Author Question: The nurse notes that a patient who has a large cystocele, admitted 10 hours ago, has not yet voided. ... (Read 31 times)

jessicacav · **on:** Jun 25, 2018

The nurse notes that a patient who has a large cystocele, admitted 10 hours ago, has not yet voided. Which action should the nurse take first?

a. Insert a straight catheter per the PRN order.
b. Encourage the patient to increase oral fluids.
c. Notify the health care provider of the inability to void.
d. Use an ultrasound scanner to check for urinary retention.

Question 2

A 27-year-old patient tells the nurse that she would like a prescription for oral contraceptives to control her premenstrual dysphoric disorder (PMD-D) symptoms. Which patient information is most important to communicate to the health care provider?

a. Bilateral breast tenderness
b. Frequent abdominal bloating
c. History of migraine headaches
d. Previous spontaneous abortion

dellikani2015 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Because urinary retention is common with a large cystocele, the nurse's first action should be to use an ultrasound bladder scanner to check for the presence of urine in the bladder. The other actions may be appropriate, depending on the findings with the bladder scanner.

Answer to Question 2

ANS: C
Oral contraceptives are contraindicated in patients with a history of migraine headaches. The other patient information would not prevent the patient from receiving oral contraceptives.