Nokea
A post-TURP patient experiences dribbling following removal of his catheter. Which action should the nurse take?
- A. Have him restrict fluid intake to 1000 mL/day
- B. Teach him to perform Kegel's exercises 10 to 20 times per hour
- C. Reinsert the Foley catheter until he regains urinary control
- D. Reassure him that incontinence never lasts more than a few days
Correct Answer: B
Rationale: The best course of action for a post-TURP patient experiencing dribbling after catheter removal is to teach him to perform Kegel's exercises 10 to 20 times per hour. Kegel exercises help strengthen the pelvic floor muscles, which can improve urinary control and reduce dribbling. Restricting fluid intake is not recommended as it can lead to dehydration. Reinserting the Foley catheter is not ideal unless there are complications. Incontinence following TURP can take time to improve, so reassuring the patient that it never lasts more than a few days may give false expectations. Teaching Kegel exercises is the most appropriate intervention to address post-TURP dribbling.
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A nurse is establishing several health programs, such as bicycle safety, to improve the health status of a target population. This describes which step in the community nursing process?
- A. Planning
- B. Evaluation
- C. Assessment
- D. Implementation
Correct Answer: D
Rationale: The nurse establishing health programs, such as bicycle safety, to improve the health status of a target population is engaging in the implementation phase of the community nursing process. Implementation involves putting the planned interventions into action. In this scenario, the nurse is actively carrying out the health programs to promote bicycle safety, which is a crucial step in the community nursing process. The planning phase precedes implementation, where the nurse develops the interventions and strategies to address community health needs. Following implementation, the next step in the community nursing process would be evaluation, where the effectiveness of the health programs would be assessed to determine their impact on the target population.
Which of the ff dietary recommendations should a nurse give to a client taking diuretics?
- A. Include potassium rich foods
- B. Avoid fruit and fruit juices
- C. Include protein rich foods
- D. Avoid dairy products
Correct Answer: A
Rationale: Diuretics are medications that help the body get rid of excess sodium and water through increased urine output. One common side effect of diuretics is the loss of potassium from the body. Therefore, it is important for clients taking diuretics to include potassium-rich foods in their diet to help maintain a healthy potassium level. Some examples of potassium-rich foods include bananas, oranges, potatoes, spinach, avocados, and tomatoes. By including these foods in their diet, clients taking diuretics can help prevent potassium deficiency and maintain overall health.
If a Wall unit is used, What should be the suctioning pressure required by James?
- A. 50-95 mmHg
- B. 100-120 mmHg
- C. 95-110 mmHg
- D. 155-175 mmHg
Correct Answer: A
Rationale: The recommended suction pressure range for suctioning an adult patient using a wall unit is typically between 80-120 mmHg. However, for a pediatric patient, the recommended suction pressure range is lower, usually between 50-95 mmHg. In this case, James' age is specified, so it is crucial to consider the appropriate suction pressure range for pediatric patients. Therefore, the suctioning pressure required by James should be in the range of 50-95 mmHg, making option A the correct answer.
The most common symptom of JRA that causes a patient to seek medical attention is:
- A. joint swelling.
- B. limited movement.
- C. fatigue.
- D. pain.
Correct Answer: D
Rationale: The most common symptom of Juvenile Rheumatoid Arthritis (JRA) that causes a patient to seek medical attention is pain. Joint pain is a hallmark symptom of JRA and can range from mild discomfort to severe pain. This pain can be persistent or intermittent, and it often worsens with movement or activity. Pain is a significant factor that leads patients to seek medical evaluation in order to diagnose and manage their condition. While joint swelling, limited movement, and fatigue are also common symptoms of JRA, pain is typically the primary reason patients seek medical attention.
Which information should the nurse give a mother regarding the introduction of solid foods during infancy?
- A. Solid foods should not be introduced until 8 to 10 months, when the extrusion reflex begins to disappear.
- B. Foods should be introduced one at a time, at intervals of 4 to 7 days.
- C. Solid foods can be mixed in a bottle to make the transition easier for the infant.
- D. Fruits and vegetables should be introduced into the diet first.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.