The nurse in the emergency department assesses a 76-year-old female. The woman's bladder is visibly distended and the woman has not voided since the previous evening
Which of the following assessment questions made by the nurse is most relevant to the source of the woman's condition? A) "When was your last bowel movement?"
B) "Have you been receiving hormone replacement therapy?"
C) "What did you have to eat yesterday?"
D) "Do you have a history of kidney disease?"
A
Feedback:
Given that fecal impaction is the most common cause of urinary retention in women, questions relating to the patient's recent bowel pattern are most relevant.
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When developing plans for older adults in the community, the community health nurse would focus activities on which of the following?
A) Survival B) Deficits C) Thriving D) Optimism
The clinic nurse is caring for an infant during a routine wellness exam. The parents and infant are of an African ethnic origin and immigrated to America 6 months ago
The mother explains that she believes that an herbal remedy, prepared by the village doctor, is the best way to treat the infant's colic. Which action by the nurse is appropriate? A) Ask the mother what the ingredients are in the remedy. B) Give the mother an alternate remedy for colic. C) Explain how herbal ingredients may be harmful to the infant. D) Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.
A gerontologic nurse is assessing a patient who has numerous comorbid health problems. What assessment findings should prompt the nurse to suspect a UTI? Select all that apply
A) Food cravings B) Upper abdominal pain C) Insatiable thirst D) Uncharacteristic fatigue E) New onset of confusion
Erythroblastosis fetalis is defined as an = Hemolytic disease of the newborn
a. Allergic disease in which maternal blood and fetal blood are antigenically incompatible b. Alloimmune disease in which maternal blood and fetal blood are antigenically incompatible c. Autoimmune disease in immature nucleated cells that are released into the bloodstream d. Autosomal dominant hereditary disease