Considering the potential long-term side effects of a radical prostectomy, the nurse would make the nursing diagnosis of
a. Deficient Fluid Volume
b. Impaired Urinary Elimination
c. Risk for Sexual Dysfunction
d. Social Isolation
C
Although various surgical approaches can be used, permanent erectile dysfunction and inconti-nence are possible risks of surgery.
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An elderly client has had a permanent feeding tube placed as a result of dysphagia. Which of the following nursing interventions will decrease the risk of aspiration?
A) flushing the tube with water before, between, and after each medication administered through the tube B) administering formulas that contain fiber C) keeping the head of the bed elevated at least 30? whenever the tube feeding is running by pump D) the risk of aspiration no longer exists after a permanent feeding tube has been placed
The nurse is conducting a health history assessment for an older adult patient. Which patient statement would cause the nurse to suspect abuse?
1) "I feel very safe in my children's home. They take good care of me." 2) "I have been experiencing dizzy spells. My son is afraid that I will fall." 3) "I see a new doctor every couple of months. My daughter always wants me to switch." 4) "My son puts all my medications for the day in a divider. He wants to be sure that I don't take too many."
The patient has experienced a postpartum hemorrhage at 6 hours postpartum. After controlling the hemorrhage, the patient's partner asks what would cause a hemorrhage. How should the nurse respond?
1. "Sometimes the uterus relaxes and excessive bleeding occurs." 2. "The blood collected in the vagina and poured out when your partner stood up." 3. "Bottle-feeding prevents the uterus from getting enough stimulation to contract." 4. "The placenta had embedded in the uterine tissue abnormally."
An autistic child is hospitalized for surgery. Nursing care for this child should include which of the following interventions:
a. Forcing the child to play with other children in the playroom b. Providing a structured environment similar to the child's usual routine c. Discouraging the child from engaging in repetitive movement d. Reporting signs of language delay to the nurse in charge