The patient is receiving continuous bladder irrigation after a transurethral resection of the prostate (TURP). He complains of a "spasmlike" pain over his lower abdomen
Which of these actions should the nurse perform first in response to this complaint? a. Inform the nurse in charge.
b. Decrease the continuous bladder irrigation flow.
c. Administer the prescribed analgesic.
d. Check the catheter and drainage system for obstruction.
D
The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
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A female client with a long and complex history of chronic pain has begun a program of biofeedback with an advanced practice nurse. Together, the nurse and the client would identify what goal of this program?
A) The client will be able to lessen her pain through the use of massage. B) The client will learn to alter her physiological responses to her pain. C) The client will learn to cope more effectively and constructively with her pain. D) The client will learn to identify the signs of impending pain more clearly.
A patient who has been prescribed oral cephalexin (Keflex) also takes aluminum hydroxide (Mylanta) 1 hour after each meal. What is the nurse's best action?
a. Give the two drugs at the same time to prevent GI upset. b. Give the cephalexin 1 hour before the aluminum hydroxide. c. Give the aluminum hydroxide 1 hour before the cephalexin. d. Give the aluminum hydroxide 4 hours after the cephalexin.
The licensed staff members who belong to the union filed a grievance against the hospital related to the conditions of employment. According to the National Labor Relations Board, in this situation collective bargaining is:
a. Petitionary b. Illegal c. Voluntary d. Mandatory
A trend in psychiatric nursing related to cost controls imposed in the managed care environment is:
a. reduced emphasis on utilization review. b. a marked increase in the use of risk managers. c. reduced use of patient and family educators to promote compliance. d. a shift from acute inpatient to community-based positions.