours before the test

A client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen. Which diagnostic test would the nurse expect to be ordered

Alpha fetoprotein

The nurse is caring for a client who has a postoperative paralytic ileum following abdominal surgery. What drug is appropriate to manage this no mechanical bowel obstruction?

Alvimopan

The nurse has provided postvasectomy discharge instructions to the client. What statement by the client demonstrates good understanding

An ice pack to my scrotum will help with the swelling

After teaching a client w bacterial cystitis who is prescribed phenazopyridine, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the teaching

An orange color in my urine should not alarm me

A nurse assesses a pt who has celiac disease. Which signs and symptoms would the nurse expect?

Anorexia Contraption Abdominal pain

A nurse assesses a client who is recovering form extracorporeal shock wave lithotripsy for renal calculus. The nurse notes an ecchymotic area on the clients right lower back. What action would the nurse take?

Apply an ice pack to the site

A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be most helpful? a. Arrange a dietary consult. b. Increase fluid intake. c. Limit the client's foods. d. Make the client NPO.

Arrange a dietary consult.

The nurse assesses a client who has chronic pancreatitis. What assessment findings would the nurse expect for this client?

Ascites Steatorrhea Jaundice Polydipsia Polyuria

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching

Drink canned protein supplements

A client who has a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 mins after eating breakfast. What postoperative complication would the nurse suspect?

Dumping syndrome

The nurse is caring for a client who is diagnosed with a UTI. What common injury signs adn symptoms does the nurse expect?

Dysuria Frequency burning Hematuria

The nurse reviews the laboratory results for a client who has possible appendicitis. Which laboratory test finding would the nurse expect

Elevates leukocytes

The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?

"I can continue smoking cigarettes which is better than chewing tobacco."

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching

"I will plan to limit fiber in my diet"

The nurse teaches a client about how to prevent transmission of gastroenteritis. Which statement by the nurse indicates a need for further teaching

"I'll cook all the meals for my family."

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching?

"Notify the provider if you experience a sore throat."

The nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes

- Lower gastrointestinal bleeding - Erosion of the bowel wall - Abscess formation - Localized pockets of infection develop in the ulcerated bowel lining - Nonmechanical bowel obstruction - Paralysis of colon resulting from colorectal cancer

Which of the following are risk factors for gastric cancer

Achlorhydria, chronic atrophic gastritis, H pylori infection, pernicious anemia

A nurse teaches a client who is at risk for colorectal cancer. Which dietary recommendation would the nurse teach the client?

Add vegetables such as broccoli and cauliflower to your diet

A nurse is caring for a client who has a UTI. Which of the following is the priory intervention by the nurse

Administer an antibiotic

A nurse teaches a young female client who is prescribed cephalexin for a UTI. Which statement would the nurse include in this clients teaching?

Use a second form of birth control while on this medication

A nurse assesses clients at a community health center. Which client is at highest risk for developing colorectal cancer?

A 72 year old who eats fast food frequently

A client has dumping syndrome. What menu selections indicate the client understands the correct diet to manage this condition? (Select all that apply.) a. Canned unsweetened apricots b. Coffee cake c. Milk shake d. Potato soup e. Steamed broccoli

A and D

A nurse is preparing to administer pantoprazole IV to prevent stress ulcers during surgery. What actions by the nurse are most appropriate

Administer the drug through a separate IV line Infuse pantoprazole using an IV pump Use an in line IV filter when infusing

What actions by the nurse are appropriate to promote nutrition in a client who has a partial gastrectomy?

Administer vitamin B12 injections Ask the primary health care provider about folic acid replacement Provide iron supplements for the client

A client came to the clinic with erectile dysfunction. What are some possible causes of this condition that the nurse could discuss with the client during history taking? (Select all that apply.) a. Recent prostatectomy b. Long-term hypertension c. Diabetes mellitus d. Hour-long exercise sessions e. Consumption of beer each night

ANS: A, B, C, E Organic erectile dysfunction can be caused by surgical procedures, hypertension and its treatment, diabetes mellitus, and alcohol consumption. There is no evidence that exercise is related to this problem.

