An older client reports having a cold and a "full bladder." What does the nurse obtain for or from the client?
a. Order for a Foley catheter
b. Order for a one-time catheterization
c. Urine specimen
d. History focusing on current medications
D
The nurse needs to assess more before intervening. Clients often take antihistamines for a "cold." Antihistamines are often composed of anticholinergic drugs. In older adult clients, these medica-tions can cause or worsen urinary retention.
You might also like to view...
Which of the following patients would not be discharged to be cared for by the family?
A) a patient who needs sterile dressings changed B) a patient with a feeding tube in place C) a patient receiving IV medications D) a patient who lacks knowledge of the treatment plan
Drugs designed for all but one of the following conditions have been approved using a streamlined FDA approval procedure?
A. Alzheimer's disease B. Parkinson's disease C. AIDS D. influenza
Which of the following statements regarding burns in the pediatric patient is correct?
A) A child's larger skin surface-to-body mass ratio increases his or her susceptibility to heat and fluid loss. B) A burn that is characterized by clear demarcation lines is generally suggestive of an unintentional burn. C) Unlike adults, the rule of palm is an inaccurate tool to determine the extent of burns in pediatric patients. D) A child with burns to both lower extremities has burns to approximately 36% of his or her body surface area.
Which of the following information about maintaining a healthy immune system should the nurse recommend be included in the older patient's teaching plan? (Select all that apply.)
a. Get a pneumovax vaccine yearly. b. Get an influenza vaccine yearly before influenza season. c. Get a diphtheria and tetanus booster every 10 years. d. Avoid people with colds or other infectious illnesses. e. Obtain vaccination against hepatitis B if infection risk is moderate to high. f. Obtain a varicella booster every 3 years.