Bladder retraining following removal of an indwelling catheter begins with instructing the patient to follow a 2-3 hour timed voiding schedule. Immediately after the removal of the indwelling catheter, the patient is placed on a timed voiding schedule, usually two to three hours. At the given time interval, the patient is instructed to void. a) encouraging the patient to void immediately. Immediate voiding is not usually encouraged. The patient is commonly placed on a timed voiding schedule, usually within two to three hours.

Bladder retraining following removal of an indwelling catheter
begins with
instructing the patient to follow a 2-3 hour timed voiding schedule.
Immediately after the removal of the indwelling catheter, the patient
is placed on a timed voiding schedule, usually two to three hours. At
the given time interval, the patient is instructed to void.
a) encouraging the patient to void immediately.
Immediate voiding is not usually encouraged. The patient is commonly
placed on a timed voiding schedule, usually within two to three hours.
b) advising the patient to avoid urinating for at least 6 hours.
Immediately after the removal of the indwelling catheter, the patient is
placed on a timed voiding schedule, usually two to three hours, not
six.
c) performing straight catherization after 4 hours.
If bladder ultrasound scanning shows 100 mL or more of urine
remaining in the bladder after voiding, straight catheterization may be
performed for complete bladder emptying.
by

1 Answer

Answer :

a) encouraging the patient to void immediately.
Immediate voiding is not usually encouraged. The patient is commonly
placed on a timed voiding schedule, usually within two to three hours.
by

Related questions

The nurse who provides teaching to the female patient regarding prevention of recurrent urinary tract infections includes which of the following statements? a) Void immediately after sexual intercourse. Voiding will serve to flush the urethra, expelling contaminants.

Description : The nurse who provides teaching to the female patient regarding prevention of recurrent urinary tract infections includes which of the following statements? a) Void immediately after sexual intercourse. Voiding ... encouraged to void every 2-3 hours during the day and completely empty the bladder.

Last Answer : a) Void immediately after sexual intercourse. Voiding will serve to flush the urethra, expelling contaminants.

Through which of the following activities does the patient learn to consciously contract excretory sphincters and control voiding cues? a) Biofeedback Cognitively intact patients who have stress or urge incontinence may gain bladder control through biofeedback. b) Kegel exercises Kegel exercises are pelvic floor exercises that strengthen the pubococcygeus muscle. c) Habit training Habit training is used to try to keep the patient dry by strictly adhering to a toileting schedule and may be successful with stress, urge, or functional incontinence. d) Bladder training Habit training is a type of bladder training.

Description : Through which of the following activities does the patient learn to consciously contract excretory sphincters and control voiding cues? a) Biofeedback Cognitively intact patients who have stress or urge ... functional incontinence. d) Bladder training Habit training is a type of bladder training.

Last Answer : a) Biofeedback Cognitively intact patients who have stress or urge incontinence may gain bladder control through biofeedback.

In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the patient’s residual urine must be less than which of the following amounts on two separate occasions (morning and evening)? a) 100 cc If the patient complains of discomfort or pain, however, the suprapubic catheter is usually left in place until the patient can void successfully.

Description : In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the patient's residual urine must be less than which of the following amounts on two separate occasions ... urine that is greater than 100 cc indicates that the suprapubic catheter cannot be discontinued.

Last Answer : a) 100 cc If the patient complains of discomfort or pain, however, the suprapubic catheter is usually left in place until the patient can void successfully.

If an indwelling catheter is necessary, nursing interventions that should be implemented to prevent infection include a) performing meticulous perineal care daily with soap and water. Cleanliness of the area will reduce potential for infection.

Description : If an indwelling catheter is necessary, nursing interventions that should be implemented to prevent infection include a) performing meticulous perineal care daily with soap and water. Cleanliness of the area ... it is clamped because it may cause backflow of urine from the tubing into the bladder.

Last Answer : a) performing meticulous perineal care daily with soap and water. Cleanliness of the area will reduce potential for infection.

