The nurse is caring for a patient who has been diagnosed with a cystocele. The patient is not a surgical candidate. The nurse should include information about which nonsurgical management technique(s) in the teaching plan? (select all that apply.)
a. Kegel exercises
b. Pessary insertion of a pessary
c. Hormone therapy
d. Vitamin B12 therapy
e. Increased fluid intake
A, B, C, E
Nonsurgical management includes teaching the woman how to perform Kegel exercises in order to strengthen the pubococcygeal muscles that support the pelvic floor. A pessary (a hard rubber or plastic ring) can be fitted into the vagina by the health care provider to provide support to the pelvic structures. Hormone therapy may be prescribed. Lifestyle changes include increasing fluid intake and a high-fiber diet to avoid constipation, avoiding heavy lifting, and maintaining an op-timum weight. Cystocele care and treatment does not include vitamin B12 therapy.
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A) 6:00 PM B) 1:00 PM C) 8:00 PM the following day D) 10:00 AM
After completing a health assessment of the client, which information would the nurse need to document in the progress notes as opposed to on the assessment form?
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Indicate whether the statement is true or false
Which clinical manifestation in a male client with arthritis indicates or suggests the possibility of Reiter's syndrome?
A. Stooped posture B. Unplanned weight loss C. Pain/burning on urination D. Ringing in the ears at night