A nurse is planning care for a client who has renal calculi. Which of the following interventions should the nurse include to promote elimination of the
... [Show More] calculi?
Maintain bedrest until calculi are expelled.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container.
Encourage intake of at least 3 L of fluid each day.
The nurse should encourage the client to consume at least 3 L of fluid each day. Increased fluid intake increases urine production, promotes eliminiation of calculi, and helps prevent recurrence.
A nurse is providing postoperative education for a client following a laparoscopic cholecystectomy for cholelithiasis. Which of the following client statements indicates an understanding of the teaching?
"The adhesive bandages on my incision will fall off as the incision heals."
"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after surgery."
"I can begin to resume my normal activity level in 2 weeks."
"The adhesive bandages on my incision will fall off as the incision heals."
The nurse should instruct the client that the small adhesive bandages will lose their adhesiveness in 7 to 10 days. The client can then remove the bandages or allow the bandages to fall off over time as the incision heals.
A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) infection for a client who is immunocompromised. Which of the following interventions should the nurse include to prevent this antibiotic-resistant infection?
Initiate contact precautions for this client.
Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic measure.
Avoid using alcohol-based hand sanitizers after caring for the client
Bathe the client with chlorhexidine wipes.
The nurse should bathe a client who is immunocompromised with chlorhexidine wipes to decrease the risk of contracting hospital-acquired MRSA.
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the following images should the nurse identify as this type of viral infection?
Picture of lips.
Herpes simplex virus infection is a common viral infection in adults. The nurse should identify that this image indicates the type 1 herpes simplex viral infection because the infection causes a recurring cold sore.
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect?
Somnolence
Cold intolerance
Exophthalmos
Dry, scaly skin
Exophthalmos
The nurse should expect a client who has Graves' disease, an autoimmune form of hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs. [Show Less]