When providing preoperative teaching for a client undergoing lithotripsy, which of the following instructions would not be appropriate to include in the teaching?
A. Pain medication is given as gravel is being passed following the procedure.
B. Fluids are given in large quantities to hydrate the kidney following stone manipulation.
C. Liver function studies are monitored following a gallstone procedure.
D. Bed rest is maintained until gravel is passed.
D
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A nurse working in a busy orthopedic clinic is asked to perform the Tinel sign on a patient having problems in his hand/wrist. In order to test Tinel sign, the nurse should give the patient which of the following directions?
A) "Stand tall, arms at your side, shut your eyes; place the tip of your index finger to your nose." B) "Hold your wrist in complete flexion; keep it in this position for 60 seconds; how does your hand feel after placing it in a neutral position?" C) "I'm going to tap (percuss) over the median nerve in your wrist; tell me what sensation you feel while I am doing this. Does the sensation stay in the wrist or go anywhere else?" D) "I'm going to tap this tuning fork and place it on the side of your thumb; then tell me what you are feeling in your hand and wrist."
The neurologic nurse is testing the function of a patient's cerebellum and basal ganglia. What action will most accurately test these structures?
A) Have the patient identify the location of a cotton swab on his or her skin with the eyes closed. B) Elicit the patient's response to a hypothetical problem. C) Ask the patient to close his or her eyes and discern between hot and cold stimuli. D) Guide the patient through the performance of rapid, alternating movements.
The goal of testosterone replacement therapy is:
1. Absence of all hypogonadism symptoms 2. Testosterone levels in the mid-normal range 1 week after an injection 3. Testosterone levels in the mid-normal range just prior to the next injection 4. Avoidance of high serum testosterone levels during therapy
The nurse would anticipate the client with hyperthyroidism to exhibit which symptom?
1. Hypothermia 2. Bradycardia 3. Weight gain 4. Hypertension