A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

Report when hematuria becomes pink-tinged.

Use an incentive spirometer.

Restrict physical activities.

Monitor the urinary stream for a decrease in output.

Answer and Explanation

The Correct Answer is D

Choice A reason: Hematuria is expected after lithotripsy and should be monitored, but it is not the most critical instruction.

Choice B reason: Using an incentive spirometer is important for respiratory care but not specific to lithotripsy.

Choice C reason: Restricting physical activities is not necessary unless advised by the healthcare provider.

Choice D reason:

The correct answer is d) because monitoring the urinary stream for a decrease in output is crucial to detect any complications such as obstruction or infection after lithotripsy.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because visualizing the abdominal incision will help the nurse assess for wound dehiscence or evisceration, which requires immediate intervention.

Choice B reason: Notifying the healthcare provider is necessary but comes after assessing the wound.

Choice C reason: Obtaining sterile towels soaked in saline is important if dehiscence or evisceration is confirmed but is not the first action.

Choice D reason: Reassuring the client is important but does not address the immediate need to assess the wound.

A. Avoid excessive eye strain by limiting computer screen time. B. Meticulously follow the regimen for administering prescribed eye drops. C. Report any changes in visual perception immediately. D. Maintain a diet high in vegetables, particularly carotene. E. Schedule regular appointments to measure eye pressures.

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Limiting computer screen time is good general advice but is not specific to preventing blindness from glaucoma.

Choice B reason:

The correct answer is b) because following the prescribed regimen for eye drops helps manage intraocular pressure, which is crucial for preventing optic nerve damage in glaucoma.

Choice C reason:

The correct answer is c) because reporting any changes in vision can help detect progression of glaucoma early and allow for timely intervention.

Choice D reason: Maintaining a diet high in vegetables is good for overall health but is not directly related to preventing blindness from glaucoma.

Choice E reason:

The correct answer is e) because regular eye pressure checks help monitor the effectiveness of treatment and prevent progression of glaucoma.

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A client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse include in the client's postoperative discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Correct Answer is A

Explanation

A client with a new diagnosis of glaucoma is concerned about going blind. To help prevent blindness due to glaucoma, the nurse should instruct the client to implement which action(s)? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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