wk 10/11 204
which test result would confirm the diagnosis of benign prostatic hyperplasia (BPH)?
biopsy of prostatic tissue
the nurse is caring for a client 5 days after the surgical creation of a colostomy. displayed signs of depression since surgery. nurse determines tht there is some movement toward adaptation to the change in body image when the client exhibits which behavior?
client stares at the stoma during dressing changes
which info would the nurse include in teaching plan for a client who will receive total parenteral nutrition (TPN) @ home?
demonstrating how to test capillary glucose levels This is because TPN can cause hyperglycemia.
dietary instruction that is beneficial for a client who has undergone hypophysectomy and has dif. passing stools
drink plenty of water
which response would the nurse give to a client who asks if having a hemicolectomy means wearing a pouch and having bowel movements in an abnormal way?
no part of the colon is removed and rest is reattached
which info about benign prostate hyperplasia (BPH) is important for the nurse to consider when caring for a client w/ tht condition?
predisposes to hydronephrosis
Which intervention is most beneficial in preventing a catheter-associated urinary tract infection in postoperative client?
removing the catheter w/in 24 hrs
which manifestation would the nruse assess for in a client with BP 190/94 who reports min urinary output despite adequate fluid intake?
weight gain if urine is not being produced in the prescence of an avg daily intake, fluid will be retained & reflected in wt gain (1L=2.2 lbs)
when inserting a catheter to irrigate a clients colostomy, nurse meets some resistance. which action would the nurse take?
Instilling a small amount of solution from the irrigating container into the stoma
Older adult UTI symptoms
confusion, incontinence, slight rise in temp
scheduled for abdominoperineal resection w/creation of colostomy, which type of surgery would the nurse prepare the client for?
permanent sigmoid colostomy
which indicators of a developing infection would the nurse teach to the male client who has had a ureterolithotomy?
urgency or frequency of urination
which instruction would the nurse include regarding an ileal conduit when providing a clients discharge teaching?
"Maintain fluid intake of at least 2 L daily.
client scheduled for a hemicolectomy because of a small lesion in the colon asks if havign the procedure means tht "I have to deal w/ 1 of those pouches & have bowel movements into the pouch" how would the nurse respond?
"No, only part of the colon is removed and the rest reattached."
nurse provides education to a client w/ a new colostomy about when to irrigate the colostomy. which client statement indicates correct understanding of the teaching?
"I plan to irrigate it in the late morning, the same time I had a bowel movement every day before I had my surgery."
high cleansing enema is prescribed, what is the max ht at which container of fluid would be help by the nurse when admin the enema
46 cm (18 in) For a high colonic enema, the fluid must extend higher in the colon. If the height of the enema fluid container above the anus is increased, the force and rate of flow also increase. 30 cm (12 inches) is too low for a cleansing enema. The heights of 51 cm (20 inches) and 66 cm (26 inches) are too high and may cause mucosal injury.
recommended length of insertion of the enema tube in a child of 3 yrs?
5-7.5 cm
client has surgically created colostomy, which is the most effective nursing intervention initially to help the client accept the colostomy
begin to teach self care of the colostomy by introducing equpiment
(BPH) benign prostate hyperplasia
benign enlargement of the prostate gland caused by excessive accumulation of dihydrotestosterone in the prostate cells, can stimulate cell growth/overgrowth of prostate tissue surrounding urethra.
which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary urgency, dribbling at the end of urination w/ digital rectal exam report indicating smooth, firm, enlarged prostate tissue surrounding the urethra?
benign prostate hyperplasia
34 wk pregnant woman us hospitalized for pyelonephritis. Which assessments would the nurse include in the plan of care?
urine output, temperature, BP, Uterine contractions
which instruction would the nurse include when teaching a client with multiple sclerosis (MS) abt managing urinary retention?
using creude maneuver (manual pressure over suprapubic area to compress bladder & promote emptying &&&&& monitoring for and reporting signs of a UTI
HCP prescribes a sigmoidoscopy for 1 client and a barium enema for another client. which is a nursing responsibility common to preparing both of the clients for these procedure?
Ensuring an understanding of the procedure
which assessment finding would the nurse report to the HCP when giving immediate postoperative care to a client with a newly placed stoma?
blanching, dark red to purple color
Younger adult UTI symptoms
fever, dysuria, urgency
which clinical manifestation would the nurse identify as an indicator suggesting a client has urinary retention & overflow after sustaining a costovertebral accident (CVA aka brain attack)?
frequent voiding, suprapubic distention (retention-total amt of urine is unaffected)
how to prevent constipation
i should drink at least 6 glasses of h2o, bran muffins, walk everyday
hysterectomy is scheduled for a client w/ endometrial cancer. before surgery proceeds, which intervention would the nurse prepare the client to expect?
indwelling urinary catheter
client reports abdominal cramping while undergoing a soapsuds enema. which action would the nurse take?
lower ht of the bag
nurse provides post op teaching abt colostomy care to a client who underwent surgery for cancer of the colon. which education at skin care around the stoma>
wash area w soap and water and apply a protective ointment
oil retention enemas work by which action
lubricating the sigmoid colon and rectum
