A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?

The client will be on bed rest while continuous bladder irrigation is in place.

Cold compresses will be used to manage bladder spasms.

The client will have an NG tube in place for 48 hr postoperatively.

A PCA pump will be used for postoperative pain control.

Answer and Explanation

The Correct Answer is D

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.

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

Calculation:

Calculate the total desired dose in mg:

Desired dose (mg) = Weight (kg) x Ordered dose (mg/kg)

Desired dose (mg) = 69.9 kg x 0.75 mg/kg

Desired dose (mg) = 52.425 mg

Determine the volume to administer using the available concentration:

Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)

First, find the concentration in mg/mL:

60 mg / 0.6 mL = 100 mg/mL

Now, calculate the volume:

Volume to administer (mL) = 52.425 mg / 100 mg/mL

Volume to administer (mL) = 0.52425 mL

Round the answer to the nearest tenth:

0.52425 mL rounded to the nearest tenth is 0.5 mL.

A. Provide finger food at mealtime. B. Give detailed directions when addressing the client. C. Use written signs to redirect the client. D. Seat the client at a large table for meals.

Correct Answer is A

Explanation

Rationale:
A. Provide finger food at mealtime: Clients with dementia often have difficulty using utensils due to declining motor and cognitive function. Offering finger foods supports independence and helps ensure adequate nutritional intake by simplifying the eating process.

B. Give detailed directions when addressing the client: Detailed instructions can be overwhelming and difficult to process for individuals with dementia. Clear, simple, one-step directions are more effective in promoting understanding and cooperation.

C. Use written signs to redirect the client: As dementia progresses, the ability to read and comprehend written information typically declines. Visual or verbal redirection is more effective for guiding behavior in most clients with moderate to severe dementia.

D. Seat the client at a large table for meals: A large table with many people can create a distracting and overstimulating environment. Smaller, quieter settings help the client focus on eating and reduce agitation during meals.

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A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

A nurse in a long-term care facility is caring for a client who has dementia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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