Nokea
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
- A. Drink fluids or use hard candy when you experience a dry mouth.
- B. Be sure to notify your physician if you experience a heart rate of less than 60 per minute.
- C. Take the medication on an empty stomach for better absorption.
- D. Avoid all citrus fruits and juices while on this medication.
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
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Which intervention should you delegate to the nursing assistant for a patient with cystitis?
- A. Show the patient how to secure a clean-catch urine sample.
- B. Check the patient's urine for color, odor, and sediment.
- C. Review the nursing care plan and add nursing interventions.
- D. Provide the patient with a clean-catch urine sample container.
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.
The male patient is admitted with a diagnosis of benign prostatic hyperplasia (BPH). What urination characteristics should the nurse expect to assess in this patient?
- A. Oliguria
- B. Hesitancy
- C. Hematuria
- D. Pneumaturia
Correct Answer: B
Rationale: The correct answer is B because hesitancy is a common urination characteristic in patients with benign prostatic hyperplasia. Oliguria, hematuria, and pneumaturia are not typically associated with BPH.
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
- A. Hypothermia
- B. Failure to take thyroid medication
- C. Overdose of thyroid medication
- D. Failure to follow prescribed diet
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
Symptoms of prostate cancer include:
- A. Nocturia and intermittent stream of urination.
- B. Diminished force of urinary stream and urgency.
- C. Difficulty initiating stream of urine and frequency.
- D. All of the above.
Correct Answer: D
Rationale: Prostate cancer can cause a variety of urinary symptoms due to the enlargement or obstruction of the prostate gland. These include nocturia (frequent nighttime urination)
During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about a history of
- A. angina
- B. asthma
- C. hypertension
- D. rheumatoid arthritis
Correct Answer: C
Rationale: Hypertension is a common complication of renal insufficiency and is important to assess as it can impact the progression of the disease and treatment options.