The nurse caring for a man with a mega-ureter should assess for the potential problem of
a. impotence.
b. incontinence.
c. scrotal swelling.
d. urine reflux.
D
Abnormal dilation of the ureter (mega-ureter) is characterized by dilation and pouching of the ureteral wall just adjacent to the vesicoureteral junction. Mega-ureter causes problems because of refluxing or obstructive effects.
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An older patient is experiencing exploitation. The nurse recognizes this when the client states:
1. "My son, who I live with, only helps me bathe once a week." 2. "Sometimes, my daughter, gets frustrated with me and hits me." 3. "My neighbor will not drive me to the grocery store unless I buy their groceries too." 4. "My daughter said she will stay and take care of me, but goes out every night with her friends."
A client's cardiac status is being observed by telemetry monitoring. The nurse observes a P wave that changes shape in lead II. What conclusion does the nurse make about the P wave?
a. It originates from an ectopic focus. b. The P wave was replaced by U waves. c. It is from the sinoatrial (SA) node. d. Multiple P waves are present.
The study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care. How are genomics and the use of a genogram helpful in personalizing a patient plan of care?
Select all that apply. a. Assists in identifying at-risk individuals for certain conditions enabling better preventative care b. Helps to more accurately detect illness, even before symptoms appear c. Provides understanding of how people may respond differently to certain drugs and treatments d. Increases the trust a patient and family have in the healthcare professionals
The primary care NP prescribes an inhaled corticosteroid for a patient who has asthma. The third-party payer for this patient denies coverage for the brand that comes in the specific strength the NP prescribes. The NP should:
a. provide pharmaceutical company samples of the medication for the patient. b. inform the patient that the drug must be paid for out of pocket because it is not covered. c. order the closest formulary-approved approximation of the drug and monitor effectiveness. d. write a letter of medical necessity to the insurer to explain the need for this particular medication.