The nurse completes an assessment of renal and urinary function with an 86-year-old male patient. Which finding should the nurse report to the healthcare provider?
1. urinary incontinence
2. urinary frequency
3. urinary urgency
4. nocturia
Correct Answer: 1
Urinary incontinence is not a normal part of aging and should be reported. Urinary frequency, urgency, and nocturia are more common in older adults. These may represent normal changes expected with aging.
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Following a spinal cord injury a patient is placed in halo traction. While performing pin site care, the nurse notes that one of the traction pins has become detached. The nurse would be correct in implementing what priority nursing action?
A) Complete the pin site care to decrease risk of infection B) Notify the neurosurgeon of the occurrence C) Stabilize the head in a lateral position D) Reattach the pin to prevent further head trauma
Which patient would the nurse prioritize as needing information about lifestyle modifications to prevent cancer?
1. A 65-year-old woman whose body weight is within the normal range and who exercises twice a week, eats a variety of vegetables and fruits, eats red meat three times a week, and does not smoke 2. A 35-year-old Caucasian male who is overweight, has a family history of heart disease, and is a vegetarian 3. A 44-year-old African American woman whose mother had breast cancer at age 50 and who is overweight, smokes one or two cigarettes a week, and drinks three cups of coffee daily 4. A 47-year-old Hispanic female whose mother and father have a history of type 2 diabetes and who is overweight by 30 lbs., walks three times weekly, and is a nonsmoker
Which of the following questions or statements would be most useful for the nurse to make when eliciting information about a client's sexual history?
A) "We need to talk about this." B) Why did you have unprotected sex? C) "How would you describe the problem? D) I need to know sex partners' numbers."