Nokea
Which medication is most appropriate to administer to the client who is having bladder spasms?
- A. Aspirin by mouth
- B. Acetaminophen (Tylenol) by mouth
- C. Meperidine hydrochloride (Demerol) intramuscularly
- D. Belladonna and opium (B&O) rectal suppository
Correct Answer: D
Rationale: Belladonna and opium suppositories are specifically used to relieve bladder spasms post-TURP.
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Which clinical manifestations should the nurse expect to assess for the client diagnosed with a ureteral renal stone?
- A. Dull, aching flank pain and microscopic hematuria.
- B. Nausea; vomiting; pallor; and cool, clammy skin.
- C. Gross hematuria and dull suprapubic pain with voiding.
- D. The client will be asymptomatic.
Correct Answer: B
Rationale: Ureteral stones cause severe colicky pain, often with nausea, vomiting, pallor, and diaphoresis due to autonomic response. Flank pain and microscopic hematuria are more typical of renal pelvic stones, gross hematuria is less common, and stones are rarely asymptomatic.
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.
When managing catheter care, which nursing action is most important for promoting wound healing?
- A. Avoid tension on the catheter.
- B. Encourage oral fluid intake.
- C. Clean the urethral meatus daily.
- D. Clamp and release the catheter every 2 hours.
Correct Answer: A
Rationale: Avoiding tension on the catheter prevents trauma to the surgical site, promoting healing.
The elderly client being seen in the clinic has complaints of urinary frequency, urgency, and 'leaking.' Which priority intervention should the nurse implement when interviewing the client?
- A. Ensure communication is nonjudgmental and respectful.
- B. Set the temperature for comfort in the examination room.
- C. Speak loudly to ensure the client understands the nurse.
- D. Ensure the examining room has adequate lighting.
Correct Answer: A
Rationale: Nonjudgmental, respectful communication builds trust, encouraging the elderly client to discuss sensitive incontinence issues openly. Comfort, loud speech, and lighting are secondary to effective communication.
Before peritoneal dialysis begins, the nurse correctly informs the client that the procedure involves the movement of urea and creatinine through the peritoneum by means the patient?
- A. Osmosis
- B. Diffusion
- C. Filtration
- D. Gravity
Correct Answer: B
Rationale: Diffusion is the primary mechanism by which urea and creatinine move across the peritoneal membrane during dialysis.