A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital with chills, fever, and vomiting. Which finding by the nurse will be most helpful in determining whether the patient has an upper urinary tract infection (UTI)?
a. Suprapubic pain
b. Bladder distention
c. Foul-smelling urine
d. Costovertebral tenderness
Ans: d. Costovertebral tenderness
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A patient with acute respiratory distress syndrome (ARDS) has severe hypoxia refractory to high levels of oxygen and mechanical ventilation. What is the underlying pathophysiology most responsible for the hypoxia?
A) Increased capillary permeability from mediator release B) Increased patchy infiltrate visible on chest x-ray C) Reduced pulmonary afterload effects D) Reduced pulmonary preload effects
A patient with anorexia nervosa requires parenteral nutrition support. This patient demonstrates signs of marasmus. What intervention should the nurse make to prevent a complication for which this patient is at increased risk?
A) Limiting of initial dextrose dosing B) Depletion of potassium before TPN initiation C) Proper hand hygiene D) Change of TPN solution bag every 24 hours
A woman in her thirties has been experiencing increasing weakness and the results of an edrophonium (Tensilon) test have resulted in a diagnosis of myasthenia gravis
The patient's nurse should anticipate that the patient will benefit from treatment with A) carbidopa-levodopa. B) a monoclonal antibody. C) a dopamine agonist. D) a cholinesterase inhibitor.
A nurse wants to obtain information on the alternative methods of health care her 45-year-old female client uses. Who would be the best person to ask about this?
a. The husband of the client b. A community leader of the ethnic group c. The client herself d. The religious leader of the ethnic group