Nokea
A 79-year-old client who has just returned to the surgical unit following a TURP complains of acute abdominal pain caused by bladder spasms. All of these orders are listed on the client's chart. In what order will you accomplish these actions?
- A. Administer acetaminophen/oxycodone 325 mg/5 mg (Percocet) 2 tablets.
- B. Irrigate retention catheter with 30-50 mL of sterile normal saline.
- C. Infuse 500 mL of 5% dextrose in lactated Ringer's solution over 2 hours.
- D. Encourage client's oral fluid intake to at least 2500-3000 mL daily.
Correct Answer: B
Rationale: Irrigating the catheter addresses the potential blockage causing the spasms.
You may also like to solve these questions
The hormone testosterone is tubes called seminiferous tubules that produced by the ________ cells of the are found within each ________. testes.
- A. spermatic cord
- B. spermatogonia
- C. testis
- D. oogonia
Correct Answer: B
Rationale: The correct answer is B: spermatogonia. Spermatogonia are the cells within the seminiferous tubules of the testes that give rise to sperm cells. Testosterone is produced by Leydig cells, not spermatogonia. A is incorrect because the spermatic cord does not produce testosterone. C is incorrect as the testis is the overall organ where the seminiferous tubules are located. D is incorrect as oogonia are female germ cells found in the ovaries, not the testes.
When palpating the epididymis, the nurse considers which finding to be abnormal?
- A. The epididymis is located on the posterolateral surface of each testis.
- B. The epididymis feels like a tubular, comma-shaped structure.
- C. The epididymis collapses on palpation.
- D. The epididymis has an irregular, nodular surface.
Correct Answer: D
Rationale: The correct answer is D because an epididymis with an irregular, nodular surface is abnormal and may indicate a pathology such as epididymitis or a tumor. Step 1: Normal epididymis should feel smooth and firm, not irregular. Step 2: Nodular surface suggests a growth or inflammation. Step 3: Abnormal findings should prompt further evaluation. Incorrect choices: A is correct anatomical location, B describes the normal shape, and C collapsing is not a typical finding.
Which of the following has no homolog in the female?
- A. penis
- B. scrotum
- C. prostate
- D. bulbourethral glands
Correct Answer: B
Rationale: The correct answer is B: scrotum. The scrotum is a male-specific structure that houses the testes, which are responsible for producing sperm. In females, there is no homologous structure that serves the same function as the scrotum. The other choices (A: penis, C: prostate, D: bulbourethral glands) have homologous structures in females (clitoris, Skene's glands, and Bartholin's glands, respectively). This differentiation is based on the embryological development of male and female reproductive structures.
A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.
- A. 20 to 30
- B. 40 to 60
- C. 30 to 40
- D. 60 to 90
Correct Answer: B
Rationale: The correct answer is B (40 to 60 mL) because a typical tampon can absorb around 20 mL of blood. If the woman has saturated three tampons in 2 hours, that would be 3 tampons x 20 mL each = 60 mL. This indicates a significant blood loss. The other choices are incorrect because they do not account for the volume of blood absorbed by the tampons and underestimate the amount of blood loss. Choice A is too low, choices C and D are too high. The correct estimation of 40 to 60 mL aligns with the information provided and reflects the severity of the situation.
PID is an infection of the pelvic organs, excepting the uterus. The nurse's role in caring for a client hospitalized with PID includes which of the following?
- A. The nurse inquires if the client has douched within the last 48 hours
- B. The nurse advises a douche every hour prior to being examined
- C. The nurse avoids administering analgesics
- D. The nurse avoids washing the perineal area
Correct Answer: A
Rationale: Inquiring about recent douching helps understand potential contributing factors to the infection.