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ISPN考试模拟试题(487)

Question:

A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse’s best response to the client? 

1. “Yes, limiting your fluids can decrease your incontinence.” 

2. “Limiting your fluids will cause kidney stones.” 

3. “Drink eight glasses of water a day and urinate every 2 hours.” 

4. “If your incontinence continues, we will reinsert your catheter.”

 

Clients who have undergone TURP need to be instructed to maintain an adequate fluid intake despite urinary dribbling or incontinence. The client should be advised to drink at least eight glasses of water a day to dilute the urine and help prevent urinary tract infections. Maintaining a voiding schedule of every 2 hours can help decrease incidents of incontinence. Teaching the client Kegel exercises is also beneficial for strengthening sphincter tone. The nurse should not encourage the client to decrease fluids. It is not necessarily true that a decreased intake will cause renal calculi. Threatening the client with a catheter is not beneficial, and it is not the treatment of choice for a client who is experiencing incontinence from TURP. 

CN: Reduction of risk potential; CL: Synthesize

Answer:3

 

翻译

 

问题:

患者经尿道前列腺切除术(TURP)后正在康复中,出现尿失禁,并因失禁而减少了液体摄入。护士对病人的最佳反应是什么?

1.“是的,限制你的液体可以减少失禁。

2.“限制体液会导致肾结石。

3.“每天喝8杯水,每2小时排尿一次。

4.“如果您的失禁继续,我们将重新插入您的导管。

 

答案:3

接受TURP治疗的病人需要指导在尿流或尿失禁的情况下保持足够的液体摄入。建议病人每天至少喝八杯水以稀释尿液,防止尿路感染。保持每2小时排空一次可以帮助减少尿失禁的发生。教授病人凯格尔练习对加强括约肌张力也有好处。护士不应鼓励病人减少体液。减少摄入量不一定会导致肾结石。威胁病人使用导管是无益的,而且对于因TURP而出现尿失禁的病人,这也不是首选的治疗方法。

CN:风险潜力的降低;CL:综合

小编寄语:Hard work, determination, and perseverance always win out.努力,决心,坚持就是成功的三个秘诀。

时间:2021/4/6 11:56:26
 
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