A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing:
a. flavoxate (Urispas).
b. bethanechol (Urecholine).
c. phenazopyridine (Pyridium).
d. oxybutynin chloride (Ditropan XL).
D
This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, including diabetes. Oxybutynin chloride, which is an anticholinergic, acts to decrease detrusor overactivity and is indicated for treatment of urge incontinence. Flavoxate is used to treat dysuria associated with UTI. Bethanechol is indicated for urinary retention. Phenazopyridine is used to treat dysuria.
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The standards of nursing care that are published by various organizations are often used
A) to determine the amount of salary increase due a nurse. B) to describe the profession. C) in nursing malpractice cases. D) by employing agencies when deciding who to hire.
The physician has ordered a creatinine clearance measurement for the patient with impaired renal function. The nurse is aware that the specimens that will require collection for the calculation of the patient's creatinine clearance include:
A) A fasting serum potassium level and a random urine sample B) A 24-hour urine specimen collection and a serum creatinine level midway through the urine collection process C) A blood, urea, a nitrogen level, and a serum creatinine level on three consecutive mornings D) A sterile urine specimen and an electrolyte panel, including sodium, potassium, calcium, and phosphorus values
An older patient begins to cry when talking about the death of a daughter 20 years ago. Which response should the nurse make first?
1. Assess the patient for depression. 2. Touch the patient's arm and listen in silence. 3. Ask the patient to describe the details of the death. 4. Explain that crying is an effective means to express emotions.
Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?
a. Is abstinent for 10 days and states, "I can maintain sobriety 1 day at a time." Spoke with employer, who is willing to allow the patient to return to work in 3 weeks. b. Is abstinent for 15 days and states, "My problems are under control." Plans to seek a new job where co-workers will not know history. c. Attends AA daily; states many of the members are "real" alcoholics and states, "I may be able to help some of them find jobs at my company." d. Is abstinent for 21 days and says, "I know I can't handle more than one or two drinks in a social setting."