Mrs. Thornton is a 56-year-old patient who has recently become ...

[D2AR0N]

Mrs. Thornton is a 56-year-old patient who has recently become postmenopausal. She told the nurse that ever since she had gone through menopause she noticed that she was getting more urinary tract infections.
 
  What is the best response from the nurse? A. As we go through menopause, the lining of the urethra becomes more susceptible to infections.
  B. Why don't you ask your health care provider for some antibiotics to keep on hand.
  C. That must be frustrating.
  D. I'm not looking forward to going through menopause.

Question 2

A nurse is caring for a patient who had an appendectomy 48 hours ago. On physical assessment the nurse notices that the wound looks red and swollen. The patient's white blood cell count is increased. The nurse should:
 
  A. start antibiotics.
  B. notify the physician or health care provider.
  C. document the findings and reassess in 4 hours.
  D. place the patient on strict isolation regimen.

[Jordin Calloway]

Answer to Question 1

A
Decreased levels of estrogen tend to cause the urethral mucosa to become thinner and more frag-ile and consequently more easily traumatized and infected.

Answer to Question 2

B
Antibiotics are started after a physician's or health care provider's order has been received. It is correct to document the findings, but an increase in white blood cells indicates an infection. Placing the patient in isolation requires a physician's or health care provider's order; this is not an independent nursing action.

[D2AR0N]

TYSM

[kusterl]

Gracias!