Extracorporeal shock wave lithotripsy (ESWL) is administered to a client to treat urolithiasis. Which of these aspects should the client anticipate following this treatment?
a. IV fluids for 72 hours c. normal skin appear-ance
b. remaining NPO for 12 hours d. bloody urine for one to two days
D
ESWL is a method of crushing a calculus at any place in the urinary system with ultrasonic waves. Nursing interventions post-procedure include teaching the client to anticipate bloody urine for one to two days.
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A child has been hospitalized with a sickle cell crisis and given morphine sulfate (Duramorph) for severe pain. On assessment 45 minutes later, the child appears to be sleeping quietly with a respiratory rate of 6 breaths/minute
What action by the nurse is most appropriate? A. Document findings and let the child sleep. B. Plan to hold the next dose of morphine. C. Prepare to administer naloxone (Narcan). D. Wake the child up to take deep breaths.
A nurse is planning for the nutritional needs of a patient with Alzheimer disease. What is the best plan to have the dietary department provide?
a. Pureed diet to be fed with a syringe b. Foods that the patient can cut up to keep busy and not lose interest in eating c. Finger foods several times a day d. High-protein liquid diet
A client who has been diagnosed with Parkinson's disease (PD) shares with the nurse that, "I feel like no one else knows what I'm dealing with.". The nurse's best response is based on the knowledge that:
1. PD is the second most common neurological disorder in people over 65. 2. It is not usual to feel alone when faced with a stressful situation. 3. The client will cope better when he realizes his family is supportive. 4. Depression is a commonly seen reaction to such a diagnosis.
When evaluating the effectiveness of client teaching regarding the use of an oral inhaler, which of the following client comments indicates an understanding of the instructions
a. "I insert the metal stem of the bottle into my mouth and inhale." b. "I will shake the inhaler before each use." c. "I should exhale slowly after pushing the medication cylinder down." d. "I can use the inhaler as often as I need to."