A client is interested in learning about the risk factors for prostate cancer. Which factors does the nurse include in the teaching? (Select all that apply.) a. Family history of prostate cancer b. Smoking c. Obesity d. Advanced age e. Eating too much red meat f. Race

ANS: A, D, E, F Advanced family history of prostate cancer, age, a diet high in animal fat, and race are all risk factors for prostate cancer. Smoking and obesity are not known risk factors.

The nurse recalls that the risk factors for acute gastritis include which of the following?

Alcohol, caffeine, corticosteroids, NSAIDs

The nurse is caring for a client who just had a minimally invasive inguinal hernia repair. Which nursing action would the nurse implement

All of the above

The nurse is caring for a client who has possible acute pancreatitis. What serum laboratory findings would the nurse expect for this client

All the above

A nurse cares for a client who has kidney stones form gout ricemia. Which medication does the nurse anticipate administering

Allopurinol

A nurse cares for an older adult who is admitted to the hospital with complications of diverticulitis. Which actions would the nurse include in the clients plan of care?

Administer pain medications as prescribed Palpate the abdomen for distention Assess for sudden changes in mental status Evaluate stools for occult blood

The nurse is caring for a client who has a NGT. Which actions would the nurse take for client care?

Assess for proper placement of the tube every 4 hours or per agency policy Disconnect suction when auscultate ting bowel peristalsis Monitor the clients skin around the tube site for irritation

The nurse is caring for a client who has perineal surgical wound. Which actions would the nurse take to promote comfort and wound healing?

Assist the client into a side lying position Apply warm compresses three to four times a day Place an absorbent dressing over the wound

The nurse is preparing a client who has chronic pancreatitis about how to prevent exacerbations of the disease. Which health teaching will the nurse include?

Avoid alcohol ingestion Be sure and balance rest w activity Avoid caffeinated beverages Eat small meals and high calorie snacks

A nurse is preparing educational material to present to a female client who has frequent UTIs. Which of the following information should the nurse include

Avoid sitting in a wet bathing suit Empty the bladder when there is an urge to void Take a shower daily

A new nurse care for several client after radical prostatectomies for prostate cancer. What action by the nurse indicates a need to review care measures for this type of client? a. Delegates emptying and recording contents of the drainage devices. b. Administers a suppository to the client who reports constipation. c. Removes the sequential compression stockings on ambulatory clients. d. Discusses long-term complications such as erectile dysfunction.

B

After teaching a pt with diverticular disease, a nurse assesses the clients understanding. Which menu selection indicated the client correctly understood the teaching?

Baked fish with steamed carrots and a glass of apple juice

The nurse is caring for a client who has been prescribed lubiprostone for IBS. What health teaching will the nurse include about taking this drug?

Be sure to take this drug with food and water to manage constipation

After teaching a client about IBS, a nurse assess the clients understanding. Which menu selection indicates that the client correctly understands the dietary teaching?

Broiled chicken with brown rice, steamed broccoli, glass of apple juice

A client returned from a transurethral resection of the prostate 8 hours ago with a continuous bladder irrigation. The client reports headache and dizziness. What action by the nurse is most appropriate? a. Consider starting a blood transfusion. b. Slow the bladder irrigation down. c. Report the findings to the surgeon immediately. d. Take the vital signs every 15 minutes.

C

After delegating care to a AP for a client who is prescribed habit training to manage incontience, a nurse evaluates the APS understanding. Which action indicates that the AP needs additional teaching?

Changing the clients incontinence brief when wet

A nurse assesses a client who has cholecystitis. Which sign or symptom indicates that this condition is chronic rather than acute?

Clay colored stools

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority?

Client reports having an elevated body temperature

The nurse assesses a client with gastroenteritis. What risk factor would the nurse consider as the most likely cause of this disorder

Consuming raw seafood

The nurse assists the wound care/ostomy nurse assess a client prior to ostomy surgery. Which assessments would the nurse complete before marking the placenta for the ostomy?

Contour of the abdomen when standing Location of the clients belt line Contour of the abdomen when lying Contour of the abdomen when sitting

After teaching a pt who has a permanent ileostomy, a nurse assess the clients understanding. Which dietary items chosen for dinner indicate that the client needs further teaching?

