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Author Question: On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds ... (Read 117 times)

mwit1967

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on: Jun 25, 2018
On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds that the bladder is greatly distended. What should the nurse do next?
 
  a. Inform the charge nurse.
  b. Irrigate the indwelling catheter with 20 to 30 mL of normal saline.
  c. Increase the continuous bladder irrigation flow rate.
  d. Turn the patient to the right side.

Question 2

The nurse is educating a patient about cardiomyopathy. The nurse includes information that which circumstance(s) may increase risk for cardiomyopathy? (Select all that apply.)
 
  a. Systemic hypertension
  b. Chronic excessive alcohol consumption
  c. Pregnancy
  d. Diabetes
  e. Systemic infection


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Chocorrol77

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Reply #1 on: Jun 25, 2018
Answer to Question 1

B
The patient most likely has a clot that is occluding the catheter and causing pressure on the blad-der. Additional irrigation will dislodge the clot that is occluding the catheter. Increasing conti-nuous bladder irrigation flow rate would add fluid to the bladder and increase pain. It is within the primary care nurse's role to perform the intervention without notifying the charge nurse. Turning the patient to the right side does not offer benefit.

Answer to Question 2

A, B, C, E
Cardiomyopathy is a group of disorders that result in enlargement of the heart and subsequent inefficient pumping action. Risk factors include systemic hypertension, chronic alcohol con-sumption, pregnancy, and certain systemic infections. Diabetes is not considered a risk factor for cardiomyopathy.


mwit1967

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Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

jojobee318

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Reply 3 on: Yesterday
:D TYSM

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NURSE NURSE
Conduction of pain impulses. Conduction of pain impulses.
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse's hand over patients abdomen Nurse's hand over patients abdomen
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
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