A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

"You will wear an external collection bag to drain your urine."

"You will have an internal pouch to store your urine."

"You will have a stoma that is located in your abdomen."

"You will not be able to control your urination."

Answer and Explanation

The Correct Answer is B

A. "You will wear an external collection bag to drain your urine." An external collection bag is required for an ileal conduit, not a neobladder, where urine is stored internally.

B. "You will have an internal pouch to store your urine." A neobladder is created using a portion of the intestine to form a new bladder, which stores urine internally. The client may be able to void through the urethra.

C. "You will have a stoma that is located in your abdomen." A stoma is associated with an ileal conduit or a urostomy, not with a neobladder. A neobladder does not require an external stoma.

D. "You will not be able to control your urination." Initially, the client may have difficulty controlling urination until they learn how to use the neobladder. Over time, they may regain some control.

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Correct Answer is A

Explanation

A. Have the client breathe into a paper bag. Breathing into a paper bag helps retain CO₂, which can correct respiratory alkalosis caused by hyperventilation.

B. Plan to administer insulin to the client. Insulin is used to manage hyperglycemia or diabetic ketoacidosis, not respiratory alkalosis.

C. Plan to administer sodium bicarbonate to the client. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis.

D. Have the client place their head between their knees. This position is not a standard intervention for respiratory alkalosis or hyperventilation.

A. Osteoarthritis B. Occupation C. Furosemide D. Hyperlipidemia E. Naproxen

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

Explanation

A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.

B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.

C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.

D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.

E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.

G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.

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A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?

Correct Answer is A

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

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A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of following statements should the nurse make?