A client with benign prostatic hyperplasia undergoes transurethral resection of the prostate. Postoperatively, an indwelling foley catheter and continuous bladder irrigation are in place. On Post Op Day 1 the nurse would expect which assessment finding?

The nurse is caring for a client diagnosed with nephrolithiasis. The nurse instructs the client that all of their urine will be strained.  The client asks why this is necessary.  The best response by the nurse is?

The nurse is talking with a client at a flu clinic. The client states they are concerned about their partner because they have started accusing their children of stealing money from others and they seem to be lost when driving in areas that were once familiar to them. What is the best response by the nurse?

The nurse is caring for a client who had a transurethral rection of the prostate 12 hours ago. The urine is clear and light red in color with a few small clots noted. Continuous bladder irrigation is running and the client is tolerating clear liquids without nausea or vomiting.  Pain is currently a 4 on the 0-10 scale. The nurse includes which intervention in this client’s plan of care?

The home health nurse is caring for a client diagnosed with Alzheimer’s disease. The client’s family wants to keep them at home as long as possible and are opposed to nursing home placement, but report that the client has begun wandering more. One night they found the client out in the front yard at 2 a.m. The nurse develops the nursing diagnosis of “Wandering related to effects of memory loss as evidenced by the client wandering out of house at night.” What is the most appropriate nursing intervention in this situation?

A client is receiving brachytherapy for prostate cancer. Which intervention is most important for the nurse to include in the client’s care plan?

The home care nurse is visiting a client with chronic renal failure on peritoneal dialysis at home. Which nursing diagnosis will have the highest priority?

The nurse develops the nursing diagnosis of “Unilateral Neglect related to sensory-perceptual deficits” for a client with a right hemisphere stroke. Which intervention should the nurse include in the client’s plan of care?

A 47-year-old patient was admitted to the medical surgical unit this morning with progressive weakness and difficulty walking that began 10 days ago. The patient reports a recent respiratory infection two weeks ago and has a history of influenza vaccination last month. On assessment, the patient demonstrates bilateral lower and upper extremity weakness, shallow respirations, and diminished breath sounds. Diagnostic results include: Cerebral Spinal Fluid (CSF) protein: 190 mg/dL (Normal: 15–45 mg/dL) Cerebral Spinal Fluid (CSF) WBC: 3 cells/mm³ (Normal: 0–5 cells/mm³) ALT: 85 U/L (Normal: 7–56 U/L) AST: 72 U/L (Normal: 10–40 U/L) Serum creatinine: 1.6 mg/dL (Normal: 0.6–1.2 mg/dL)  Which nursing action is the priority for this patient?

A client is admitted to the hospital following a tonic-clonic seizure. The client asks the nurse what causes seizures. What is the best response by the nurse?