A nurse is assessing a client's adaptation to a new diagnosis of osteoarthritis. Which of the following client statements should indicate to the nurse that the client is managing the disease?

"I have been taking acetaminophen when my knees start to hurt."

"I've been sleeping on my back with a large pillow under my knees."

"I have been exercising every day, even when I have pain."

"I've been changing my lidocaine patches every 18 hours."

Answer and Explanation

The Correct Answer is A

A) "I have been taking acetaminophen when my knees start to hurt.":
Taking acetaminophen for pain relief indicates that the client is managing the osteoarthritis symptoms appropriately. Acetaminophen is a recommended first-line treatment for mild to moderate pain associated with osteoarthritis and can help improve the client's quality of life by reducing discomfort.

B) "I've been sleeping on my back with a large pillow under my knees.":
Sleeping with a large pillow under the knees can cause the knees to remain in a flexed position for prolonged periods, potentially leading to joint stiffness and worsening pain. This practice is not typically recommended for clients with osteoarthritis as it can exacerbate symptoms.

C) "I have been exercising every day, even when I have pain.":
While regular exercise is beneficial for managing osteoarthritis, it is important to avoid exercising through significant pain. Pain during exercise may indicate overuse or joint damage. Clients should be encouraged to modify their activities to prevent further joint stress and manage symptoms effectively.

D) "I've been changing my lidocaine patches every 18 hours.":
Lidocaine patches are typically designed for 12-hour application periods, followed by a 12-hour off period. Changing the patches every 18 hours may not provide the intended relief and could lead to inconsistent pain management. Proper use of pain management techniques is essential for effective disease management.

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Correct Answer is C

Explanation

A) Multiple clots in the client's urinary bag:
Multiple clots in the urinary bag can be expected after a transurethral resection of the prostate (TURP) as part of the normal postoperative bleeding. While clots can cause concern if they become excessive or obstructive, they are not as immediately critical as a persistent obstruction.

B) Client reports bladder spasms when repositioning in bed:
Bladder spasms are a common postoperative symptom following TURP and can be managed with antispasmodic medications and proper catheter care. Although uncomfortable, bladder spasms do not pose an immediate threat to the client’s health.

C) Obstruction in client's urinary catheter continues after manual irrigation:
A persistent obstruction in the urinary catheter after manual irrigation is a significant concern. This can indicate a severe blockage that might prevent urine from draining, leading to bladder distention, potential damage to the surgical site, and increased risk of infection. Immediate intervention is required to resolve the obstruction and ensure proper urinary drainage.

D) Client reports a pain rating of 3 on a 0 to 10 scale:
A pain rating of 3 on a 0 to 10 scale indicates mild pain, which is common in the postoperative period and can be managed with analgesics. While pain management is important, this level of pain does not constitute an urgent issue requiring immediate reporting to the provider.

A. Teach the client to void over a urine strainer. B. Administer oxybutynin to the client twice per day. C. Encourage frequent ambulation for the client. D. Check the client's urine for ketones three times per day. E. Instruct the client to drink 3 L of fluid per day.

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

Explanation

A) Teach the client to void over a urine strainer: After lithotripsy, clients are often advised to void over a strainer to catch any small stone fragments that may pass. This helps in monitoring the passage of stone fragments and ensures that any remaining stones can be analyzed for further management.

B) Administer oxybutynin to the client twice per day: Oxybutynin is an anticholinergic medication used to treat bladder spasms. It is not routinely used after lithotripsy unless specifically prescribed for bladder spasms, which are not a common postoperative concern for this procedure.

C) Encourage frequent ambulation for the client: Frequent ambulation is beneficial after lithotripsy as it helps promote overall recovery, reduces the risk of complications like deep vein thrombosis, and can facilitate the passage of stone fragments. Encouraging movement is an essential aspect of postoperative care.

D) Check the client's urine for ketones three times per day: Monitoring for ketones is not typically required following lithotripsy unless there is a specific concern about diabetic ketoacidosis or another condition that warrants ketone monitoring. It is not a standard intervention for postoperative care after lithotripsy.

E) Instruct the client to drink 3 L of fluid per day: Increasing fluid intake is crucial after lithotripsy to help flush out any remaining stone fragments and to prevent new stone formation. Drinking 3 liters of fluid per day is generally recommended to maintain adequate hydration and support the urinary system.

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A nurse is assessing a client's adaptation to a new diagnosis of osteoarthritis. Which of the following client statements should indicate to the nurse that the client is managing the disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 4 hr postoperative following a transurethral resection of the prostate to treat benign prostatic hypertrophy. The client has an indwelling urinary catheter. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is C

Explanation

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

Explanation

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