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NEW QUESTION 33
A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

A. This is related to the bladder spasms and will soon stopB. He should not be concerned about it because it will resolve quicklyC. This is usually temporaryD. The nurse will keep him dry, and he should notify the nurse when this happens

Answer: C

Explanation:
Section: Questions Set D
Explanation:
(A) This problem is temporary, but it may take some time to resolve, especially in an older man. (B) This problem is usually temporary, but it may take some time to resolve. (C) Keeping the client dry will not relieve his anxiety about his incontinence. (D) The bladder spasms are not the cause of the client's incontinence.

 

NEW QUESTION 34
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

A. Hold the vial under warm water for 10-15 minutes and shake vigorously before drawing medication into the syringe.B. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.C. Weigh once a week and report to the physician any weight gain of10 lb.D. Limit fluid intake to 500 mL/day.

Answer: A

Explanation:
Section: Questions Set A
Explanation:
(A) Weight should be obtained daily. (B) Fluid is not restricted but is given according to urine output. (C) The medication does not have to be stored in a refrigerator. (D) Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.

 

NEW QUESTION 35
The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:

A. There are several wig makers for children.B. His hair will grow back in a few months.C. Most children select a favorite hat to protect their heads.D. Alopecia is an unavoidable side effect.

Answer: B

Explanation:
Explanation
(A) Alopecia has occurred, and knowing it is a side effect does not address their concern. (B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.

 

NEW QUESTION 36
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