Mr. McLeod has been admitted to the postsurgical unit from PACU ...

[karlynnae]

Mr. McLeod has been admitted to the postsurgical unit from PACU after a transurethral prostatic resection (TUPR). Mr. McLeod has continuous bladder irrigation running to prevent clotting and his Foley catheter is draining appropriately.
 
  His vital signs on admission reveal a blood pressure of 171/ 98 despite the fact that he has no documented history of hypertension. What factor most likely accounts for Mr. McLeod's present increase in blood pressure?
  A) Mr. McLeod is experiencing a postoperative hemorrhage.
  B) Mr. McLeod is showing signs and symptoms of malignant hyperthermia.
  C) Mr. McLeod's sympathetic nervous system is stimulated, possibly by pain.
  D) Mr. McLeod is fluid overloaded from the intraoperative administration of IV fluids.

Question 2

The clinic nurse completes discharge teaching for an 80-year-old client with a urinary tract infection. What should the discharge plan for this patient include to minimize the reoccurrence of the condition?
 
  A) Teach the client how to test her blood glucose levels.
  B) Discuss age-related bladder changes with the patient.
  C) Assess the primary factors contributing to the patient's condition.
  D) Instruct the patient about proper hydration.

[smrerig]

Answer to Question 1

C

Answer to Question 2

C
Feedback:
Before any remedial action can be taken, the primary contributing factors must be identified. For example, is the client able to properly perform certain ADLs (e.g., toileting) or does she have some underlying disease process (e.g., diabetes)?

[karlynnae]

Excellent

[Jsherida]

TYSM