Nokea
If the client asks the nurse to outline the benefits of the cystoscopy procedure, which ones should the nurse list as possible, the nurse is a child with a apply.
- A. Involves visual examination of the internal structure of the kidney
- B. Helps identify the sources of hematuria, incontinence, and urine retention
- C. Allows for collection of tissue samples, cell washings, and urine samples
- D. Requires no sedation because it is painless
- E. Excess the nurse to visualize the internal structure
- F. Requires no surgical incision because the scope is introduced into the urethra
Correct Answer: B,C,F
Rationale: Cystoscopy identifies causes of urinary symptoms, allows sample collection, and is minimally invasive via the urethra.
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If this client is typical of others who acquire bladder cancer, which symptoms are most likely to have manifested in the early stage of this disease? Select all that apply.
- A. Difficulty voiding
- B. Persistent oliguria
- C. Painless hematuria
- D. Urethral discharge
- E. Painful urination
- F. Postvoid dribbling
Correct Answer: C
Rationale: Painless hematuria is the most common early symptom of bladder cancer.
The nurse is caring for a client diagnosed with rule-out ARF. Which condition predisposes the client to developing prerenal failure?
- A. Diabetes mellitus.
- B. Hypotension.
- C. Aminoglycosides.
- D. Benign prostatic hypertrophy.
Correct Answer: B
Rationale: Prerenal failure results from decreased renal perfusion. Hypotension reduces blood flow to the kidneys, directly causing prerenal ARF. Diabetes and aminoglycosides contribute to intrinsic renal damage, while BPH causes postrenal issues.
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
- A. Pulse rate
- B. Body weight
- C. A Abdominal girth
- D. Urine output
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
When the client questions why both drugs are not taken daily, which response by the nurse is best?
- A. The medications are too toxic if taken on a daily basis.
- B. This alternating schedule maintains adrenal function.
- C. Each medication has a prolonged period of action.
- D. Most people cannot tolerate the medications' daily side effects.
Correct Answer: B
Rationale: Alternating methylprednisolone and prednisone helps maintain adrenal function by mimicking natural cortisol rhythms, reducing suppression of the adrenal glands.
The client is one (1) day postoperative TURP. Which task should the nurse delegate to the UAP?
- A. Increase the irrigation fluid to clear clots from the tubing.
- B. Elevate the scrotum on a towel roll for support.
- C. Change the dressing on the first postoperative day.
- D. Teach the client how to care for the continuous irrigation catheter.
Correct Answer: B
Rationale: Elevating the scrotum is a simple supportive task within the UAP’s scope. Adjusting irrigation, changing dressings, and teaching require nursing judgment and are not delegable.