The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include
a. flushing.
b. dizziness.
c. infection.
d. incontinence.
ANS: A
Hot flashes may occur with decreased testosterone production. Dizziness may occur with the alpha-blockers used for benign prostatic hyperplasia (BPH). Urinary incontinence may occur after prostate surgery, but it is not an expected side effect of medication. Risk for infection is increased in patients receiving chemotherapy.
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A client has just voided 50 mL, yet reports that his bladder still feels full. The nurse's next actions should include which of the following? Select all that apply
a. Palpating the bladder height b. Obtaining a clean-catch urine specimen c. Performing a bladder scan d. Asking the patient about his recent voiding history e. Inserting a straight catheter to measure residual urine
While listening to a patient talk about his childhood, the nurse notices broken glass from a window on the floor of the room. There is no threat of immediate harm to either the patient or the nurse. What should the nurse do?
A) Record the window problem on a notepad while the patient continues to talk B) Give the patient full attention and call in a repair request for the window later C) Use the telephone in the patient's room to report the cracked window immediately D) Interrupt the patient to leave and promise to return after reporting the cracked window
Which of the following statements accurately describes dissociative fugue?
A. Dissociative fugue is not precipitated by stressful events. B. Dissociative fugue is characterized by sudden, unexpected travel or bewildered wandering with inability to recall some or all of one's past. C. Dissociative amnesia and dissociative fugue are completely different types of disorders. D. Dissociative fugue is characterized by a sense of observing oneself from outside the body.
A patient with asthma uses albuterol (Ventolin) for wheezing. The nurse assesses the patient and notes vital signs of HR, 96 beats per minute; RR, 18 breaths per minute; and BP, 116/78 mm Hg
The patient has clear breath sounds and hand tremors. What will the nurse do? a. Ask the patient how often the inhaler is used. b. Check the patient's blood glucose level. c. Request an order for isoproterenol (Isuprel) to reduce side effects. d. Stop the medication and report the tremors to the provider.