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Here are the correct answers to this Case Study.
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Benign Prostatic Hyperplasia Case Study (Medical-Surgical):
Correct Answers:1.A. hesitancy when starting the urine stream;
AND
B. Decrease in the size and force of the urine stream;
AND
E. Frequent urination, including nocturia
2. D. Dullness heard on percussion, below the umbilicus.
3. D. “Decreasing fluid intake may increase your risk for developing a urinary tract infection.”
4. D. “If your prostate gland is blocking the flow of urine, you may have some degree of kidney damage that can be detected with these tests.”
5. C. “I realize that this report is causing you concern. PSA levels can be elevated with gland enlargement, as well as cancer, so more tests are needed.”
6. C. “Change positions slowly, such as when standing up.”
7. A. Liver function tests should be monitored frequently.
AND
D. Medication should not be handled by women and children.
8. C. 12 French straight catheter
9. B. “Empty your bladder completely.”
10. A. “I will be glad to answer any questions you may have.”
11. B. A cultural practice based on recognition of someone’s social status.
12. A. Observe the urinary drainage.
13. D. Document that the CBI is infusing correctly.
14. A. Do not try to void around the catheter.
15. C. stop the CBI and irrigate the catheter.
16. C. Increase the flow rate of the CBI.
AND
D. Notify the healthcare provider of the findings.
AND
E. Preform manual irrigation.
17. 63
18. B. Chest pain and dyspnea.
19. Verify the blood type and Rh factor with another nurse.
20. A. Assess Bob for additional symptoms.
21. B. Infuse normal saline solution through separate IV tubing.
22. C. “Describe everything you did, related to the transfusion.”
23. B. A nurse’s actions do not meet established standards.
24. D. Supine, with feet elevated at a 45 degree angle.
25. A. Hemoglobin 15.0 g/dL.
26. A. Altered cardiac output.
27. C. An RN who has worked on the unit for 3 years.
28. B. Prepare the client with renal failure for a scheduled dialysis treatment.
29. D. Squeeze, as if stopping the flow of urine.
30. D. “You will still need yearly rectal exams and PSA screenings.”
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