Med Surg 36,37,40

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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


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