An 85-year-old male patient complains of lower back pain, painful urination, and nocturia. His temperature is within his normal range, 97.6°F. Which of the following pairs of tests and diagnoses is most likely related to these urinary symptoms?
A) Simple urinalysis, acute bacterial prostatitis
B) Ultrasound of the prostate, chronic bacterial prostatitis
C) Fluid intake and output (I&O), acute bacterial prostatitis
D) Special clean-catch with prostatic secretions, chronic bacterial prostatitis
D
Feedback:
A and C are incorrect choices because acute bacterial prostatitis presents with systemic symptoms of fever, chills, and malaise, not those described in the question. An ultrasound will not assist in the diagnosis of chronic bacterial prostatitis.
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You are doing a preoperative assessment on a patient going to surgery. The patient informs you that he ingests 5 to 10 ounces of alcohol each day and has for the last 15 years. What postoperative difficulties can the nurse anticipate for this patient?
A) Delirium tremens immediately following surgery B) Delirium tremens within 72 hours after his last alcohol drink C) Delirium tremens upon administration of general anesthesia D) Delirium tremens 1 week after his last alcohol drink
A 22-year-old single patient, G1, P0, accompanied by her boyfriend, is admitted to the labor unit with ruptured membranes and mild to moderate contractions. She is determined to be 2 centimeters dilated
Which nursing diagnoses might apply during the current stage of labor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fear/Anxiety related to discomfort of labor and unknown labor outcome 2. Deficient Knowledge related to lack of information about involution process 3. Acute Pain related to uterine contractions, cervical dilatation, and fetal descent 4. Acute Pain related to perineal trauma 5. Compromised Family Coping related to labor process
A client was in a motor vehicle crash where he sustained injury to his spinal cord that has resulted in difficulty with balance and holding his posture. Which should the nurse suggest the client consider?
1. Animal-assisted therapy 2. Hypnotherapy 3. Chelation therapy 4. Detoxification
The nurse is caring for a patient who reports that the intravenous (IV) site is sore. The nurse notes swelling and tenderness at the site, as well as a red streak up the arm. The nurse's care should include
1. Applying an ice pack to the area. 2. Discontinuing the IV and applying warm packs. 3. Requesting a new order for IV antibiotics to be infused at the site. 4. Sending the IV catheter and tubing to the laboratory for analysis.