Corn String beans Wheat rice

The nurse is caring for a client with a long history of PUD. What assessment findings would the nurse anticipate if the client experiences upper GI bleeding

Decreased blood pressure, dizziness, hematemesis, decreased urinary output

The nurse is teaching a client how to avoid the formation of hemorrhoids. What lifestyle change would the nurse include

Decreasing fluid intake

A client presents to the emergency department reporting vomiting, severe lower abdominal pain, and a tender mass above one testis. What action by the nurse is most important

Determine when he last ate or drank anything

The nurse is caring for a client who was recently diagnosed with pancreatic cancer. What factors present risks for developing this type of cancer

Diabetes mellitus Cirrhosis Smoking Family hx Older age

A nurse assesses a client who presents with renal calculus. Which question would the nurse ask?

Do any of your family members have this problem?

The nurse is planning health teaching for a client starting mirabegron for urinary incontinence. What health teaching would the nurse include

Monitor blood tests carefully if you are prescribed warfarin Take your BP frequently at home

A client with metastatic prostate cancer has been prescribed leuprolide, a bisphosphonates, and futamide. Which statement by the client warrants further investigation by the nurse

My wife has noticed my eyes looking a little yellow

A nurse is caring for a client with peritonitis. What assessment findings would the nurse expect?

N&V Abdominal pain Bradycardia Decreased urinary output Fever

The nurse is caring for a client who is diagnosed with celiac disease and preparing to start natalizumab. Which health teaching would the nurse include in the teaching

Need to have drug administered by a primary health care provider Need to avoid crowds and individuals who have infection Awareness of a rare but potentially fatal drug complication Need to report any signs and symptoms of infection immediately

A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable. After assessing the clients behavior, which statemnt by the nurse would be the most appropriate?

Nocturnal could cause interruption of your sleep and cause changes in mood

A nurse reviews the laboratory findings of a client with a UTI. The laboratory report notes a "shift to the left" in the clients white blood cell count. What action would the nurse take?

Notify the primary health care provider and start an IV line for parenteral antibiotics

The nurse assesses a client who has possible bladder cancer. What common assessment finding associated with this type of cancer would the nurse expect?

Painless hematuria

The nurse assesses a pt who is reconvening from an ileostomy placement. Which assessment finding would alert the nurse to immediately contact the primary health care provider?

Pale and bluish stoma

A client has a NG tube as a result of an GI hemorrhage. What comfort measure would the nurse remind assistive personnel to provide?

Performing frequent oral care

The nurse is caring for a client who is recovering from an open traditional whipple surgical procedure. What action would the nurse take?

Place the pt in semi Fowler position

A client has an external percutaneous trans hepatic biliary catheter inserted for a biliary obstruction. What health teaching about catheter care would the nurse provide for the client?

Position the drainage bag lower than the catheter insertion site

The nurse teaches a client who has viral gastroenteritis. Which dietary instruction would the nurse include in the health teaching?

Rink plenty of fluids to prevent dehydration

After teaching a client who has a hx of cholelithiasis, the nurse assesses the clients understanding. Which menu selection indicates that the client understands the dietary teaching?

Roasted chicken breast, baked potatoes with chives and OJ

The nurse is caring for a client with a large bowel obstruction due to fecal impaction. What position would be appropriate for the client while in bed?

Semi fowler

The nurse is teaching a client about side effects and adverse reactions of a PDE5 inhibitor. What information does the nurse include

Stop using this drug if your primary health care provider prescribed a nitrate Do not drink alcohol before having sexual intercourse Muscle cramps, nausea, and vomiting are possible if you take more than 1 pill a day Change positions slowly especially if you also take antihypertensive drugs

A nurse cares for a client who has a colostomy placed in the ascending colon 2 weeks ago. The client states, the stool in my pouch is still liquid, how would the nurse respond?

The stool will always be liquid with this type of colostomy

The nurse is providing preoperative education to a client prior to having an orchid to my for testicular cancer. What statement by the client indicates the need to review the information?

There should be no effect on my ability to reproduce

The nurse is teaching a client with benign prostatic hyperplasia. What statement indicates the client needs further information

There should be no problem with drinking wine w dinner each night

A nurse teaches a client who is starting unitary bladder training. Which statement would the nurse include in this clients teaching?

