Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? "I will:

notify the provider if the urine output is absent."

resume voiding normally within one week."

take a stool softener daily to decrease the chance of straining."

monitor the skin around the surgical site for redness."

Answer and Explanation

The Correct Answer is B

A.   After a radical cystectomy, the client may have a urinary diversion (such as a stoma) and should be vigilant about monitoring urine output. Absence of urine output can indicate a serious issue, and notifying the provider is crucial.
B.   This statement indicates a need for further clarification. After a radical cystectomy, clients typically do not resume normal voiding because the bladder is removed. Instead, they may have a urinary diversion or need to learn how to manage their new urinary output. Normal voiding as before surgery is not possible, so this statement reflects a misunderstanding of the procedure's implications.
C.   After surgery, particularly abdominal surgery like a radical cystectomy, patients are often advised to take stool softeners to prevent constipation. Straining can increase the risk of complications and affect the surgical site, so this is a valid precaution.
D.   Monitoring the surgical site for signs of infection, such as redness, swelling, or discharge, is an essential part of post-operative care. Clients should be educated on how to check their surgical site for any concerning changes.

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Correct Answer is B

Explanation

A. A negative output would imply that the client has produced less urine than the irrigation received, which is not the case here.
B. The true urine output is 675 mL, calculated by subtracting the irrigation amount from the total urine collected.
C. The calculation does not support this value, as it does not accurately reflect the total urine output after accounting for the irrigation.
D. Similar to option A, a negative value does not apply here since the urine output exceeds the irrigation amount.

A. 60-year-old nurse who is also assigned to provide care to two other clients with internal radiation. B. 28-year-old pregnant nurse who has special expertise in oncology. C. 30-year-old female nurse who is experienced with internal radiation. D. 35-year-old male nurse who has never worked with a client receiving internal radiation.

Correct Answer is D

Explanation

A. This nurse is already exposed to a significant amount of radiation and should not be assigned to care for another client with an internal radiation implant.
B. Pregnant women should avoid exposure to radiation. This nurse should not be assigned to care for a client with an internal radiation implant.
C. While this nurse has experience with internal radiation, she is still exposed to radiation. It is preferable to assign a nurse who has no prior exposure to internal radiation.
D. This nurse has no prior exposure to internal radiation and is therefore the best candidate to provide care to the client.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male 4.51-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-15.5 g/dL
Hematocrit	42% -52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 103/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%
Platelets	150,000-450,000/mm3

Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? "I will:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client has a radiation implant inserted for treatment of cervical cancer. Which nurse should be assigned to provide personal care while the radiation source is in the client? The:

Correct Answer is D

Explanation

The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

A client is prescribed a continuous infusion of IV Insulin at 7 units per hour. Pharmacy delivers a concentration of 100 units of regular insulin in 100 mL of NSS. At what rate should the nurse set the IV pump? (round to the nearest whole number)

A nurse is assessing a client diagnosed with renal cancer. The client is complaining of flank pain. Which additional assessment finding should the nurse expect?

The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:

The nurse is caring for a client who had a thrombotic stroke in the Emergency Department. It has been less than 3 hours since the onset of symptoms. The rationale for using tissue plasminogen activator (t-PA) for this client is to:

The nurse should implement which safety considerations for a patient when administering oral iodine radioactive for thyroid cancer?

A client was recently diagnosed with advanced Hodgkin's Lymphoma. Which sign or symptoms indicates that the lymphoma involves the presence of a mediastinal mass?