A nurse is reinforcing teaching with a client who is being discharged following a prostatectomy. Which of the following statements should the nurse include in the teaching? (Select all that apply)

You should shower instead of taking a tub bath.

You may take aspirin for mild pain.

You should avoid lifting objects that weigh more than 8 pounds.

You might see blood in your urine after coughing.

You may resume sexual intercourse after 2 weeks.

Answer and Explanation

Correct Answer : A,C,D

a) You should shower instead of taking a tub bath. This is correct because showering reduces the risk of infection and promotes wound healing.

b) You may take aspirin for mild pain. This is incorrect because aspirin can increase the risk of bleeding and interfere with clotting. The client should take acetaminophen or another nonsteroidal anti-inflammatory drug (NSAID) for pain relief.

c) You should avoid lifting objects that weigh more than 8 pounds. This is correct because lifting heavy objects can strain the surgical site and cause bleeding or herniation.

d) You might see blood in your urine after coughing. This is correct because coughing can increase the pressure in the bladder and cause blood to leak from the urethra. This is normal and should subside within a few days.

e) You may resume sexual intercourse after 2 weeks. This is incorrect because sexual intercourse can cause trauma to the prostate and urethra and delay healing. The client should wait at least 6 weeks before resuming sexual activity.

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Correct Answer is C

Explanation

Choice c: Confusion is a finding that the nurse should anticipate in an older adult client who has cystitis, which is inflammation of the bladder caused by a bacterial infection. Confusion can be a sign of sepsis or delirium, which are common complications of urinary tract infections in older adults.

Choice a is not correct because hypothermia is not a finding that the nurse should anticipate in an older adult client who has cystitis. Hypothermia can occur in older adults due to impaired thermoregulation, but it is not related to cystitis.

Choice b is not correct because referred pain in the right shoulder is not a finding that the nurse should anticipate in an older adult client who has cystitis. Referred pain in the right shoulder can indicate gallbladder disease, but it is not related to cystitis.

Choice d is not correct because orange-colored urine is not a finding that the nurse should anticipate in an older adult client who has cystitis. Orange-colored urine can be caused by certain medications, foods, or dehydration, but it is not related to cystitis.

A. 0.9% sodium chloride B. Dextrose 5% in water C. Lactated Ringer's D. Dextrose 5% in 0.45% sodium chloride

Correct Answer is A

Explanation

Choice A reason: 0.9% sodium chloride or normal saline is the only solution that should be administered with PRBCs, as it has an isotonic osmolarity and pH that are compatible with blood products and can prevent hemolysis or clotting.

Choice B reason: Dextrose 5% in water or D5W should not be administered with PRBCs, as it has a hypotonic osmolarity that can cause hemolysis or rupture of red blood cells due to osmotic pressure.

Choice C reason: Lactated Ringer's or LR should not be administered with PRBCs, as it contains calcium and lactate that can interfere with blood coagulation and cause clotting or embolism.

Choice D reason: Dextrose 5% in 0.45% sodium chloride or D5½NS should not be administered with PRBCs, as it has a hypotonic osmolarity that can cause hemolysis or rupture of red blood cells due to osmotic pressure.

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A nurse is reinforcing teaching with a client who is being discharged following a prostatectomy. Which of the following statements should the nurse include in the teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who is to receive a transfusion of packed red blood cells (PRBCs). Which of the following solutions should be administered with PRBCs?

Correct Answer is A

Explanation

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