Try to consciously hold your urine until the scheduled toileting time

The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor

Upper gastrointestinal (GI) bleeding

A nurse is completing an admission assessment for a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider?

Urine specific gravity 1.040 Hematocrit 60% Serum potassium 3.0 mEq/L

The nurse is caring for a client who is diagnosed with a complete small bowel obstruction. For what priority problem is this client most likely at risk?

electrolyte imbalance

During an interview, the client tells the nurse that the client has a duodenal ulcer. Which assessment finding would the nurse expect?

melena

A nurse teaches a client about self management after experiencing a urinary caucus treated by lithotripsy. Which statements would the nurse include in this clients discharge teaching?

Finish the prescribed antibiotics even if you are feeling better Drink at least 3 L of fluid each day The bruising on your back may take several weeks to resolve

A client had an open traditional whipped procedure this morning. For what priority complication would the nurse assess?

Fluid and electrolyte imbalances

A nurse in a providers office is obtaining a history from a client who is undergoing an evaluation for BPH. The nurse should identify that which of the following findings are indicative of this condition

Frequent UTI Hematuria Urinary incontinence

A nurse assesses a client who is prescribed alosteron. Which assessment question would the nurse ask this client before starting the drug?

Have you been experiencing any constipation

A nurse is caring for several clients. Which of the following clients are at risk for developing pyelonephritis?

- a client who is at 32 weeks of gestation - a client who has kidney calculi - a client who has a neurogenic bladder - a client who has diabetes mellitus

A nurse is planning care for a client who has chronic pyelonephritis. Which of the following actions should the nurse plan to take?

- provide a referral for nutrition counseling - palpate the costovertebral angle - monitor urinary outputs - administer antibiotics

A nurse is planning care for a client who has a small bowel obstruction and a NG rube in place. Which of the following interventions should the nurse include?

-document the NG drainage with the clients output -assess bowel sounds -provide oral hygiene every 2 hr -monitor NG tube for placement

The nurse caring for a client with gastrointestinal disorders would recall that omeprazole is a drug in which classification?

-proton pump inhibitor

A nurse assessing a client with colorectal cancer auscultate s high pitched bowel sounds and noted the prescience of visible peristaltic waves. Which action would the nurse take?

-recommend that the client have computed tomography

A client is admitted with a diagnosis of possible strangulated inguinal hernia. For which complications would the nurse monitor?

-sepsis

A nurse is teaching a client who had a descending colostomy 2 days ago about the ostomy stoma. Which changes in the stoma would the nurse teach the client to report to the primary health care provider?

-stoma becomes dark and dull -skin around the stoma becomes excoriated -skin around stoma becomes protruded -stoma becomes retracted into the abdomen

A nurse assesses a client with IBS. Which questions would the nurse include in this clients assessment?

-which food types cause an exacerbation of symptoms Where is your pain of discomfort and what does it feel like

A nurse is completing discharge teaching with a client who has IBS. Which of the following instructions should the nurse include

Keep a food diary to identify triggers to exacerbation

A nurse cares for a young client with a new ileostomy. The client states, I cannot go to prom with an ostomy. How would the nurse respond

Let's talk to the ostomy nurse about options for ostomy supplies and dress styles t

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect for the client to make an accurate diagnosis?

Esophagogastroduodenoscopy (EGD)

A nurse cares for a client who states, my husband is repulsed by my colostomy and refuses to be intimate with me. How would the nurse respond

Let's talk tot he ostomy nurse to help you and your husband work through this

A client asks the nurse why she has urinary incontinence. What risk factors would the nurse recall in preparing to respond to the clients question?

Diuretic therapy Stroke Dementia Arthritis Parkinson disease

A client who has peptic ulcer disease is prescribed quadruple drug therapy for helicobacter pylori infection. What health teaching related to bismuth would the nurse include

Do no take aspirin or aspirin products of any kind while on bismuth

The nurse is caring for a client who is prescribed sulfasalzine. Which question would the nurse ask the client before starting this drug

Do you have any allergy to sulfa drugs

A nurse obtains the health hx of a client with a suspected diagnosis of bladder cancer. Which question would the nurse asl when determining this clients risk factors?

Do you smoke cigarettes?

