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.