A 36-year-old afebrile woman with no health problems presents with dysuria and frequency of urination. Her urinalysis findings include results positive for nitrites and leukocyte esterase. You evaluate these results and consider that she likely has:
A. purulent vulvovaginitis
B. a gram-negative UTI
C. cystitis caused by Staphylococcus saprophyticus
D. urethral syndrome
Answer: B. a gram-negative UTI
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A patient, age 36, is admitted with diarrhea and dehydration. The physician has ordered several diagnostic studies of the patient's stools. When obtaining a stool specimen to be examined for ova and parasites, the nurse should
a. use an oil retention enema to facilitate collection. b. refrigerate the specimen immediately. c. instruct the patient to obtain three different stool specimens on subsequent days. d. check the specimen for the presence of occult blood.
The rate of fetal deaths in the United States has
A) remained at a stable rate for the last several decades with little change. B) fallen in recent decades. C) increased because of the growing number of pregnancies to teen mothers. D) increased because of the increasing number of older mothers becoming pregnant.
Your client is suffering from recurrent breast cancer metastatic to multiple skeletal sites. She is experiencing breakthrough pain, which she rates as 9 on a 10-point scale. You treat her with rescue dosing, which means that you:
1. call her physician and request a prescription for a more effective analgesic. 2. give her a one-time extra dose of her analgesic. 3. change the schedule of her analgesic to be more effective. 4. give her as-needed doses of an immediate-release analgesic in response to the breakthrough pain in addition to the scheduled analgesic dosage.
The social worker has informed the community health nurse that a couple with a history of domestic violence is currently in the tension-building phase of the cycle of violence. Which situation is most likely to be assessed by the nurse during the home care visit?
1. The woman is hopeful that her acceptance of blame will diminish the violence. 2. The woman states that leaving is not the solution. She has a sprained wrist. 3. The man sent flowers and candy. He is loving and sorrowful of his actions. 4. The home is disorderly. There is a large bruise under the woman’s right eye, and her lip is swollen.