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The nurse and urologist have both been unsuccessful
- A. Assuming a supine position for self-catheterization in catheterizing a patient with a prostatic obstruction and
- B. Using clean technique at home to catheterize a full bladder. What approach does the nurse anticipate
- C. Inserting the catheter 1 to 2 inches into the urethra the physician using to drain the patients bladder?
- D. Self-catheterizing every 2 hours at home
Correct Answer: E
Rationale: Rationale:
E is the correct answer because it addresses the need for further assessment and intervention by the healthcare team. The nurse and urologist's unsuccessful attempts indicate a need for a different approach. Options A, B, C, and D do not address the need for additional assessment or intervention. Option A focuses on positioning, B on technique, C on depth of insertion, and D on frequency of self-catheterization. None of these options address the need for a different plan of care. Therefore, E is the correct choice as it prompts the healthcare team to reassess and consider alternative strategies.
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The nurse is teaching a health class about UTIs to a appropriate response?
- A. Document the presence of a healthy stom
- C. Assess the patient for further signs and symptoms of
- D. Men over age 65 are equally prone to UTIs as infection.
Correct Answer: C
Rationale: The correct answer is C because assessing the patient for further signs and symptoms of UTI is crucial for timely diagnosis and treatment. By evaluating additional symptoms such as frequency, urgency, dysuria, and hematuria, the nurse can confirm the presence of a UTI. This step is essential for appropriate management and preventing complications.
Choice A is incorrect because documenting a healthy stomach does not address the assessment and management of UTIs. Choice B is incomplete and does not provide any relevant information about UTIs. Choice D is incorrect as men over age 65 are actually less prone to UTIs compared to women.
What causes the gastrointestinal (GI) manifestation of stomatitis in the patient with CKD?
- A. High serum sodium levels
- B. Irritation of the GI tract from creatinine
- C. Increased ammonia from bacterial breakdown of urea
- D. Iron salts, calcium-containing phosphate binders, and limited fluid intake
Correct Answer: D
Rationale: The correct answer is D. Stomatitis in CKD patients is often caused by iron salts, calcium-containing phosphate binders, and limited fluid intake. Iron salts and calcium binders can lead to mucosal irritation in the GI tract, exacerbating stomatitis. Limited fluid intake can cause dehydration, leading to oral mucosal dryness and vulnerability to stomatitis.
A: High serum sodium levels do not directly cause stomatitis in CKD patients.
B: Irritation of the GI tract from creatinine is not a common cause of stomatitis in CKD patients.
C: Increased ammonia from bacterial breakdown of urea is more related to hepatic encephalopathy rather than stomatitis in CKD patients.
While managing a client after a medical or surgical procedure for bladder stones, when should the nurse notify the physician?
- A. Assessment of sexual habits
- B. Assessment and recognition of abnormal findings
- C. Assessment of allergies to seafood
- D. Assessment of insurance coverage
Correct Answer: B
Rationale: The correct answer is B because assessing and recognizing abnormal findings is crucial in post-procedure care for bladder stones. This includes monitoring for signs of infection, urinary retention, bleeding, or other complications that may require immediate medical intervention. Notifying the physician promptly allows for timely treatment and prevents potential complications. Choices A, C, and D are incorrect as they are not directly related to the immediate post-procedure care for bladder stones and do not require immediate physician notification.
A 22-year-old woman with a history of chronic pelvic pain is being examined. The nurse suspects endometriosis. Which of the following is the most common symptom of endometriosis?
- A. Pain during menstruation.
- B. Pelvic pain that worsens during menstruation.
- C. Pain during ovulation.
- D. Heavy bleeding during menstruation.
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain that worsens during menstruation. This is because endometriosis is characterized by the presence of endometrial-like tissue outside the uterus, leading to inflammation and pain in the pelvic region. The pain typically worsens during menstruation due to the shedding of this tissue, causing irritation and further inflammation.
A: Pain during menstruation is a common symptom, but what distinguishes endometriosis is the worsening of pain during menstruation.
C: Pain during ovulation is not a typical symptom of endometriosis. While some individuals may experience pain during ovulation, it is not the most common symptom.
D: Heavy bleeding during menstruation can occur in endometriosis, but it is not the most common symptom. Pelvic pain that worsens during menstruation is the hallmark symptom of endometriosis.
The physician documented that the patient has urinary retention. How should the nurse explain this when the nursing student asks what it is?
- A. Inability to void
- B. No urine formation
- C. Large amount of urine output
- D. Increased incidence of urination
Correct Answer: A
Rationale: The correct answer is A: Inability to void. Urinary retention refers to the inability to empty the bladder completely. The nurse should explain to the student that this condition causes difficulty in urination and can lead to discomfort and complications if not addressed. Choices B, C, and D are incorrect because urinary retention does not refer to the absence of urine formation, large urine output, or increased urination frequency. It specifically relates to the inability to void urine from the bladder.