A 79-year-old man is being evaluated for frequent urinary dribbling without burning. Physical examination reveals a smooth but slightly enlarged prostate gland. His PSA level is 3.3 ng/mL
The patient undergoes formal urodynamic studies, and findings are as follows: a decreased bladder capacity of 370 mL; a few involuntary detrusor contractions at a low bladder volume of 246 mL; an increased postvoid residual urine volume of 225 mL; and a slightly decreased urinary flow rate. Which of the following is not consistent with a normal age-associated change?
A. PSA level of 3.3 ng/mL
B. Decreased bladder capacity
C. Involuntary detrusor contradictions
D. Increased postvoid residual urine volume
D
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A client's medication administration record indicates that the drug is to be given "q4h." The nurse understands that "q4h" indicates the frequency of administration. What does "q4h" indicate?
A) Every four hours B) Every four days C) Four times a day D) At 0400 hours
The nurse is conducting a health maintenance physical for a school-age patient. Which finding in the family medical history would necessitate the need for further evaluation if the patient would like to participate in soccer?
1) Mother is diagnosed with type 1 diabetes mellitus. 2) Father died of massive heart attack at the age 34 years 3) Maternal grandfather died of end-stage renal failure at the age 66 years 4) Sibling is diagnosed with attention deficit hyperactivity disorder
The nurse is caring for a client diagnosed with bilateral middle ear infections. Which of the fol-lowing statements made by the nurse best reflects an understanding of the effects of this condi-tion on the client's ability to move appropriately?
1. "He hasn't reported any nausea or vomiting." 2. "His ability to hear doesn't seem to be affected." 3. "I'll identify the client as a high falls' risk by noting it on his Kardex." 4. "I believe he is capable of using his call bell when he needs assistance."
The nurse is reviewing data collected on a patient with a respiratory disorder. Which factor should the nurse identify that places the patient at risk for lung cancer?
a. Smoking and exposure to radon gas b. Living in a cold climate and having pets c. Eating foods high in beta carotene and fiber d. Living in crowded conditions and lack of sunlight