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Test Bank for Medical Surgical Nursing 7th Edition by Linton

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A patient complains, “My allergies make me sneeze and urinate in my pants. I take my allergy drug and I urinate in my pants even more.” The nurse assesses that the drug the patient is referring ... to is an ______. ANS: antihistamine Many antihistamine preparations increase the incidence of incontinence. DIF: Cognitive Level: Application REF: p. 224 OBJ: 5 TOP: Drugs That Increase Incontinence KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. A nurse explains that the normal bladder will empty when it reaches the capacity of 200 to ______ mL. (Use numeric characters only.) ANS: 250 The urge to void will occur when the bladder is holding 200 to 250 mL of urine. DIF: Cognitive Level: Comprehension REF: p. 215 OBJ: 6 TOP: Bladder Capacity KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation3. The method by which a nurse manually expresses urine from the bladder by pressing gently on the lower abdomen is the ______ method................. 1. Which actions should the nurse include in a care plan to effectively assist the patient with a total laryngectomy to maintain airway clearance? (Select all that apply.) a. Turning, coughing, and deep breathing b. Placing the patient in a semi-Fowler position c. Maintaining hydration d. Attaching a tracheostomy collar e. Providing a method to communicate ANS: A, B, C, D Providing a communication method has high priority, but it is not related to airway clearance. DIF: Cognitive Level: Comprehension REF: p. 482 OBJ: 1 TOP: Maintaining Airway Clearance KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity COMPLETION1. A nurse reminds a patient, who is to have a partial laryngectomy, that the temporary tracheostomy that he will have after the original surgery will be closed within ______ days. (Use numeric characters only.) [Show More]

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