Author Question: The nurse is coordinating care for a newly admitted older adult. The patient is diagnosed with ... (Read 363 times)

nelaaney · **on:** Jul 11, 2018

The nurse is coordinating care for a newly admitted older adult. The patient is diagnosed with hypertension, asthma, atrial fibrillation, mild osteoarthritis, and glaucom

a. Before administering the patient's corticosteroid medication, the nurse is especially interested in which of the follow-ing? (Select all that apply.)
a. The name of the patient's hypertension medication
b. What the patient uses to manage arthritic pain
c. Whether the patient feels the asthma is well controlled
d. Whether the patient takes low-dose aspi-rin regularly
e. Whether the patient has ever had glauco-ma-related surgery

Question 2

When assessing the patient for urinary incontinence, which patient symptom best supports the nursing diagnosis of overflow incontinence?

a. I have small accidents ever since I de-veloped a cystocele.
b. It burns so badly after I urinate that I hold it as long as I can.
c. I can't make it to the toilet when I feel the need to urinate.
d. I lose small amounts of urine when I sneeze or laugh hard.

yifu223 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, D
Asthma may be exacerbated by the use of nonsteroidal antiinflammatory agents for arthritis, as-pirin for circulation, nonselective beta-blockers for hypertension, or glaucoma eye drops that contain beta-blockers. Feeling that the asthma is under control and previous surgery are not di-rectly related.

Answer to Question 2

A
Typically, individuals with overflow incontinence complain of frequent losses of small volumes of urine, which are commonly a result of cystoceles. Burning indicates a urinary tract infection. Not making it to the bathroom is generally functional incontinence. Losing control of the bladder with sneezing or laughing is a manifestation of stress incontinence.