A patient who is 3 days postoperative after suprapubic ...

[abern]

A patient who is 3 days postoperative after suprapubic prostatectomy asks, When can I get rid of this other catheter? Which data best indicates that nurse can discontinue the suprapubic ca-theter as ordered?
 
  a. Pain is adequately controlled with aceta-minophen.
  b. Urine in the urethral catheter bag is clear with a pink tinge.
  c. The patient consumed 80 of his lunch.
  d. The urine residual after voiding is 50 mL.

Question 2

The nurse is caring for multiple patients. The nurse determines that which patient has the highest risk for developing gallstones?
 
  a. A 37-year-old white man of normal weight on long-term corticosteroids for asthma.
  b. A 42-year-old African American man of normal weight who has smoked for 25 years.
  c. A 46-year-old Indonesian woman who is under normal weight and has recently had radiation treatments.
  d. A 50-year-old obese Mexican American woman who has type 1 diabetes.

[jlaineee]

Answer to Question 1

D
After a suprapubic prostatectomy, the patient will have a suprapubic catheter in addition to a urethral catheter. After the urethral catheter is removed (sometime after the third day), the su-prapubic catheter is clamped, and the patient attempts to void. Residual urine is measured after-ward by unclamping the suprapubic catheter. When there is no more than 60 mL of residual urine after voiding, the suprapubic catheter is removed. Adequate pain control and appetite are signs that the patient is progressing well but do not directly affect suprapubic catheter removal. The urethral catheter will need to be discontinued before the suprapubic catheter is removed.

Answer to Question 2

D
Obesity, diabetes mellitus (DM), rapid weight loss, and Crohn disease increase the risk for the development of gallstones. Native Americans and Mexican Americans have an ethnic predispo-sition to gallstones.