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Sexual dysfunctions 1ike impotence, erectile dysfunction, and lack of libido are likely possibilities in what, prostatic surgery?
- A. Suprapubic prostatectomy
- B. Transurethral resection of the prostate
- C. Laparoscopic prostatectomy
- D. Perineal prostatectomy
Correct Answer: B
Rationale: Sexual dysfunctions like impotence, erectile dysfunction, and lack of libido are common complications following prostatic surgery. Among the options provided, transurethral resection of the prostate (TURP) is associated with a higher risk of these sexual dysfunctions. This is because during TURP, the surgical procedure may damage nerves and blood vessels that are crucial for sexual function, leading to impotence, erectile dysfunction, and decreased libido postoperatively.
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Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient Ellie with oxytocin drip?
- A. Know, how to recognize potential adverse reactions:
- B. Administer oxytocin drug with caution
- C. Monitor patient closely when infusing oxytocin
- D. Inform patient about potential complications.
Correct Answer: D
Rationale: While all of the nursing measures listed are important considerations when managing a patient receiving oxytocin drip, the nurse would least consider informing the patient about potential complications. The reason for this is that it is the responsibility of the healthcare provider (such as the physician or advanced practice nurse) to inform the patient about potential complications of a medication or treatment. Nurses are instrumental in providing education and support to patients, but in the case of informing patients about potential complications, this task typically falls under the purview of the prescribing provider. The primary focus of the nurse in this situation would be to assess, administer, monitor, and educate the patient as appropriate, ensuring safe and effective care delivery.
As Nurse Pedrito prepares for the day's visits, which of the following patients should be seen FIRST? A client with ________.
- A. Parkinson's disease with imbalance gait.
- B. A thoracostomy six months ago.
- C. A history of congestive heart failure with dyspnea.
- D. A stroke with nasogastric tube (NGT).
Correct Answer: C
Rationale: The patient with a history of congestive heart failure and dyspnea should be seen FIRST by Nurse Pedrito. Congestive heart failure is a serious condition that can lead to acute exacerbations and requires prompt assessment and management. Dyspnea (shortness of breath) is a common symptom of heart failure and can indicate worsening cardiac function or fluid overload, which requires immediate attention to prevent further complications. Timely assessment and intervention for heart failure exacerbations can help prevent hospital admissions and improve patient outcomes. Therefore, prioritizing this patient for assessment and intervention is crucial to ensure their safety and well-being.
Which of the following statements indicates that the client needs further teaching?
- A. "I will have to avoid drinking nonalcoholic beer."
- B. "I will be able to eat cottage cheese without worrying."
- C. "I can eat green beans on this diet."
- D. I'm so glad I can have pizza as long as I don't order pepperoni."
Correct Answer: A
Rationale: The statement "I will have to avoid drinking nonalcoholic beer" indicates a potential misunderstanding as nonalcoholic beer is generally permitted on most diets. The client may need further teaching to clarify this misconception. The other statements indicate a good understanding of the dietary guidelines and do not raise concerns about misunderstanding.
A patient presents with unilateral nasal congestion, facial pain, and purulent nasal discharge. Upon examination, tenderness is noted over the affected sinus. Which of the following conditions is most likely responsible for this presentation?
- A. Allergic rhinitis
- B. Acute sinusitis
- C. Nasal polyps
- D. Deviated nasal septum
Correct Answer: B
Rationale: The patient's symptoms of unilateral nasal congestion, facial pain, and purulent nasal discharge with tenderness over the affected sinus are suggestive of acute sinusitis. Acute sinusitis is typically caused by a viral or bacterial infection leading to inflammation and swelling of the sinus mucosa, resulting in the characteristic symptoms described. The tenderness over the affected sinus indicates inflammation in that area. Allergic rhinitis typically presents with bilateral nasal congestion, clear nasal discharge, and itching, rather than facial pain and purulent discharge. Nasal polyps are associated with chronic conditions and usually lead to more gradual onset of symptoms. A deviated nasal septum may contribute to chronic sinus issues but typically does not present with acute symptoms of infection like purulent discharge and facial pain.
A patient expresses frustration with the treatment plan proposed by the healthcare team. What is the most appropriate response from the nurse?
- A. Dismiss the patient's concerns and assure them that the treatment plan is the best option.
- B. Empathize with the patient's frustration and explore their concerns further.
- C. Ignore the patient's frustration and proceed with implementing the treatment plan.
- D. Tell the patient that they have no choice but to follow the treatment plan.
Correct Answer: B
Rationale: The most appropriate response from the nurse when a patient expresses frustration with the treatment plan proposed by the healthcare team is to empathize with the patient's frustration and explore their concerns further. It is important to actively listen to the patient, acknowledge their feelings, and address any questions or uncertainties they may have about the treatment plan. By engaging in open communication and demonstrating empathy, the nurse can foster a therapeutic relationship with the patient and work towards finding a solution that is mutually agreeable and beneficial for the patient's well-being. Dismissing the patient's concerns (Option A) or ignoring their frustration (Option C) can lead to a breakdown in communication and trust, which may ultimately impact the patient's compliance with the treatment plan. Similarly, telling the patient that they have no choice but to follow the treatment plan (Option D) can be perceived as dismissive and confrontational, which is not conducive to promoting patient-centered care.