Nokea
The nurse is caring for a client following a TURP. The client's catheter becomes obstructed. The nurse should:
- A. Notify the physician immediately
- B. Increase the flow rate of the irrigating solution
- C. Milk the catheter to remove the obstruction
- D. Remove the catheter and replace it with a new one
Correct Answer: A
Rationale: Notifying the physician immediately for an obstructed catheter post-TURP prevents bladder distention or bleeding increasing flow risks pressure, milking may dislodge clots unsafely, and removal isn't nurse-initiated. Nurses act fast, ensuring patency, critical in urologic surgery.
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The nurse is performing a physical assessment on a client with a history of gout. The nurse should assess the client for:
- A. Pain and swelling of the affected joint
- B. Increased urinary output
- C. Fever with a temperature greater than 101°F
- D. Numbness in the affected extremity
Correct Answer: A
Rationale: Pain and swelling of the affected joint (often the big toe) are classic gout signs due to uric acid crystal deposits increased urine, fever, or numbness aren't typical. Nurses assess for redness and warmth, guiding anti-inflammatory treatment, critical for managing this metabolic disorder's acute flares.
A client has a new diagnosis of hyperlipidemia and is receiving teaching from a nurse about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of trans fats.
- B. You should decrease your intake of fiber-rich foods.
- C. You should avoid foods that are high in cholesterol.
- D. You should increase your intake of high-fat foods.
Correct Answer: C
Rationale: The correct statement the nurse should include in teaching the client with hyperlipidemia is to avoid foods that are high in cholesterol. Foods high in cholesterol, like those high in saturated and trans fats, can contribute to elevated lipid levels and increase cardiovascular risk. Decreasing intake of these foods can help improve lipid profiles and reduce the risk of complications. Choices A, B, and D are incorrect because increasing intake of trans fats, decreasing fiber-rich foods, and increasing intake of high-fat foods can exacerbate hyperlipidemia and worsen the lipid profile.
A client with a new diagnosis of COPD is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. You should increase your intake of high-calorie foods.
- B. You should decrease your intake of high-protein foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of high-fiber foods.
Correct Answer: A
Rationale: The correct statement to include in the teaching for a client with a new diagnosis of COPD is that they should increase their intake of high-calorie foods. This is important to help maintain energy levels and manage weight. COPD can lead to increased energy expenditure due to the increased work of breathing, making it crucial to consume adequate calories for energy. High-calorie foods can help prevent weight loss and support overall nutritional status in COPD patients. Choice B is incorrect because high-protein foods are important for maintaining muscle mass in COPD patients. Choice C is incorrect as there is no need to avoid foods that contain lactose unless the client is lactose intolerant. Choice D is incorrect as increasing high-fiber foods may exacerbate symptoms like bloating and gas in COPD patients.
Which of the following statement is TRUE about the Patient's Bill of Rights?
- A. Only applies to emergencies
- B. Ensures respectful care
- C. Excludes information rights
- D. All of the above
Correct Answer: B
Rationale: The Patient's Bill of Rights ensures respectful care (B), per ANA e.g., dignity, info access. Not emergency-only (A), includes info (C), not all (D) broad scope. B truly defines its protective role for patients like Mr. Gary, making it correct.
A client has a new diagnosis of GERD. Which of the following statements should the nurse include in the teaching about dietary management?
- A. You should increase your intake of high-fat foods.
- B. You should decrease your intake of high-fat foods.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: The correct answer is to decrease the intake of high-fat foods. High-fat foods can exacerbate symptoms of GERD by delaying stomach emptying and increasing the risk of reflux. By reducing high-fat foods in the diet, the client can help manage symptoms of GERD and decrease the likelihood of complications. Choice A is incorrect because increasing high-fat foods can worsen GERD symptoms. Choice C is unrelated as gluten is not a specific concern for GERD. Choice D is incorrect as increasing dairy products may lead to increased fat intake, which is not recommended for GERD.