The nurse hears in shift report that the patient had a transurethral needle ablation. Which question would the nurse ask the patient to determine if the procedure achieved the intended therapeutic goal?
A. Did the pain resolve completely after the procedure?
B. Are you able to achieve and sustain an erection?
C. Have your problems with urination been resolved?
D. Have you had a PSA level to see if the cancer is in remission?
Answer: C. Have your problems with urination been resolved?
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The patient has an excessive production of antidiuretic hormone (ADH). The nurse expects what change in the patient's blood pressure?
A) Increase in blood volume will cause increase in blood pressure. B) Increase in water and sodium excretion will cause a decrease in blood volume. C) Increase in ADH production will cause an increase in renin production and hypertension. D) Increase in ADH production will decrease angiotensin production and hypotension.
While evaluating the effectiveness of a drug administered to an older client 1 hour ago the nurse notes that the client is confused and disoriented. What should the nurse conclude about this observation?
1. Expected response to the drug 2. Client is demonstrating normal aging confusion. 3. This might be an effect of polypharmacy. 4. The client has a fever.
A patient has coronary artery bypass graft surgery and is transported to the surgical intensive care unit at noon. He is placed on mechanical ventilation. Interpret his initial arterial blood gas levels:
pH 7.31 PaCO2 48 mm Hg Bicarbonate 22 mEq/L PaO2 115 mm Hg O2 saturation 99% a. Normal arterial blood gas levels with a high oxygen level b. Partly compensated respiratory acidosis, normal oxygen c. Uncompensated metabolic acidosis with high oxygen levels d. Uncompensated respiratory acidosis; hyperoxygenated
A nurse is teaching a substance abuse class to a group of nursing students. Which of the following statements made by one of the nursing students best demonstrates understanding?
a. "An example of a patient at risk for substance abuse would be a patient who is post-operative from an amputation and asking for pain medication before it is time to have another dose." b. "An example of a patient at risk for substance abuse would be a patient with bone cancer who has been taking large doses of opiates." c. "An example of a patient at risk for substance abuse would be a teenager experi-menting with marijuana." d. "An example of a patient at risk for substance abuse would be a patient consis-tently taking prescription analgesics for minor aches and pains."