A client who has had minimally invasive surgery due to a diagnosis of benign prostatic hypertrophy (BPH) has returned to the unit postoperatively. The nurse expects which of the following outcomes for this client?
1. Absence of pain
2. No postoperative treatment
3. Urinary continence
4. Bowel continence
3. Urinary continence
Rationale:
After surgery and removal of the catheter, the client should return to urinary continence as expected. The client will need postoperative teaching and will experience some amount of discomfort. Most clients, due to pain and swelling in the area, will have problems with constipation at first.
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The nurse working in a long-term care facility safely delegates which of the following to the unlicensed assistive personnel (UAP)?
1. Bathing a client who is showing signs of imminent death 2. Obtaining vital signs on a client who developed shortness of breath 3. Providing fresh ice and water to everyone on the unit 4. Transferring an elderly man from the chair to the bed independently
In making a change in hospital policy, which best describes the nursing administrators first priority?
1. Research the options that will work best for the nursing staff and the hospital. 2. Ensure each nurse is aware of the change and why it is necessary to undertake. 3. Speak positively of the change to ensure the most ?buy-in? from the nurses. 4. Encourage the other administrators to choose the option easiest for the nurses.
How would the nurse document scars that form at a wound site that grow beyond the normal boundaries of a wound in a patient from the Black culture?
A. Keloid B. A pigmentary disorder C. Pseudofolliculitis D. Melasma
You are admitting an oncology patient to your unit prior to surgery. The patient has just finished radiation therapy. What does this put your patient at increased risk for?
A) Nutritional deficit B) Impaired wound healing C) Cardiac tamponade D) Tumor lysis syndrome