A patient has been taking an antimicrobial agent prescribed to treat a UTI for 2 days. She contacts the health care provider's office to report persistence of symptoms
In evaluating the medication effectiveness, which assessment(s) would be important? (Select all that apply.)
a. Complete emptying of the bladder
b. Amount of pain with urination as well as frequency
c. Amount of daily fluid intake and output
d. GI symptom complaints
e. Bleeding with urination
f. Persistence of nocturia
ANS: A, B, C, D, E
Focused assessment of UTI symptoms includes assessing for urinary retention, pain and/or burning with urination, intake and output, GI symptoms, and bleeding with urination. Nocturia is common with OAB syndrome, not a UTI.
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An 89-year-old male patient returns to the local primary care clinic from a nursing home by wheelchair for follow-up hypertension treatment. The nurse would modify his health history to include which of the following questions?
A) Tell me about your medications: how they are administered and do you take them on a regular basis? B) Tell me about where you live: do you feel your needs are being met and do you feel safe? C) Your wheelchair would seem to limit your ability to move around. How do you deal with that? D) What limitations are you dealing with related to your hypertension and being in a wheelchair?
Which structure is reflected by the statement "Nursing practice is best determined by nurses"?
1. Hybrid 2. Shared governance 3. Matrix 4. Functional
Which of the following can a nurse assess by palpation?
A) Heart sounds, lung sounds, blood pressure B) Temperature, turgor, moisture C) Vision, hearing, cranial nerves D) Tissue density, gait, reflexes
Crepitation is an audible sound that is produced by:
A. roughened articular surfaces moving over each other. B. tendons or ligaments that slip over bones during motion. C. joints that are stretched when placed in hyperflexion or hyperextension. D. an inflamed bursa.