The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease? a) Avoid eating or drinking 2 hours before bedtime. The patient should not recline with a full stomach. b) Minimize intake of caffeine, ****, milk, and foods containing peppermint and spearmint. The patient should be instructed to avoid the listed foods and food components. c) Elevate the foot of the bed on 6- to 8-inch blocks The patient should be instructed to elevate the head of the bed on 6- to 8-inch blocks. d) Eat a low carbohydrate diet The patient is instructed to eat a low-fat diet

Description : The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease? a) Avoid eating or drinking 2 hours before bedtime. The patient should not ... blocks. d) Eat a low carbohydrate diet The patient is instructed to eat a low-fat diet

Last Answer : a) Avoid eating or drinking 2 hours before bedtime. The patient should not recline with a full stomach.

The term given to the category of triage that refers to lifethreatening or potentially life-threatening injury or illness requiring immediate treatment is a) emergent. The patient triaged as emergent must be seen immediately.

Description : The term given to the category of triage that refers to lifethreatening or potentially life-threatening injury or illness requiring immediate treatment is a) emergent. The patient triaged as emergent ... . The triage category of immediate refers to non-acute, non-lifethreatening injury or illness.

Last Answer : a) emergent. The patient triaged as emergent must be seen immediately.

When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening. b) urgent. Urgent surgery means that the patient requires prompt attention within 24-30 hours. c) required. Required surgery means that the patient needs to have surgery, and it should be planned within a few weeks or months. d) elective. Elective surgery means that there is an indication for surgery, but failure to have surgery will not be catastrophic.

Description : When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the ... there is an indication for surgery, but failure to have surgery will not be catastrophic.

Last Answer : a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening.

When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and immediate action? A. Stop the intern and do the catheterization yourself B. Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter

Description : When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and ... . Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter

Last Answer : B. Offer to change the catheter

If a case of smallpox is suspected, the nurse should a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office at 770-488-7100. The CDC will respond by immmediate provision of diagnostic support and eventual release of vaccine if a case is confirmed. Until instructed otherwise by the CDC, healthcare providers should carefully establish isolation with negative pressure, and maintain thorough lists of all those who have contact with the patient.

Description : If a case of smallpox is suspected, the nurse should a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office ... very different from that of chickenpox. With chickenpox, lesions appear at different developmental stages.

Last Answer : a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office at 770-488-7100. The CDC will respond by immmediate provision ... with negative pressure, and maintain thorough lists of all those who have contact with the patient.

Which of the following venous access devices can be used for no more than 30 days in patients requiring parenteral nutrition? a) Non-tunneled catheter The subclavian vein is the most common vessel used because the subclavian area provides a stable insertion site to which the catheter can be anchored, allows the patient freedom of movement, and provides easy access to the dressing site.

Description : Which of the following venous access devices can be used for no more than 30 days in patients requiring parenteral nutrition? a) Non-tunneled catheter The subclavian vein is the most common vessel used because the ... term home IV therapy (eg, Port A Cath, Mediport, Hickman Port, P.A.S. Port).

Last Answer : a) Non-tunneled catheter The subclavian vein is the most common vessel used because the subclavian area provides a stable insertion site to which the catheter can be anchored, allows the patient freedom of movement, and provides easy access to the dressing site.

Which of the following statements reflect nursing management of the patient with expressive aphasia? a) Encourage the patient to repeat sounds of the alphabet. Nursing management of the patient with expressive aphasia includes encouraging the patient to repeat sounds of the alphabet.

Description : Which of the following statements reflect nursing management of the patient with expressive aphasia? a) Encourage the patient to repeat sounds of the alphabet. Nursing management of the patient with ... such as memory loss, includes frequently reorienting the patient to time, place, and situation.

Last Answer : a) Encourage the patient to repeat sounds of the alphabet. Nursing management of the patient with expressive aphasia includes encouraging the patient to repeat sounds of the alphabet.

