An 88-year-old with benign prostatic hyperplasia (BPH) has a markedly distended bladder and is agitated and confused. Which of the following interventions prescribed by the health care provider should the nurse implement first?

a. Insert a urinary retention catheter.
b. Schedule an intravenous pyelogram.
c. Administer lorazepam (Ativan) 0.5 mg PO.
d. Draw blood for blood urea nitrogen (BUN) and creatinine testing.


Ans: a. Insert a urinary retention catheter.

Nursing

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The SBARR technique (situation, background, assessment, recommendation, response) is designed to improve communication among healthcare personnel. Which of the following is an example of a recommendation?

a. "I'm calling about Ms. Smith in 414." b. "Ms. Smith has decreased peristalsis, abdominal discomfort, and is on a narcotic analgesic." c. "Can we start her on Colace 2 bid and add magnesium citrate if no BM within 8 hours?" d. "Ms. Smith hasn't had a bowel movement in two days, which she states is unusual for her."

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Which aspect of reliability does the "Cronbach's alpha'' indicate?

A) Measurement stability performance over time B) Equivalence of two separate forms of a measure C) Internal consistency of the measure items within one measure D) The extent of expert agreement ensuring adequate content coverage

Nursing

Conjugated estrogen (Premarin) is indicated for treatment of menopause. Which side effects should a nurse explain before administering the medication to a woman who has just had a hys-terectomy?

a. Breast tenderness b. Hypotension c. Arthralgia d. Skin rash

Nursing

What should the nurse instruct a patient regarding contact lenses to prevent injury to the eye? (Select all that apply.)

A) Do not share lenses. B) Keep the lenses clean. C) Wash hands before inserting or removing the lenses. D) Have the lenses inspected every 2 years for scratches or damage. E) Discard unused portions of contact solutions at the expiration date.

Nursing