The patient has severe arthritis and is unable to go upstairs quickly to the bathroom located on the second floor. The patient is sometimes incontinent. This type of incontinence is classified as
a. urge incontinence c. reflex incontinence
b. functional inconti-nence d. urethra hypermobility
B
Factors that contribute to functional urinary incontinence include altered mobility, manual dexterity, ability to easily access the toilet, or cognitive changes. Urge incontinence is the complaint of involuntary leakage accompanied by or preceded by an urge to void. Urethral hypermobility is the abnormal movement of the bladder base and urethra during physical exertion. Reflex urinary incontinence is a loss of coordination between the bladder and sphincter mechanism, causing a functional obstruction of the bladder outlet and urinary retention.
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An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally sensitive nurse would:
a. Contact the hospital administrator about the best course of action. b. Automatically get a curandero for her, because requesting one herself is not culturally appropriate. c. Further assess the patient's cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires. d. Ask the family what they would like to do because Mexican-Americans traditionally give control of decision making to their families.
The nurse is planning to teach a 75-year-old patient with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the patient's ability to learn?
A) Provide links to Web sites that contain evidence-based information. B) Exclude family members from the session to prevent distraction. C) Use color-coded materials that are succinct and engaging. D) Make the information directly relevant to the patient's condition.
A patient has been receiving an antibiotic with a small therapeutic index for 10 days. Upon assessment, the nurse notes an increase in the drug's side effects. What would be the nurse's priority action?
a. Call the prescriber and have the antibiotic changed. b. Suspect an allergic reaction and administer a PRN antihistamine. c. Ask the prescriber to order a plasma drug level test. d. Set up oxygen and obtain an order for an antagonist.
Complete the following ECG criteria for second-degree AV block type II:
Rhythm ________________________________________ Rate ________________________________________ P waves ________________________________________ PR interval ________________________________________ QRS duration ________________________________________ Fill in the blanks with correct word