A post-traumatic seizure classified as early occurs a) within 1-7 days of injury. Posttraumatic seizures are classified as immediate (occurring within 24 hours of injury), early, (occurring within 1-7 days of injury) or late, occurring more than 7 days following injury.

Description : A post-traumatic seizure classified as early occurs a) within 1-7 days of injury. Posttraumatic seizures are classified as immediate (occurring within 24 hours of injury), early, ( ... surgery. Posttraumatic seizures occurring more than 7 days following surgery are classified as late seizures.

Last Answer : a) within 1-7 days of injury. Posttraumatic seizures are classified as immediate (occurring within 24 hours of injury), early, (occurring within 1-7 days of injury) or late, occurring more than 7 days following injury.

Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting. b) Venturi mask The Venturi mask provides low levels of supplemental oxygen. c) Catheter The catheter is an inexpensive device that provides a variable fraction of inspired oxygen and may cause gastric distention. d) Face tent A face tent provides a fairly accurate fraction of inspired oxygen, but is bulky and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Description : Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is ... and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Last Answer : a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting.

Rejection of a transplanted kidney within 24 hours after transplant is termed a) hyperacute rejection. Hyperacute rejection may require removal of the transplanted kidney.

Description : Rejection of a transplanted kidney within 24 hours after transplant is termed a) hyperacute rejection. Hyperacute rejection may require removal of the transplanted kidney. b) acute rejection. Acute ... term simple is not used in the categorization of types of rejection of kidney transplants.

Last Answer : a) hyperacute rejection. Hyperacute rejection may require removal of the transplanted kidney.

The nurse advises the patient undergoing photodynamic therapy (PDT) for macular degeneration to avoid exposure to direct sunlight or bright lights for a) the first five days after the procedure. Photodynamic therapy includes the use of verteporfin, a light-activated dye. The dye within the blood vessels near the surface of the skin could become activated with exposure to strong light, such as sunlight or bright lights. Ordinary indoor light is not a problem. The patient should be counseled to wear protective clothing, such as long-sleeved shirts, sunglasses, and wide-brimmed hats, if the patient has to go outdoors during daylight hours in the first five days post-treatment. Inadvertent sunlight exposure can lead to severe blistering of the skin and sunburn.

Description : The nurse advises the patient undergoing photodynamic therapy (PDT) for macular degeneration to avoid exposure to direct sunlight or bright lights for a) the first five days after the procedure. ... should avoid exposure to direct sunlight or bright lights for the first five days post-treatment.

Last Answer : a) the first five days after the procedure. Photodynamic therapy includes the use of verteporfin, a light-activated dye. The dye within the blood vessels near the surface of the skin could ... days post-treatment. Inadvertent sunlight exposure can lead to severe blistering of the skin and sunburn.

Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

When the nurse notes that the patient’s left great toe deviates laterally, she recognizes that the patient has a a) hallux valgus. Hallux valgus is commonly referred to as a bunion. b) hammertoe. Hammertoes are usually pulled upward. c) pes cavus. Pes cavus refers to a foot with an abnormally high arch and a fixed equinus deformity of the forefoot. d) flatfoot. In flatfoot, the patient demonstrates a diminished longitudinal arch of the foot.

Description : When the nurse notes that the patient's left great toe deviates laterally, she recognizes that the patient has a a) hallux valgus. Hallux valgus is commonly referred to as a bunion. b) ... the forefoot. d) flatfoot. In flatfoot, the patient demonstrates a diminished longitudinal arch of the foot.

Last Answer : a) hallux valgus. Hallux valgus is commonly referred to as a bunion.

Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b) tolerance to opioids is uncommon. Tolerance to opioids is common. c) addiction to opioids commonly develops. Addiction to opioids is rare. d) the nurse must be primarily concerned about development of addiction by the patient in pain. Addiction is rare and should never be the primary concern for a patient in pain.

Description : Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b ... pain. Addiction is rare and should never be the primary concern for a patient in pain.

