Nokea
The nurse will counsel the young man with chronic prostatitis to avoid which action?
- A. Cessation of intercourse
- B. Taking warm baths
- C. Using stool softeners
- D. Continuing antibiotics when symptoms abate
Correct Answer: A
Rationale: Frequent intercourse may be beneficial to the treatment of chronic prostatitis. Warm baths, stool softeners, and antibiotic therapy are also part of the medical treatment.
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Which type of diet will the patient be encouraged to eat during the active phase of acute renal failure?
- A. A diet high in sodium
- B. A diet high in potassium
- C. A diet high in carbohydrates
- D. A diet high in fluid sources
Correct Answer: C
Rationale: The patient with acute renal failure would need a high carbohydrate diet. Potassium and sodium are restricted as well as excess fluids.
The patient is on postoperative day 1 after having undergone a Transurethral resection of the prostate (TURP) procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation in which manner?
- A. measuring and recording all fluid output in the drainage bag.
- B. measuring the total output and deducting the total of the irrigating and intravenous solutions.
- C. adding the total of the intravenous and irrigating solutions and then deducting the amount of output.
- D. measuring total output and deducting the amount of irrigating solution used.
Correct Answer: D
Rationale: To determine urine output, the nurse will subtract the amount of irrigation fluid used with the Foley catheter output to calculate urine output.
Which aspect of self care will the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis?
- A. Increase his fluid intake.
- B. Increase intake of dairy products.
- C. Restrict his protein intake.
- D. Take one baby aspirin daily.
Correct Answer: A
Rationale: Fluid intake should be encouraged to at least 2000 mL of fluid in 24 hours, unless contraindicated.
In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small ___ to pass through into the urine.
- A. proteins
Correct Answer: proteins
Rationale: In nephrotic syndrome, the glomeruli are damaged by inflammation and allow small proteins such as albumin to enter the urine. This creates a deficit of protein in the circulation volume (hypoalbuminemia), which leads to massive edema.
It is 2 days after a 42-year-old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him. Which explanation is most likely for his behavior?
- A. He is angry about hospital policy.
- B. He is feeling neglected by the nursing staff.
- C. He is in denial of the effects of the surgery.
- D. He is reacting to the loss of self-esteem and altered body image.
Correct Answer: D
Rationale: Persons with altered body image may react to the loss of self-esteem by behaving in a critical or derogatory manner.