A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects?

Rationale:
A. The client will be on bed rest while continuous bladder irrigation is in place.: Bed rest is not required solely due to continuous bladder irrigation (CBI). Early ambulation is encouraged postoperatively to prevent complications such as deep vein thrombosis and promote recovery.

B. Cold compresses will be used to manage bladder spasms.: Bladder spasms are common after prostate surgery, but they are typically managed with anticholinergic medications, such as oxybutynin, rather than cold compresses.

C. The client will have an NG tube in place for 48 hr postoperatively.: An NG tube is not routinely used following a radical prostatectomy unless the client develops complications like ileus or vomiting. Its use is not part of standard postoperative care.

D. A PCA pump will be used for postoperative pain control.: A patient-controlled analgesia (PCA) pump is commonly used after major surgeries like a radical prostatectomy to manage pain effectively. It allows the client to self-administer controlled doses of pain medication for optimal comfort.

Rationale:
A. "I am aware that my diabetes is caused by an autoimmune disorder.": Type 1 diabetes mellitus results from the immune system attacking the insulin-producing beta cells in the pancreas. This autoimmune destruction leads to a complete deficiency of insulin, making lifelong replacement necessary.

B. "I know that my diabetes developed slowly over several years.": Type 1 diabetes often has a rapid onset, especially in younger individuals. Symptoms such as polyuria, polydipsia, weight loss, and fatigue can appear suddenly over days or weeks, rather than gradually over several years.

C. "If I lose weight, I may be able to stop taking insulin.": Weight loss does not eliminate the need for insulin in type 1 diabetes. Because the pancreas no longer produces insulin, insulin therapy remains necessary regardless of changes in body weight or physical condition.

D. "I have developed a resistance to insulin.": Insulin resistance is a feature of type 2 diabetes, where the body produces insulin but cannot use it effectively. In type 1 diabetes, the problem is a lack of insulin production due to the destruction of pancreatic beta cells.