Last Answer : a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction.

If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding. b) every hour. Checking for placement each hour is unnecessary unless the patient is extremely restless or there is basis for rechecking the tube based on other patient activities. c) every 24 hours. Checking for placement every 24 hours does not meet the standard of care due the patient receiving continuous tube feedings. d) when a tube feeding is continuous, it is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Description : If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located ... is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

Description : When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in ... residual exceeds 100 cc, the tube feeding should be withheld at that time, but not indefinitely.

Last Answer : a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

In the immediate post-operative period, the nurse assesses coarse, high-pitched sound on inspiration by listening over the trachea with a stethoscope. The nurse should immediately A. Position client to Fowler’s B. Reassure the client that he is doing fine C. Suction the tracheostomy tube D. Report to the surgeon

Description : In the immediate post-operative period, the nurse assesses coarse, high-pitched sound on inspiration by listening over the trachea with a stethoscope. The nurse should immediately A. Position client to ... the client that he is doing fine C. Suction the tracheostomy tube D. Report to the surgeon

Last Answer : Which of the following expected outcomes for the patient is most relevant for the nursing diagnosis “At risk for imbalanced nutrition related to impaired swallowing”? A. Appropriate body weight maintained B. Fear of choking relieved C. Oral intake increased D. Swallowing of soft foods facilitated

Which of the following patient behaviors, if observed by the nurse, would indicate that the cardiac patient’s level of anxiety has decreased? a) Answers questions regarding status with no problem. Generally, when anxiety begins to increase, the patient will be less likely to want to discuss prognosis.

Description : Which of the following patient behaviors, if observed by the nurse, would indicate that the cardiac patient's level of anxiety has decreased? a) Answers questions regarding status with ... in support groups. Participation in support groups indicates some degree of comfort with prognosis.

Last Answer : a) Answers questions regarding status with no problem. Generally, when anxiety begins to increase, the patient will be less likely to want to discuss prognosis.

Which type of medication may be used in the treatment of a patient with incontinence to inhibit contraction of the bladder? a) Anticholinergic agent Anticholinergic agents are considered first-line medications for urge incontinence.

Description : Which type of medication may be used in the treatment of a patient with incontinence to inhibit contraction of the bladder? a) Anticholinergic agent Anticholinergic agents are ... be treated using pseudoephedrine and phenylpropanolamine, ingredients found in over-the-counter decongestants.

Last Answer : a) Anticholinergic agent Anticholinergic agents are considered first-line medications for urge incontinence.

Which of the following ECG characteristics is usually seen when a patient’s serum potassium level is low? a) U wave The U wave is an ECG waveform characteristic that may reflect Purkinje fiber repolarization. It is usually seen when a patient’s serum potassium level is low. b) T wave The T wave is an ECG characteristic reflecting repolarization of the ventricles. It may become tall or “peaked” if a patient’s serum potassium level is high. c) P wave The P wave is an ECG characteristic reflecting conduction of an electrical impulse through the atria. d) QT interval The QT interval is an ECG characteristic reflecting the time from ventricular depolarization to repolarization.

Description : Which of the following ECG characteristics is usually seen when a patient's serum potassium level is low? a) U wave The U wave is an ECG waveform characteristic that may ... interval The QT interval is an ECG characteristic reflecting the time from ventricular depolarization to repolarization.

Last Answer : a) U wave The U wave is an ECG waveform characteristic that may reflect Purkinje fiber repolarization. It is usually seen when a patient’s serum potassium level is low.

98. Phlebotomy was ordered as part of the therapy. You instructed the client and emphasized that the procedure can be repeated. The client inquired, “What is the primary aim of the procedure?” Your appropriate response is

Description : 98. Phlebotomy was ordered as part of the therapy. You instructed the client and emphasized that the procedure can be repeated. The client inquired, “What is the primary aim of the procedure?” Your appropriate response is

Last Answer : D. “It keeps the hematocrit within normal range.”

