The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy. Which patient statement indicates the need for further teaching?
a. "I should call you if the bleeding increases."
b. "I need to wash around the meatus with soap and water each day."
c. "I should keep the drainage bag below the level of my bladder at all times."
d. "Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown."
ANS: D
B. The meatus should be washed with soap and water, but antibiotic ointment is usually not necessary. C. The bag must be kept below the level of the bladder to prevent return of urine to the bladder, which may increase risk of infection. A. Bleeding should be reported.
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A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?
A) Transient ischemic attack (TIA) B) Left-sided cerebrovascular accident (CVA) C) Right-sided cerebrovascular accident (CVA) D) Completed Stroke
A patient's cardiac monitor shows sinus rhythm, rate 64. The P-R interval is 0.18 seconds at 1:00 AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action should the nurse take next?
a. Place the transcutaneous pacemaker pads on the patient. b. Administer atropine sulfate 1 mg IV per agency dysrhythmia protocol. c. Document the patient's rhythm and assess the patient's response to the rhythm. d. Call the health care provider before giving the next dose of metoprolol (Lopressor).
Analgesic antipyretics are often combined with ________ analgesics or sedatives in prescription pain relievers such as Tylenol with codeine.
A. anti-inflammatory B. narcotic C. over-the-counter D. antipyretic
The nurse is asked to describe the stages of the sexual response cycle. Which system should the nurse describe as controlling excitement or arousal?
1. Sympathetic nervous system 2. Parasympathetic nervous system 3. Renin-angiotensin-aldosterone system 4. Peripheral nervous system