Author Question: A graduate nurse is studying for the NCLEX examination. Which of the following accurately describes ... (Read 38 times)

humphriesbr@me.com

  • Hero Member
  • *****
  • Posts: 550
A graduate nurse is studying for the NCLEX examination. Which of the following accurately describes a phase of the nursing process that will be tested?
 
  A) Planning: establishing a database
  B) Data collection: actions necessary to achieve goals
  C) Implementation: setting goals for clients and designing strategies to meet them
  D) Evaluation: determining the extent to which goals have been achieved

Question 2

A nurse is assigned to perform continuous bladder irrigation for a client who has undergone a prostatectomy. What should the nurse follow when performing the procedure? Select all that apply.
 
  A) Avoid taping the traction to client's hip or abdomen.
  B) Monitor the setup to make sure that all the tubes are open.
  C) Report to the physician if the drainage is blood tinged.
  D) Assure the client that a feeling of bladder fullness is not a cause for concern.
  E) Make sure all catheters remain taped in place.
  F) If necessary, and if an order is in place, irrigate the bladder manually.



JaynaD87

  • Sr. Member
  • ****
  • Posts: 368
Answer to Question 1

D
Feedback:
The four phases of the nursing process associated with the NCLEX-PN examination include the following: data collection (establishing a database), planning (assisting in setting goals for meeting client needs and designing strategies to meet these goals), implementation (actions necessary to achieve goals), evaluation (determining the extent to which goals have been achieved).

Answer to Question 2

B, E, F
Feedback:
The nurse should carefully monitor the setup to ensure that all the tubes are open. All catheters must remain taped in place to prevent damage at the operative site. It may be necessary to irrigate the catheter manually. The nurse must be sure the physician surgeon has written an order. Manual irrigation helps to dislodge any clots that may be obstructing the bladder. The nurse can tape the traction to the client's hip or abdomen to keep it securely in place. Drainage of a postoperative client will be blood tinged for a few days. This is not a cause for concern. The bladder irrigation should be stopped if the client has the feeling of bladder fullness.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

For a complete list of videos, visit our video library