In assessing the client who has had a prostatectomy and implantation of an artificial urinary sphincter, a nurse finds the client's left testis to have an irregularly shaped enlargement. What is the nurse's best action?
A. Elevate the scrotum and apply ice to the left testis.
B. Document the finding as the only action.
C. Compare the left testis to the right testis.
D. Notify the physician.
B
The pump of the artificial urinary sphincter is implanted in the scrotum of males having the pro-cedure so that they can manipulate the pump, as needed, to drain the bladder appropriately.
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A patient with acute kidney injury has a hemoglobin level of 9 mg/dL. How would the nurse explain this change to the patient?
1. "Your kidneys may not be making enough of a hormone that is required to build red blood cells." 2. "Since you are retaining so much fluid, your blood is more dilute." 3. "I am afraid you may have some bleeding we have not found as of yet." 4. "Your lungs are not exchanging oxygen as well as they should, so your body is not producing hemoglobin."
An older adult patient who has tuberculosis is being treated with the drugs isoniazid 300 mg daily, rifampin 600 mg daily, and pyrazinamide 1500 mg daily. The nurse stresses the importance that the patient
a. wear tinted glasses when out in the sun. b. minimize contact with children younger than 3 years old. c. avoid alcohol while on the drug therapy. d. eat and drink dairy sparingly.
Formal communication in health care is used to properly inform staff of (select all that apply):
a. Changes in CPR certification dates. b. Christmas party celebration. c. Patient survey results. d. Girl Scout cookie order pick-up. e. Termination of an employee.
The mother of a severely premature infant is being prepared to see her baby for the first time. The infant has an IV and a feeding tube, is receiving phototherapy, and is being monitored for cardiac and respiratory functioning. What information would be the least supportive for the mother at this time?
1. Wash hands before holding the infant. 2. The infant has tubes and monitoring equipment in place. 3. The appearance of the different machines and tubes attached to the infant. 4. Avoid touching the infant because the baby's skin is fragile and could be easily hurt.