Answer to Question 1
D
Feedback:
A patient with an enlarged prostate who takes an anticholinergic drug may develop urinary retention or even bladder paralysis when the drug's effects block the urinary sphincters, so anticholinergic drugs are avoided whenever possible. However, if the medication is needed, the patient must be taught to empty the bladder before taking the drug. A reduced dosage also may be required to avoid potentially serious effects on the urinary system but this would not be a teaching point for the patient because the provider will make that decision. Hypotonia, not hypertonia, is more likely to occur. Urinary incontinence is not a likely effect in this case.
Answer to Question 2
A, B, D
Feedback:
Some children, because of congenital problems or in-dwelling catheters, require other urinary tract agents such as urinary tract analgesics or antispasmodics. A child with repeated UTIs should be evaluated for potential sexual abuse. Children need to be instructed in proper hygiene and should not be given bubble baths if UTIs occur. Repeated UTIs can be related to drinking alkaline juices such as orange or grapefruit, but not apple. Children should be encouraged to drink a lot of water. Drinking too much water would not cause repeated infections.
Patient with typical rheumatoid arthritis contractures.
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
Effects of nursing rounds on patient safety
EHR systems enable providers to view patient records across organizations.
Assisting the patient to transfer from the bed or examining table to a wheelchair.
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.