ANSWERS.
1) A 79-year-old man has been admitted with benign prostatic hyperplasia.
What is most appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence.
ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on
in the bathroom is appropriate. Fluids should be encouraged because dehydration is
more common in older patients.
2) A patient gives the nurse health information before a scheduled
intravenous pyelogram (IVP). Which item has the most immediate implications
for the patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night.
ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography (CT)
scans. The nurse will need to notify the health care provider before the procedures so
that the patient can receive medications such as antihistamines or corticosteroids
before the procedures are started.
3) A patient passing bloody urine is scheduled for a cystoscopy with cystogram.
Which description of the procedure by the nurse is accurate?
, a. "Your doctor will place a catheter into an artery in your groin and inject a dye
that will visualize the blood supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little catheters
will be inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube into the bladder through your urethra,
inspect the bladder, and instill a dye that will outline your bladder on x-ray."