A nurse prepares to discharge a client who is newly diagnosed with chronic inflammatory bowel disease. Which questions would the nurse ask in preparation for discharge?

Does your gym provide yoga classes When should you contact your provider What do you plan to eat for dinner How many bathrooms are in your home

A nurse assesses a client who is recovering from a Whipple procedure. Which assessment findings alerts the nurse to immediately contact the primary health care provider?

Drainage from a fistula

A nurse is caring for a client who has a small bowel obstruction for, adhesions. Which of the following findings are consistent with this diagnosis

Emesis greater than 500mL with a fecal odor Report a spasmodic abdominal pain High pitched bowel sounds

A nurse cares for a client who has a new colostomy. Which action would the nurse take?

Empty the pouch frequently to re,move excess gas collection

A nurse is reviewing the laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following blood laboratory results should the nurse expect to be elevated?

Erythrocyte sedimentation rate WBC

A nurse assesses a client who has ulcerative colitis and sever diarrhea. Which assessment would the nurse complete first

Heart rate and rhythm

The nurse is conducting a hx on a male client to determine the severity of symptoms associated with prostate enlargement. Which findings is cause for prompt action by the nurse?

Hematuria

The nurse assesses a client who is hospitalized with an exacerbation of crown disease. Which assessment findings would the nurse expect?

High pitched rushing bowel sounds in the right lower quadrant

A nurse assesses a client who has had 2 episodes of bacterial cystitis in the last 6 months. Which questions would the nurse ask?

How much water do you drink every day Do you rake estrogen replacement therapy Are you on steroids or other immune suppressing drugs

The nurse teaches a client who has stress incontinence methods to regain more urinary continence. Which health teaching is the most important for the nurse to include for this client?

How to do keel exercises to strength muscles

The nurse is caring for a client w urinary incontinence. The client states "I am so embarrassed. My bladder leaks like a young child's bladder." How would the nurse respond?

I can teach you strategies to help control your incontinence

A nurse cares for a client with end stage pancreatic cancer. The client asks, why is this happening to me? How would the nurse respond

I don't know. I wish i had an answer for you but I don't

The nurse is teaching an uncircumcised 65 year old client about self management of a urinary catheter in preparation for discharge to his home. What statement indicates the client needs more information?

I have to wash the outside of the catheter once a day w soap and water

After teaching a client who is recovering from a colon resection to treat early stage colorectal cancer the nurse assesses the clients understanding. Which statements by the client indicate understanding of the teaching

I might start bicycling and swimming again once my incision has healed I will make sure that I make lifestyle changes to prevent constipation I will be sure to have the recommended colonoscopies

After teaching a client with a hx of renal calculus, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the teaching?

I should drink at least 3 L of fluid every day

After teaching a client who has stress incontinence, the nurse assesses the clients understanding. Which statement made by the client indicates a need for further teaching

I will limit my total intake of fluids

A nurse cares for a client with colorectal cancer who has a new colostomy. The client states, I think it would be helpful to talk with someone who has had a similar experience. How would the nurse respond

I will make a referral to the united ostomy associations of American

The nurse is caring for a client who is planning to have a laparoscopic colon resection for colorectal cancer tomorrow. Which statement by the client indicates a need for further teaching?

I will probably be in the hospital for 3-4 days after surgery

After teaching a client who has diverticulitis, a nurse assesses the clients understanding, which statement made by the client indicates a need for further teaching

I will take a laxative nightly at bedtime to avoid becoming constipated

After teaching a client who has chronic pancreatitis and will the discharged with enzyme replacement therapy, a nurse assesses the clients understanding. Which statement by the client indicates a need for further teaching?

I will take the enzyme between meals Enzymes should be taken with high protein foods

After teaching a client who is prescribed adalimumab for severe ulcerative colitis, the nurse assesses the clients understanding. Which statement made by the client indicates a need for further teaching?

I will take this medication with my breakfast each morning

A nurse is providing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include

If urine appears bloody, stop activity and rest Avoid drinking caffeinated beverages Take a stool softener once a day

The nurse documents the VS of a client diagnosed with acute pancreatitis: AP:116 Resp: 28 BP: 92/50 What complications of acute pancreatitis would the nurse suspect that the client might have?

Internal bleeding

The nurse assess a client who has possible gastritis. Which assessment findings indicates that the client has chronic gastritis?

