The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement. Which finding is cause for prompt action by the nurse?
a. Cloudy urine
b. Urinary hesitancy
c. Post-void dribbling
d. Weak urinary stream
ANS: A
Cloudy urine could indicate infection due to possible urine retention and should be a priority action. Common symptoms of benign prostatic hyperplasia are urinary hesitancy, post-void dribbling, and a weak urinary stream due to the enlarged prostate causing bladder outlet obstruction.
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The home health nurse is visiting a family at home when the toddler has an "accident" and has a bowel movement in his diaper. The mother becomes angry with the child and calls him a baby for messing himself
The nurse considers Erikson's theory and recognizes that the mother's behavior may have an effect on the child's: 1. Cognitive development. 2. Sense of independence. 3. Conscience. 4. Development of superego.
Part of the job responsibility of a nurse who works for a team of physicians is to provide documentation about elderly patients who may need nursing home care. Which of the following patients meets the criteria for being classified as frail?
A) Mrs. A is inactive, walks slowly, and has many colds. B) Mrs. B has many colds, tires easily, and has lost 15 pounds in the past year. C) Mr. C has lost 20 pounds in the past year, cannot grip utensils, and is inactive. D) Mr. D has lost 20 pounds in the past year, is inactive, and has many colds.
A drug is ordered to titrate between 4 and 6 mcg/kg/min. The body weight is 78.6 kg and the solution strength is 200 mg/100 mL. Calculate the dosage range in mcg/min and flow rate range in mL/hr
What will be an ideal response?
A young adolescent is transferred to the labor and delivery unit from the emergency department. The client is in active labor, but did not know she was pregnant. What is the most important nursing action?
1. Determine who might be the father of the baby for paternity testing. 2. Ask the client what kind of birthing experience she would like to have. 3. Assess blood pressure and check for proteinuria. 4. Obtain a Social Services referral to discuss adoption.