The nurse is caring for a 50-year-old female who presented to the ...

[hubes95]

The nurse is caring for a 50-year-old female who presented to the emergency department after being involved in a motor vehicle collision. The patient displays marked tenderness and spasm in the suprapubic area and a nonpulsating mass.
 
  The nurse anticipates that this patient will undergo additional workup for which complication?
  a. Bladder trauma
  b. A damaged kidney
  c. A urethral tear
  d. Ruptured spleen

Question 2

A young man who has been diagnosed as sterile says to the nurse, I am not much of a man or a husband. Which response is most therapeutic?
 
  a. I know you feel awful, but you can al-ways adopt.
  b. How do you feel about artificial insemi-nation?
  c. What about this sterility diagnosis con-cerns you the most?
  d. Sterility isn't the end of the world, is it?

[kjo;oj]

Answer to Question 1

A
Bladder traumas signal themselves with pain, spasm, and a mass in the suprapubic area. These findings are not consistent with a damaged kidney, urethral tear, or splenic rupture.

Answer to Question 2

C
Use of open-ended questions demonstrates a caring attitude and a willingness to listen. Telling the patient that she knows how he feels is incorrect and will be viewed as insincere. The patient feels less masculine as a result of infertility. It is premature and inappropriate to discuss options for alternative means of conception. Telling the patient that the diagnosis is not the end of the world minimizes the patient's concerns.

[hubes95]

Gracias!

[Alyson.hiatt@yahoo.com]

TYSM