The nurse teaches the post-prostatectomy patient which of the following general guidelines regarding urination?
A) Increased urine output should be reported.
B) Dribbling will continue for the remainder of your life.
C) Blood in the urine should be reported to the physician immediately.
D) Urine control will return immediately.
Ans: C
Feedback: Decreased urine output, blood in the urine, and fever should be reported to the physician. Dribbling should gradually diminish. Regaining urinary control will be a gradual process.
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Which statement by the nurse indicates that the nurse–patient relationship is entering the termination phase?
1) "I'll be admitting you to our nursing unit as soon as I obtain your health history?" 2) "You seem upset today. Would you like to talk about whatever is bothering you?" 3) "I'm leaving for the day. Is there anything I can do for you before I leave?" 4) "Hello. My name is Judith and I'm your nurse today."
The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:
1. "Restrict fluid intake to less than 1000 mL/day." 2. "Avoid fluids such as tea, coffee, and cola." 3. "Delay voiding until you feel the urge to void." 4. "Void no more often than every 4 hours."
The nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse assesses light bilateral rales when auscultating lung sounds. Which priority action should the nurse take?
a. Decrease IV fluid rate. b. Document the finding. c. Encourage the use of an incentive spirometer. d. Ambulate the client around the nurses' station.
A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take prescribed medications and seems confused. The patient complains of "just blowing up" and has peripheral edema and shortness of breath
Which assessment should the nurse complete first? a. Skin turgor b. Heart sounds c. Mental status d. Capillary refill