A client has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask? (Select all that apply.)
a. "How much water do you drink every day?"
b. "Do you take estrogen replacement?"
c. "Does anyone in your family have a his-tory of cystitis?"
d. "Do you have any condition that affects your immune system?"
e. "Are you on steroids or other immune suppressant drugs?"
f. "Do you drink grapefruit juice every day?"
A, B, D, E
Fluid intake, estrogen levels, and immune suppression all can increase the chance of recurrent cystitis. Family history is usually insignificant, and cranberry juice, not grapefruit juice, has been found to increase the acidic pH and reduce the risk for bacterial cystitis.
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What would be the preferred sense response to a resident who states, "I feel a mean streak in that nursing assistant"?
a. "Tell me what you see that makes you feel that way" b. "Mary is a very caring person and isn't mean at all" c. "What do you feel when Mary is caring for you?" d. "I know what you're talking about; she frightens me, too"
A patient who is going on a cruise is concerned about motion sickness and sees his physician, who prescribes scopolamine. The nurse informs the patient that using scopolamine may cause him to experience
A) pupil constriction. B) drowsiness. C) diarrhea. D) urinary incontinence.
What action should the nurse take before administering a drug in suspension form?
a. Administer the drug in its separated form. b. Prepare the intravenous line for administration of the drug. c. Document the administration time. d. Shake the suspension thoroughly.
The nurse is evaluating a client who is experiencing chest pain. Which of the following should be included in this assessment? (Select all that apply.)
1. Grade the pain on a scale of 1 to 10. 2. Precipitating factors. 3. Assess for sleep disturbance. 4. Determine what was used to eliminate the pain. 5. Assess for sweating. 6. Determine if the pain is related to an injury or surgery.