Med Surg 36,37,40
The nurse contributes to the plan of care for an older patient. The nurse recognizes which of the following does not occur with aging to plan care
Bladder size increaes
What is a major factor in the development of type 1 diabetes
An autoimmune response
A patient develops a small sore on the sole of the left foot. The nurse notifies the physician and implements a standard care plan for impaired skin integrity. What action by the nurse would help evaluate the effectiveness of the plan
Assess and document the wound condition daily
The nurse is collecting data for a patient who has kidney disease. How much urine will the nurse need to collect for a urinalysis
10ml
The nurse is caring for a patient who has a renal biopsy. For which complication would the nurse monitor the patient during the 24 hours after the procedure?
Bleeding
The nurse is reinforcing teaching for a patient who is on four injections of regular insulin daily. About how many hours after each injection of insulin should the nurse teach the patient to be alert for symptoms of hypoglycemia
3 hours
Normal pH of urine is:
4.5-8
The nurse is caring for a patient with diabetes. Which of the following symptoms would be most concerning?
Diaphoresis.
What is the most important action for a patient to take to prevent or delay long-term complications of diabetes
Carefully control blood glucose
Risk factors for bladder CA include
Cigarette smoking
A nurse is monitoring an older patient suspected of having a urinary tract infection (UTI) for signs of infection. The nurse would be alert to the presence of:
Confusion
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?
Daily weight
A patient is scheduled for intravenous pyelography (IVP). Before the test, the priority nursing action would be to:
Determine a history of allergies
What interventions, in addition to monitoring vital signs, should the nurse plan for in a patient returning from renal arteriogram involves all except
Encourage the pt to ambulate as soon as possible
The nurse is caring for a male patient who has functional incontinence. What actions should the nurse take to help prevent incontinence?
Ensure pt has ready access to the urinal
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding pre-procedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP
Fluid intake
What helps decrease incontinence by strengthening the pubococcygeal muscle
Kegel exercises
Select the route that indicates where urine is produced to when it's transported out of the body
Kidneys>ureters>bladder>urethra
What is the structural and functional unit of the kidney
Nephron
The nurse teaches a patient to self-administer insulin. How can the nurse best evaluate whether the patient understands the instructions
Observe as the pt prepares and injects a dose of insulin
Normal color of urine is
Pale yellow to amber
The nurse is helping to prepare a patient for a renal biopsy. What position should the nurse help the patient assume?
Prone
The nurse is assisting with a group class on complications of diabetes. Which information should the nurse include as factors that can precipitate hyperglycemia
Stress or illness
The nurse is collecting data for a patient who has stress incontinence. Which of these findings would the nurse document?
The pt loses small amounts of urine when he or she coughs or sneezes
Heather gave the lecture for CH 36-37-40
True
A patient with pyelonephritis has received instructions of managing the condition at home. The nurse determines that the patient understood the instructions if he has verbalized that he will
Use sitz baths and analegsics to increase comfort.
The nurse is caring for a patient with diabetes who has peripheral neuropathy. What is the best way to prevent related complications
Wash, dry, and inspect feet daily
The nurse is providing care for a marathon runner who is newly diagnosed with diabetes mellitus. What explanation about exercise is best for the nurse to provide?
You should always take some emergency glucose with you when you are running
The nurse is assisting with nutrition teaching for a patient who voices concern over coping with a diabetic diet. What response about medical nutrition therapy is correct
You will have a well-balanced, individualized meal plan that will be healthy for your whole family
A patient is newly diagnosed with type 1 diabetes mellitus. How should the nurse respond when the patient asks how long the insulin injections will be necessary
You will need insulin injections for the rest of your life