69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Description : 69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Last Answer : C. Check the physician’s order in case CBG is below 70 mg/dl

In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be to use a) a trochanter roll extending from the crest of the ilium to the midthigh. A trochanter roll, properly placed, provides resistance to the external rotation of the hip. b) pillows under the lower legs. Pillows under the legs will not prevent the hips from rotating externally. c) a hip-abductor pillow. A hip-abductor pillow is used for the patient after total hip replacement surgery. d) a footboard. A footboard will not prevent the hips from rotating externally.

Description : In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be ... hip replacement surgery. d) a footboard. A footboard will not prevent the hips from rotating externally.

Last Answer : a) a trochanter roll extending from the crest of the ilium to the midthigh. A trochanter roll, properly placed, provides resistance to the external rotation of the hip.

Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or return to the ED if the patient a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Description : Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or ... for short periods of time. Difficulty in waking the patient should be reported or treated immediately.

Last Answer : a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

Description : Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs ... pain at the recipient site is anticipated since the wound has been protected by the graft.

Last Answer : a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately? a) Persistent cough Persistent cough may indicate an onset of left-heart failure. b) Increased appetite Loss of appetite should be reported immediately. c) Weight loss Weight gain should be reported immediately. d) Ability to sleep through the night Frequent urination, causing interruption of sleep, should be reported immediately.

Description : The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately? a) Persistent cough Persistent cough may indicate an onset of ... sleep through the night Frequent urination, causing interruption of sleep, should be reported immediately.

Last Answer : a) Persistent cough Persistent cough may indicate an onset of left-heart failure.

Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects. b) Presbycusis Presbycusis refers to age-related hearing loss. c) Cataract Cataract is the development of opacity of the lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Description : Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in ... lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Last Answer : a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.

Three medications referred to as the ‘ABC drugs’ are currently the main pharmacological therapy for multiple sclerosis. Which of the following statements reflects information to be included in patient teaching? a) Flu-like symptoms can be controlled with nonsteroidal antiinflammatory drugs (NSAIDs) and usually resolve after a few months of therapy. Seventy-five percent of patients taking one of the interferons experience flu-like symptoms that can be controlled with NSAIDS and usually resolve after a few months of therapy.

Description : Three medications referred to as the ABC drugs' are currently the main pharmacological therapy for multiple sclerosis. Which of the following statements reflects information to be included in patient ... on an empty stomach. Glatiramer acetate is administed by intramuscular injection once a week.

Last Answer : a) Flu-like symptoms can be controlled with nonsteroidal antiinflammatory drugs (NSAIDs) and usually resolve after a few months of therapy. Seventy-five percent of patients taking one of the ... symptoms that can be controlled with NSAIDS and usually resolve after a few months of therapy.

When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods? a) 10-15 seconds In general, the nurse should apply suction no longer than 10-15 seconds because hypoxia and dysrhythmias may develop, leading to cardiac arrest. b) 30-35 seconds Applying suction for 30-35 seconds is hazardous and may result in the patient’s developing hypoxia, which can lead to dysrhythmias and, ultimately, cardiac arrest.

Description : When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods? a) 10-15 seconds In general ... suction for 0-5 seconds would provide too little time for effective suctioning of secretions.

Last Answer : a) 10-15 seconds In general, the nurse should apply suction no longer than 10-15 seconds because hypoxia and dysrhythmias may develop, leading to cardiac arrest.

