While you are performing your admission assessment, J.L. tells you she urinates frequently because of
"that Zaroxolyn." She mentions, though, she has experienced burning with urination for the past 2 days.
You decide to collect a urine specimen for laboratory analysis in addition to ordered blood cultures, com
plete blood count (CBC), and basic metabolic panel (BMP).
What are possible causes of the burning and what type of urine specimen should you obtain?
• The two most likely causes of the burning are a urinary tract infection (UTI) or an adverse effect
associated with the use of tacrolimus (Prograf).
• Clean-catch with culture and sensitivity (C&S) testing is probably the best option in this situation.
In-and-out catheterization might cause additional trauma and will increase the risk for additional
infection. A routine or plain urinalysis (UA) is inappropriate because a urine culture requires a
sterile specimen.
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The nurse is teaching an athletic father with a slow-to-warm-up son. Which guidance will be most successful?
A) Telling him to read stories to the child about famous athletes B) Suggesting he take the child to watch him play softball C) Urging him to sign the child up for little league football D) Propose wrestling with the child and letting him win
Which response should the nurse give when a woman shares that she has never had an orgasm?
A) "Some women never have an orgasm." B) "It is not necessary for you to have an orgasm in order to be healthy." C) "Tell me more about this." D) "This problem does not involve your sexual partner."
A patient is demonstrating upon electrocardiogram a prolonged P-R interval and ST segment depression. The nurse realizes these changes are seen in which of the following electrolyte imbalances?
1. hypokalemia 2. hyperkalemia 3. hypernatremia 4. hypocalcemia
A nursing instructor asks a group of students which professional values will be important in their roles as professional nurses. Which response by a student would indicate that further teaching is needed?
a. appearance c. ethical b. nonjudgmental d. esthetics