. A patient has been started on medication for BPH. Prior to administering this medication the patient's nurse ensures which of the following has been done?
The patient is hypertensive.
The patient has had a prostate examination, including measurement of the PSA level.
The patient is still sexually active.
The patient has not had a vasectomy.
The Correct Answer is B
A. The patient is hypertensive. Hypertension is not a prerequisite for starting BPH medication; in fact, some BPH medications can lower blood pressure.
B. The patient has had a prostate examination, including measurement of the PSA level. A prostate examination and PSA measurement are important for diagnosing BPH and ruling out prostate cancer before starting treatment.
C. The patient is still sexually active. Sexual activity status is not a determining factor for administering BPH medication.
D. The patient has not had a vasectomy. Vasectomy status does not influence the treatment of BPH.
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Correct Answer is D
Explanation
A. Narrowed pulse pressure: A narrowed pulse pressure can indicate various cardiovascular issues but is not a specific sign of pneumonia.
B. Bradycardia: Bradycardia may occur due to various reasons, including medications or underlying health conditions, but it is not a common sign of pneumonia.
C. Night sweats: While night sweats can occur with pneumonia, they are more associated with infections such as tuberculosis or certain malignancies. It's not a classic presentation.
D. Confusion: Confusion is a common manifestation of pneumonia in older adults due to hypoxia, dehydration, or fever. Older adults often present atypically with changes in mental status during infections.
Correct Answer is ["A","C","D"]
Explanation
A. Perform passive range of motion exercises. Passive range of motion exercises help maintain circulation and reduce venous stasis, which is crucial for preventing pulmonary embolism in clients who are immobile.
B. Place pillows under the client's knees when in bed. Placing pillows under the knees can actually promote venous stasis and increase the risk of a pulmonary embolism. It is better to keep the legs flat to encourage circulation.
C. Assess legs for redness. Regular assessment of the legs for redness, swelling, or warmth helps in the early detection of deep vein thrombosis (DVT), which can lead to pulmonary embolism if not addressed.
D. Apply elastic compression stockings. Elastic compression stockings promote venous return from the legs to the heart and help prevent DVT, thereby reducing the risk of pulmonary embolism.
E. Massage the calves every shift. Massaging the calves can dislodge a thrombus and potentially lead to a pulmonary embolism. Instead, interventions should focus on preventing thrombus formation.