Which of the following statements concerning perioperative nutrition is true concerning the above-described patient? a. Since the patient’s weight had been stable with no preoperative nutritional deficit, 5% dextrose intravenous solutions are adequate for the initial postoperative source of nutrition b. Preoperative immunologic status should be determined including total peripheral lymphocyte count and delayed hypersensitivity reaction to determine skin-test response to common antigens c. Routine postoperative fluid administration with intravenous 5% glucose solutions can provide the calories to meet basal energy requirements d. A jejunal feeding catheter should be placed at the time of surgery for postoperative enteral feeding

Description : Which of the following statements concerning perioperative nutrition is true concerning the above-described patient? a. Since the patient's weight had been stable with no preoperative nutritional deficit ... feeding catheter should be placed at the time of surgery for postoperative enteral feeding

Last Answer : Answer: a Most patients undergoing elective operations are adequately nourished. Unless the patient has suffered significant preoperative malnutrition, characterized by weight loss greater than ... gastrointestinal surgery, this technique would not appear indicated in the patient described above

To facilitate entry of a catheter into the male urethra, the penis should be positioned at which of the following degree angles (in relation to the body)? a) 90 degrees A right angle straightens the urethra and makes it easier to insert the catheter.

Description : To facilitate entry of a catheter into the male urethra, the penis should be positioned at which of the following degree angles (in relation to the body)? a) 90 degrees A right ... and inappropriately positioned for catheterization. d) 270 degrees A 270-degree angle is a physical impossibility.

Last Answer : a) 90 degrees A right angle straightens the urethra and makes it easier to insert the catheter.

When irrigating a colostomy, the nurse lubricates the catheter and gently inserts it into the stoma no more than _______ inches a) 3” The nurse should insert the catheter no more than 3 inches. b) 2” Insertion of the catheter 2 inches is inadequate. c) 4” Insertion of the catheter 4 inches is excessive and not recommended. d) 5” Insertion of the catheter 5 inches is excessive and not recommended.

Description : When irrigating a colostomy, the nurse lubricates the catheter and gently inserts it into the stoma no more than _______ inches a) 3 The nurse should insert the catheter no more than 3 inches. b ... and not recommended. d) 5 Insertion of the catheter 5 inches is excessive and not recommended.

Last Answer : a) 3” The nurse should insert the catheter no more than 3 inches.

When the balloon on the distal tip of a pulmonary artery catheter is inflated and a pressure is measured, the measurement obtained is referred to as the a) pulmonary artery wedge pressure. When the balloon is inflated, the tip of the catheter floats into smaller branches of the pulmonary arty until it can no longer be passed and the pressure is recorded, reflecting left atrial pressure and left ventricular end-diastolic pressure.

Description : When the balloon on the distal tip of a pulmonary artery catheter is inflated and a pressure is measured, the measurement obtained is referred to as the a) pulmonary artery wedge ... Cardiac output is determined through thermodilution involving injection of fluid into the pulmonary artery catheter.

Last Answer : a) pulmonary artery wedge pressure. When the balloon is inflated, the tip of the catheter floats into smaller branches of the pulmonary arty until it can no longer be passed and the pressure is recorded, reflecting left atrial pressure and left ventricular end-diastolic pressure.

The first step in decontamination is a. Removal of the patient’s clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The first step is removal of the patient’s clothing and jewelry and then rinsing the patient with water. The second step consists of a thorough soap and water wash and rinse.

Description : The first step in decontamination is a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The ... the patient with water. The second step consists of a thorough soap and water wash and rinse.

Last Answer : a. Removal of the patient's clothing and jewelry and then rinsing the patient with water. To be effective, decontamination must include a minimum of two steps. The first step is removal of the patient ... the patient with water. The second step consists of a thorough soap and water wash and rinse.

Health promotion efforts to decrease the risk for ischemic stroke involve encouraging a healthy lifestyle including a) a low fat, low cholesterol diet, and increasing exercise. Health promotion efforts to decrease the risk for ischemic stroke involve encouraging a healthy lifestyle including a low fat, low cholesterol diet, and increasing exercise.

Description : Health promotion efforts to decrease the risk for ischemic stroke involve encouraging a healthy lifestyle including a) a low fat, low cholesterol diet, and increasing exercise. Health promotion ... encouraging a healthy lifestyle including a low fat, low cholesterol diet, and increasing exercise.

