One day after surgery a 4-year-old patient is having difficulty urinating. The nurse realizes that children often are unable to void:
A. in a urinal.
B. lying in bed.
C. in bathrooms other than their own.
D. in the presence of persons other than their parents.
D
Anxiety and stress prevent urination because tension makes it difficult to relax abdominal mus-cles.
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A nurse is evaluating a patient admitted to the emergency department with an evolving STEMI for possible administration of thrombolytic therapy. Which information, identified during history taking, would contraindicate this type of therapy?
a. The patient just completed her last men-strual cycle. b. The patient states that the chest pain started 1 hour ago. c. The patient has a history of a small cere-bral aneurysm. d. The patient has hypertension that is well controlled by diuretic therapy.
The intensive care nurse explains to a patient with acute kidney injury that the most effective method for reducing hyperkalemia is the use of:
1. Insulin plus glucose 2. Inhaled beta agonists 3. Sodium bicarbonate 4. Hemodialysis
A patient presents to the clinic with complaints of muscle aches, muscle pain, and weakness. Upon review of the individual's medications, the nurse notes that the patient is concurrently taking gemfibrozil (Lopid) and atorvastatin (Lipitor)
The nurse should assess the patient for the development of: a. migraines. b. hypothyroidism. c. myopathy. d. heart failure.
The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion
The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next? a. Encourage the patient to speak with a "Right-to-Life" advocate. b. Refuse to provide a referral to an abortion service. c. Provide referral to an abortion service. d. Delay referral to an abortion service.