A patient is being seen for the urinary bladder sagging into the vagina. How should the nurse document this health problem?

a. Rectocele
b. Cystocele
c. Dyspareunia
d. Bladder fistula


ANS: B
Cystocele occurs when the bladder sags into the vaginal space because of inadequate support. A. Rectocele occurs when a portion of the rectum sags into the vagina because of inadequate support. C. Dyspareunia refers to pain with intercourse. D. Bladder fistula is a tract from the bladder to another location.

Nursing

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Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law?

a. American Hospital Association's Patient's Bill of Rights b. Self-determination act c. American Hospital Association's Standards of Care d. The Joint Commission's rights and responsibilities of patients

Nursing

The APRN is assessing the tympanic membrane of a patient. Once the tympanic membrane has been visualized, the APRN uses the bulb insufflator to observe the movement of the tympanic membrane

When forcing air into the ear canal, what would the APRN expect to note? A) Negative pressure pulling the tympanic membrane B) Positive pressure pushing down the tympanic membrane C) Negative pressure pushing down the tympanic membrane D) Positive pressure pulling the tympanic membrane

Nursing

When assessing a 4-month-old child the nurse observes a white coating that looks like milk curds in the child's mouth. Which question should the nurse ask the caregiver?

A) "Did you have a vaginal delivery with this baby?" B) "Has your child been treated for any type of infection recently?" C) "Are you breast-feeding or bottle-feeding your baby?" D) "Does everyone in your house wash their hands often?"

Nursing

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats

Which client statement would lead the nurse to suspect this? A) "He always tells me that the abuse never happened." B) "He tells me who I can and cannot see." C) "He tells me that he'll tell child services I'm a bad mother." D) "He acts like he's the master of his castle and I'm his servant."

Nursing