Last Answer : a) a low fat, low cholesterol diet, and increasing exercise. Health promotion efforts to decrease the risk for ischemic stroke involve encouraging a healthy lifestyle including a low fat, low cholesterol diet, and increasing exercise.

Thrombolytic therapy has become a useful adjunct in the management of peripheral arterial occlusion. In this setting, direct intraarterial administration rather than intravenous has been advocated to decrease the risk of systemic bleeding. Which of the following true statement(s) concerning the use of thrombolytic agents for arterial occlusion is/are true? a. A standard technique involves infusing high-dose urokinase, 4000 units per minute for 1–2 hours, directly into the clot by a catheter embedded in the thrombus b. If progress is made, further fibrinolytic therapy is given at 1000 to 2000 units per minute until clot lysis has occurred c. The usual infusion time by the above-stated technique is usually in excess of 24 hours d. Successful clot lysis occurs more frequently in arterial graf

Description : Thrombolytic therapy has become a useful adjunct in the management of peripheral arterial occlusion. In this setting, direct intraarterial administration rather than intravenous has been advocated ... may be indicated for situations where complete clot evacuation cannot be accomplished surgically

Last Answer : Answer: a, b, e The most popular method for intraarterial thrombolytic therapy for arterial occlusion involves passing a guidewire through the thrombus with arteriographic guidance and ... acute arterial occlusion) or when distal vasculative is occluded and precludes appropriate inflow patency

What is NOT TRUE in relation to the prescription of 5mg or 10mg of diazepam for sedation?check A. Patient commonly complain of post operative headache T B. An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperatively T C. There is a profound amnesic action and no side affects not sure D. Active metabolites can give a level of sedation up to 8 hours post operatively T E. As Benzodiazepine the action can be reversed with FlumazepilNE T

Description : What is NOT TRUE in relation to the prescription of 5mg or 10mg of diazepam for sedation?check A. Patient commonly complain of post operative headache T B. An acceptable level of anxiolytic ... to 8 hours post operatively T E. As Benzodiazepine the action can be reversed with FlumazepilNE T

Last Answer : C. There is a profound amnesic action and no side affects not sure

A patient who demonstrates an obtunded level of consciousness a) sleeps almost constantly but can be aroused and can follow simple commands. An obtunded patient stays awake only with persistent stimulation.

Description : A patient who demonstrates an obtunded level of consciousness a) sleeps almost constantly but can be aroused and can follow simple commands. An obtunded patient stays awake only with persistent ... not respond to environmental stimuli. A comatose patient does not respond to environmental stimuli.

Last Answer : a) sleeps almost constantly but can be aroused and can follow simple commands. An obtunded patient stays awake only with persistent stimulation.

The patient with which of the follow characteristics is considered high risk for the development of infective endocarditis? a) The patient who has complex cyanotic congenital malformations is at high risk for the development of infective endocarditis.

Description : The patient with which of the follow characteristics is considered high risk for the development of infective endocarditis? a) The patient who has complex cyanotic congenital malformations is ... with acquired valvular dysfunction is at moderate risk for the development of infective endocarditis.

Last Answer : a) The patient who has complex cyanotic congenital malformations is at high risk for the development of infective endocarditis.

When assessing the older adult, the nurse anticipates increase in which of the follow components of respiratory status? a) Residual lung volume As a result, patient experience fatigue and breathlessness with sustained activity. b) Vital capacity The nurse anticipates decreased vital capacity. c) Gas exchange and diffusing capacity The nurse anticipates decreased gas exchange and diffusing capacity resulting in impaired healing of tissues due to decreased oxygenation. d) Cough efficiency The nurse anticipates difficulty coughing up secretions due to decreased cough efficiency.

Description : When assessing the older adult, the nurse anticipates increase in which of the follow components of respiratory status? a) Residual lung volume As a result, patient experience fatigue ... ) Cough efficiency The nurse anticipates difficulty coughing up secretions due to decreased cough efficiency.

Last Answer : a) Residual lung volume As a result, patient experience fatigue and breathlessness with sustained activity.