A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis?
a. Psychogenic nocturia c. Irritative posterior urethral lesion
b. Urethral polyp d. Benign prostatic hypertrophy
D
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It is important for the nurse to ensure that the client understands the physical reactions associated with drinking alcohol while taking disulfiram (Antabuse)
Which of the following are reactions that may result from ingesting alcohol while taking Antabuse? (Select all that apply.) a. High blood pressure b. Headache c. Blurred vision d. Nausea e. Double vision f. Vomiting g. Chills
The nurse is caring for a patient starting INH for latent tuberculosis. Which clinical manifesta-tions would most concern the nurse?
a. Cramps in the back when walking up steps b. Headaches and lightheadedness on awakening c. Dry mouth and difficulty swallowing solids d. Difficulty buttoning shirts
The nurse is planning to administer a transfusion of packed red blood cells (PRBCs) to a patient with blood loss from gastrointestinal hemorrhage. Which action can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Verify the patient identification (ID) according to hospital policy. b. Obtain the temperature, blood pressure, and pulse before the transfusion. c. Double-check the product numbers on the PRBCs with the patient ID band. d. Monitor the patient for shortness of breath or chest pain during the transfusion.
A school-age child with congenital heart block codes in the emergency department (ED). The parents witness this and stare at the resuscitation scene unfolding before them. Which nursing intervention is most appropriate in this situation?
1. Ask the parents to leave until the child has stabilized. 2. Ask the parents to call the family to come into watch the resuscitation. 3. Ask the parents to sit near the child's face and hold her hand. 4. Ask the parents to stand at the foot of the cart to watch.