Nokea
The client diagnosed with cancer of the bladder is undergoing intravesical chemotherapy. Which instruction should the nurse provide the client about the pretherapy routine?
- A. Instruct the client to remain NPO after midnight before the procedure.
- B. Explain the use of chemotherapy in bladder cancer.
- C. Teach the client to administer Neupogen, a biologic response modifier.
- D. Have the client take Tylenol, an analgesic, before coming to the clinic.
Correct Answer: B
Rationale: Explaining intravesical chemotherapy (instilled into the bladder) ensures the client understands the procedure and its purpose. NPO is unnecessary, Neupogen is unrelated, and Tylenol is not routinely required.
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The client receiving hemodialysis is being discharged home from the dialysis center. Which instruction should the nurse teach the client?
- A. Notify the HCP if oral temperature is 102°F or greater.
- B. Apply ice to the access site if it starts bleeding at home.
- C. Keep fingernails short and try not to scratch the skin.
- D. Encourage the significant other to make decisions for the client.
Correct Answer: A
Rationale: A fever of 102°F or higher may indicate infection, a serious complication in hemodialysis patients, requiring prompt HCP notification. Ice may worsen bleeding, short nails are general advice, and encouraging dependency is not therapeutic.
Which outcome should the nurse identify for the client diagnosed with fluid volume excess?
- A. The client will void a minimum of 30 mL per hour.
- B. The client will have elastic skin turgor.
- C. The client will have no adventitious breath sounds.
- D. The client will have a serum creatinine of 1.4 mg/dL.
Correct Answer: C
Rationale: No adventitious breath sounds (e.g., crackles) indicates resolution of pulmonary edema from fluid volume excess. Adequate urine output and elastic skin turgor are normal but not specific, and creatinine reflects renal function, not fluid status.
After the cystoscopy, which urinary symptom can the nurse expect the client to report?
- A. A sense of urgency
- B. No urinary output
- C. A strong urinary odor
- D. A large volume of urine output
Correct Answer: A
Rationale: A sense of urgency is common after cystoscopy due to urethral irritation from the procedure.
Which intervention should the nurse include when preparing a teaching plan for the client with chronic prostatitis?
- A. Sit in a warm sitz bath for 10 to 20 minutes several times daily.
- B. Sit in the chair with the feet elevated for two (2) hours daily.
- C. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily.
- D. Stop broad-spectrum antibiotics as soon as the symptoms subside.
Correct Answer: A
Rationale: Warm sitz baths reduce inflammation and pain in chronic prostatitis. Elevating feet is unrelated, tea/coffee are bladder irritants, and stopping antibiotics early risks recurrence.
The nurse is discussing how to prioritize care with the UAP. Which client should the nurse instruct the UAP to see first?
- A. The immobile client who needs sequential compression devices removed.
- B. The elderly woman who needs assistance ambulating to the bathroom.
- C. The surgical client who needs help changing the gown after bathing.
- D. The male client who needs the intravenous catheter discontinued.
Correct Answer: B
Rationale: Assisting an elderly woman to the bathroom prevents falls and addresses immediate elimination needs, prioritizing safety. Removing SCDs, changing gowns, and discontinuing IVs are less urgent.