Nokea
Exercises to increase muscle tone of the pelvic floor are known as ___ exercises.
- A. Kegel
Correct Answer: Kegel
Rationale: Women with weakened structures of the pelvic floor are prone to stress incontinence. For the female patient, Kegel exercises are helpful; 10 repetitions, 5 to 10 times a day, are suggested to improve muscle tone.
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The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which finding to be normal?
- A. Turbidity clear
- B. pH 6.0
- C. Glucose negative
- D. Red blood cells, 15 to 20
- E. White blood cells
Correct Answer: A,C
Rationale: The normal findings are: turbidity clear, and glucose negative. The other findings are abnormal.
As the nurse and the dietitian review a female patient's diet plan with her, she shouts that with her diabetes and now the kidney failure, there is just nothing she can eat. She says she might as well eat what she wants, because there is nothing she can do to help herself. Based on the patient's response, which patient problem does the nurse identify?
- A. The patient will not likely follow a prescribed diet due to anger.
- B. The patient does not understand the diet, and will likely have poor nutrition.
- C. The patient is in the grieving process, due to the probability she will die soon.
- D. The patient is feeling unable to cope, and feels helpless over having diabetes and kidney failure.
Correct Answer: D
Rationale: Ineffective coping due to the feeling of powerlessness against the multiorgan failure may result in aggressive or infantile behavior.
Which foods will the home health nurse counsel patients with hypokalemia to include in their diet?
- A. Bananas, oranges, cantaloupe
- B. Carrots, summer squash, green beans
- C. Apples, pineapple, watermelon
- D. Winter squash, cauliflower, lettuce
Correct Answer: A
Rationale: The use of most diuretics, with the exception of the potassium-sparing diuretics, requires adding daily potassium sources (e.g., baked potatoes, raw bananas, apricots, or navel oranges, cantaloupe, winter squash).
An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is recommended. In addition to observing the patient for hemorrhage, which aspect of care will be the nurse's postsurgical interventions included for this patient?
- A. Encouraging fluid intake
- B. Addressing anxiety related to unclear outcome of condition
- C. Monitoring the patient for signs of prostatic hypertrophy
- D. Recommending appropriate oral analgesics to the health care provider
Correct Answer: A
Rationale: After surgery, encourage fluid intake to prevent infection and to prevent further stones from developing.
The prostatectomy technique, which involves an incision through the abdomen and the bladder, is a ___ prostatectomy.
- A. suprapubic
Correct Answer: suprapubic
Rationale: A suprapubic prostatectomy involves an incision through the abdomen and the bladder with removal of the gland with the finger.