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.
The general survey includes assessing every patient for signs of distress.
A patient examination room should be simple and efficiently designed.
Assisting a falling patient.
Severe periodontitis in a patient with uncontrolled diabetes.
Environmental Health
National Patient Safety Goals for Acute-Care Hospitals