The nurse notes documentation in the client's history and physical of a nontender protrusion into the anterior vaginal wall. The nurse would suspect which of the following conditions in this situation?
1. Inflammation of the Skene's gland
2. Prolapsed uterus
3. Rectocele
4. Cystocele
4
Rationale 1: The Skene's glands are examined by palpation on both sides of the urethra.
Rationale 2: A prolapsed uterus may protrude from the vaginal wall, and may occur with or without straining.
Rationale 3: A rectocele is a hernia that is formed when the rectum pushes into the posterior vaginal wall.
Rationale 4: A cystocele is a hernia that is formed when the urinary bladder is pushed into the vaginal wall.
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A patient with a longstanding diagnosis of chronic renal failure has experienced a significant decline in urine output in recent days, prompting him to seek care at a local clinic
A nurse at the clinic has suggested to a colleague that the administration of a diuretic such as hydrochlorothiazide may improve the patient's urine output. How should the colleague best respond to this suggestion? A) "That would probably help, but we'd have to do blood work first." B) "Actually, patients with renal failure usually can't take hydrochlorothiazide." C) "That would only work if he could come in twice a day to get it intravenously." D) "Maybe, but hydrochlorothiazide affects the bladder more than the kidneys."
The most important component of the nursing process that precedes the nursing intervention and is prepared by the registered nurse is the ____________ ___________
ANS:
A patient is taking aminophylline for their chronic obstructive pulmonary disease. The patient is about to undergo emergency surgery and will receive an neuromuscular junction (NMJ) blocker as part of the procedure
It is important for the nurse to take what action? A) Make sure the patient receives the aminophylline on a regular schedule to maintain therapeutic levels. B) Monitor the patient very closely for signs of early arousal and return of muscle function. C) Carefully explain all that is going on because the patient will be unable to talk. D) Switch the patient to theophyllines before the procedure begins.
Which patient is at the lowest degree of risk for experiencing adverse effects of drug therapy?
a. A 6-year-old patient with cancer b. A 32-year-old patient with a fractured ankle c. A 24-year-old pregnant patient with toxoplasmosis d. An 84-year-old patient with heart failure