Intolerance of fatty foods and pernicious anemia

A client with pneumonia and dementia is admitted with an in dwelling catheter in place. During inter professional rounds the following day, which question would the nurse ask the primary health care provider

May we discontinue the indwelling catheter

A nurse is reviewing urinalysis results for four clients. Which of the following urinalysis results indicates a UTI

Positive for leukocyte esterase

The nurse is caring for a cleint with probable colorectal cancer. What assessment findings would the nurse expect?

Rectal bleeding, anemia, change in stool shape, abdominal discomfort

The nurse plans care for a client who has acute pancreatitis and is prescribed nothing by mouth. With which health care team members would the nurse collaborate to provide appropriate nutrition to this client

Registered dietitian nutritionist Clinical pharmacist Primary health care provider

A nurse reviews the electronic health record of a client who has crown disease and a draining fistula. Which documentation would alert the nurse to urgently contact the primary health care provider for additional prescriptions

Serum potassium of 2.6 mEq/l

A nurse is caring for a client who has been diagnosed with a small bowel obstruction. Which assessment findings would the nurse correlate with this diagnosis?

Serum potassium of 2.8 mEq/L Abdominal pain in upper quadrants Serum sodium of 121 mEq/L

A client is admitted with acute pancreatitis. What priority problem would the nurse expect the client to report?

Severe boring abdominal pain

The nurse assesses a client who has appendicitis. Which assessment finding would the nurse expect?

Severe, steady right lower quadrant pain

The nurse plans care for a client with crohn disease who has a heavily draining fistula. Which intervention would be the nurses priority action?

Skin protection

A client with peptic ulcer disease is in the emergency department and reports gastric pain that has gotten much worse over the last 24 hours. The clients blood pressure when lying down is 112/68mm Hg and when staining is 98/52 mm Hg. What action by the nurse is most appropriate?

Start a large bore IV w normal saline

A nurse cares for clients with urinary incontinence. Which types of incontinence are correctly paired with their description?

Stress incontinence Urge incontinence Reflex incontinence

A nurse assesses a client who is recovering from an open traditional whipple surgical procedure. Which assessment findings alerts the nurse to a complication from this surgery

Sub sternal chest pain SOB Lack of bowel sounds of flatus Urine output of 20 mL/6 hr

A client has returned form a transurethral resection of the prostate with a continuous bladder irrigation. Five hours after the operation, the nurse notes the drainage is bright red w clots. What action should the nurse take first

Take VS and begin immediate irrigation w sterile water

A nurse is caring for a client who has a new diagnosis of BPH. The nurse should expect a prescription for which of the following medications

Tamsulosin

A nurse is providing education to a new 55 yo African American client about screening for prostate cancer. What action by the nurse is most appropriate

Teach the client that he is in a high risk group and should discuss screening

A nurse cares for a client with a new ileostomy. The client states "I don't think my friends will accept me with this ostomy" how would the nurse respond

Tell me more about your concerns

After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assess the clients understanding. Which statement by the client indicates a need for further teaching?

The best time to take the enzymes is immediately after I have a meal or a snack

A nurse is assessing a client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of the large in's testing due to fecal impaction?

The client is having small. Frequent liquid stools

A nurse cares for a pt who has chronic inflammatory bowel disease. Which actions would the nurse take to prevent skin excoriation?

Use medicated wipes instead of toilet paper Apply a thin coat of aloe cream to the perineum Gently pat the perineum dry after cleansing

A nurse plans care for a client with overflow incontinence. Which intervention does the nurse include in this clients plan of care to assist w elimination

Use the valsalva maneuver

A client is preparing to have a laparoscopic restorative proctocolectomy with ileo pouch anal anastomosis. Which preoperative health teaching would the nurse include?

You should be able to have better bowel continue after healing occurs.

A nurse cares for a client who has a family history of colorectal cancer. The client states "my father and my brother has colon cancer. What is the change that I will get cancer" how would the nurse respond?

You should have a colonoscopy more frequently to identify abnormal polyps early

A client is scheduled for a hepatobiliary i ion diabetic acid scan. What would the nurse include in client teaching about this diagnostic test?

You'll have a large camera close to you during the test