After reviewing the electronic medical record shown in the ...

[melina_rosy]

After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse?
 
  a. Elevated temperature
  b. Respiratory rate and lung sounds
  c. Bladder spasms and decreased urine output
  d. No prescription for antihypertensive drugs

Question 2

The following male patients recently arrived in the emergency department. Which one should the nurse assess first?
 
  a. 19-year-old who is complaining of severe scrotal pain
  b. 60-year-old with a nontender ulceration of the glans penis
  c. 22-year-old who has purulent urethral drainage and back pain
  d. 64-year-old who has dysuria after brachytherapy for prostate cancer

[Juro]

Answer to Question 1

ANS: C
Bladder spasms and lack of urine output indicate that the nurse needs to assess the continuous bladder irrigation for kinks and may need to manually irrigate the patient's catheter. The other information will also require actions, such as having the patient take deep breaths and cough and discussing the need for antihypertensive medication prescriptions with the health care provider, but the nurse's first action should be to address the problem with the urinary drainage system.

Answer to Question 2

ANS: A
The patient's age and symptoms suggest possible testicular torsion, which will require rapid treatment in order to prevent testicular necrosis. The other patients also require assessment by the nurse, but their history and symptoms indicate nonemergent problems (acute prostatitis, cancer of the penis, and radiation-associated urinary tract irritation)

[melina_rosy]

Excellent

[rachel]

TYSM