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 B

Explanation

Choice A reason: Arthritic joint changes and chronic pain are not related to an ABO incompatibility reaction.

Choice B reason:

The correct answer is b) because lower back pain and hypotension are signs of a hemolytic transfusion reaction, which requires immediate intervention.

Choice C reason: Acute rhinitis and nasal stuffiness are not related to an ABO incompatibility reaction.

Choice D reason: Delayed painful rash with urticaria can indicate an allergic reaction but is not specific to a hemolytic transfusion reaction.

A. Determine the ability to chew and swallow. B. Assess patterns of speech. C. Note the frequency of drooling. D. Observe the appearance of oral mucosa.

Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because a mask-like face in Parkinson's disease can affect the ability to chew and swallow, increasing the risk of aspiration and nutritional deficiencies.

Choice B reason: Assessing speech patterns is important but secondary to ensuring the client can chew and swallow safely.

Choice C reason: Noting the frequency of drooling can indicate difficulties with swallowing, but determining the ability to chew and swallow is more critical.

Choice D reason: Observing the appearance of the oral mucosa is important for overall oral health but does not address the immediate risk of aspiration and nutritional concerns.

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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 client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?

Correct Answer is B

Explanation

The nurse observes that a client with Parkinson's disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?

Correct Answer is A

Explanation

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