An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine. Which nursing diagnosis should the nurse include in the patient's plan of care?
a. Urinary retention
b. Hesitancy
c. Urgency
d. Urinary incontinence
D
Age-related changes such as loss of pelvic muscle tone can cause involuntary loss of urine known as Urinary incontinence. Urinary retention is the inability to empty the bladder. Hesitancy occurs as difficulty initiating urination. Urgency is the feeling of the need to void immediately.
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The nurse is teaching a patient about her oral diabetic medication that is taken daily. The patient has specific goals that have been set with regard to glucose control. What specific learning objectives would be a teaching guide for this patient?
a. Take blood sugar with fingerstick at 12 noon and repeat at supper daily. b. Fingerstick glucose will be 85 mg/dL to 125 mg/dL 2 hours after meals daily. c. Fingerstick blood sugar will be normal after breakfast and lunch daily. d. Blood sugar will be normal before breakfast and lunch and after supper daily.
The wife of a 70-year-old client who is recuperating at home from hip replacement surgery ex-presses a concern to the nurse that "He must be getting depressed. He just doesn't interact with people like he used to."
Which of the following is the nurse's most therapeutic response? 1. "Are there any other signs of depressions?" 2. "Does he usually enjoy interacting with visitors?" 3. "Do you think he may be having difficulty hearing what people are saying to him?" 4. "Well he could be. Do you want me to see if his health care provider will order an antidepressant?"
Major chemotherapeutic agents include (Select all that apply.)
a. alkylating agents. b. antineoplastic antibiotics. c. hormones. d. antimetabolites. e. antinuclear antibodies. f. chelating agents.
A nurse places a client in full leather restraints. How often must the nurse check the client's circulation?
A. Once per hour B. Once per shift C. Every 10 to 15 minutes D. Every 2 hours