Nokea
The prostatectomy technique, which involves an incision through the abdomen and the bladder, is a ___ prostatectomy.
- A. suprapubic
Correct Answer: suprapubic
Rationale: A suprapubic prostatectomy involves an incision through the abdomen and the bladder with removal of the gland with the finger.
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The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs). Which liquid is an example of such therapies?
- A. Grape juice
- B. Caffeine
- C. Tea
- D. Cranberry juice
Correct Answer: D
Rationale: Cranberry (Cranberry Plus, Ultra Cranberry) has been used to prevent urinary tract infections (UTIs), particularly in women prone to recurrent infection. It has also been used to treat acute UTI. Monitor patients for lack of therapeutic effect. Caffeine and tea will increase diuresis but not prevent UTI.
As the nurse and the dietitian review a female patient's diet plan with her, she shouts that with her diabetes and now the kidney failure, there is just nothing she can eat. She says she might as well eat what she wants, because there is nothing she can do to help herself. Based on the patient's response, which patient problem does the nurse identify?
- A. The patient will not likely follow a prescribed diet due to anger.
- B. The patient does not understand the diet, and will likely have poor nutrition.
- C. The patient is in the grieving process, due to the probability she will die soon.
- D. The patient is feeling unable to cope, and feels helpless over having diabetes and kidney failure.
Correct Answer: D
Rationale: Ineffective coping due to the feeling of powerlessness against the multiorgan failure may result in aggressive or infantile behavior.
Which sign is indicative of fluid overload in the patient with chronic glomerulonephritis?
- A. Increase in blood pressure
- B. Increase in daily weight
- C. Clear lung sounds
- D. Edema
- E. Labored respirations
Correct Answer: A,B,D,E
Rationale: Signs and symptoms of fluid overload: increased blood pressure, respirations, cardiac sounds, and lung fields. Increase in daily morning weights.
The patient with nephrosis questions the need for bed rest. How would the nurse explain the benefit of bed rest?
- A. The recumbent position may initiate diuresis.
- B. It preserves the skin integrity.
- C. It lowers the level of albuminuria.
- D. It saves stress on joints.
Correct Answer: A
Rationale: It is believed that the recumbent position helps initiate diuresis.
An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is recommended. In addition to observing the patient for hemorrhage, which aspect of care will be the nurse's postsurgical interventions included for this patient?
- A. Encouraging fluid intake
- B. Addressing anxiety related to unclear outcome of condition
- C. Monitoring the patient for signs of prostatic hypertrophy
- D. Recommending appropriate oral analgesics to the health care provider
Correct Answer: A
Rationale: After surgery, encourage fluid intake to prevent infection and to prevent further stones from developing.