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NEW QUESTION 24
A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:

A. Removal of prostate tissue by a resectoscope that is inserted through the penile urethraB. Removal of the prostate tissue by way of a lower abdominal midline incision through the bladder and into the prostate glandC. Removal of prostate tissue by an open surgical approach through a low horizontal incision, bypassing the bladder, to the prostate glandD. Removal of the prostate tissue by an open surgical approach through an incision between the ischial tuberosities, the scrotum, and the rectum

Answer: A

Explanation:
Explanation
(A) This describes a suprapubic (transvesical) prostatectomy procedure. (B) This is the correct description of a TURP procedure. (C) This describes a perineal prostatectomy procedure. (D) This describes a retropubic (extravesical) prostatectomy procedure.

 

NEW QUESTION 25
An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?

A. 960 mL/dayB. 240 mL/dayC. 680 mL/dayD. 330 mL/day

Answer: C

Explanation:
Explanation
(A, C, D) These answers are incorrect. (B) Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL X
6.8 = 680 mL/day.

 

NEW QUESTION 26
A dose of theophylline may need to be altered if a client with COPD:

A. Operates machineryB. Is allergic to morphineC. Has a history of arthritisD. Is concurrently on cimetidine for ulcers

Answer: D

Explanation:
Section: Questions Set B
Explanation:
(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.

 

NEW QUESTION 27
A 50-year-old male client is to receive chemotherapy. The physician's orders include antiemetics. When planning his care, the nurse should take into consideration that antiemetics are best administered in the following way:

A. Give antiemetics prior to the client receiving chemotherapy and continue on a regular basis for at least24-48 hours after chemotherapy.B. Give antiemetics intermittently during the entire course of chemotherapy.C. Give antiemetics one at a time because combinations of antiemetics cause overwhelming side effects.D. Give antiemetics when nausea is experienced and continue on a regular schedule for 12-24 hours.

Answer: A

Explanation:
Explanation
(A) Nausea is more difficult to control if antiemetics are withheld until nausea is experienced. (B) Antiemetics should be given prophylactically at the beginning of chemotherapy and continued on an around-the-clock basis to prevent nausea. (C) Combinations of antiemetics give the best control for nausea by blocking various causes of nausea induced by chemotherapy. (D) Antiemetics should be given around the clock during the course of chemotherapy. This prevents nausea from developing and prevents anticipatory nausea during subsequent chemotherapy administrations.

 

NEW QUESTION 28
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