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A nurse is caring for a client following a bone marrow biopsy. What information should the nurse
include in the discharge education?
• Teach the client to report excessive bleeding and evidence of infection to the provider.
• Teach the client to check the biopsy site daily. Keep the dressing clean, dry, and intact.
• If sutures are in place, remind the client to return in 7-10 days to have them removed.
What dietary education should the nurse provide to a client diagnosed with a hiatal hernia?
• Avoid eating immediately prior to going to bed.
• Avoid foods and beverages that decrease LES pressure (fatty and fried foods, chocolate,
coffee, peppermint, spicy foods, tomatoes, citrus fruits, and alcohol).
A nurse is caring for a client with chronic gastritis. Provide three (3) dietary recommendations
the nurse should include in client education?
• Assist the client in identifying foods that are triggers.
• Provide small, frequent meals and encourage the client to eat slowly.
• Advise the client to avoid alcohol, caffeine, and foods that can cause gastric irritation.
A nurse is caring for a client who has been admitted with renal calculi. List three (3) interventions
the nurse will take in the management of renal calculi.
• Strain all urine to check for passage of the calculus and save the calculus for laboratory
analysis.
• Encourage increased oral intake to 3L/day unless contraindicated.
• Encourage ambulation to promote passage of calculus.
Define the following types of urinary incontinence: Stress, urge, overflow, reflex, functional,
total.
• Stress: loss of small amounts of urine from increased abdominal pressure without bladder
muscle contraction with laughing, sneezing, or lifting.
• Urge: inability to stop urine flow long enough to reach the bathroom due to an overactive
detrusor muscle with increased bladder pressure.
• Overflow: urinary retention from bladder overdistention and frequent loss of small
amounts of urine due to obstruction of the urinary outlet or an impaired detrusor muscle.
• Reflex: involuntary loss of moderate amount of urine usually without warning due to
hyperreflexia of the detrusor muscle, usually from spinal cord dysfunction.
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