Urinary & Renal
Older adults with a urinary tract infection often present with these atypical findings instead of fever and dysuria.
What are confusion, acute mental status changes, falls, or worsening functional status?
Retinal detachment is considered this type of condition.
What is an ocular emergency?
This acid-base imbalance commonly occurs in diabetic ketoacidosis because ketone production lowers serum bicarbonate.
What is metabolic acidosis?
This cardiac biomarker is the most specific laboratory test for myocardial infarction.
What is troponin?
Before giving alteplase for stroke, the priority diagnostic test is this.
What is a noncontrast CT scan of the head?
This assessment finding best differentiates an upper urinary tract infection from cystitis or pyelonephritis.
What is flank pain or costovertebral angle tenderness?
A patient diagnosed with adult inclusion conjunctivitis should receive this important discharge instruction.
What is ensure sexual partners are evaluated and treated for Chlamydia?
Three days of severe diarrhea commonly produces this acid-base imbalance.
What is metabolic acidosis?
ST-segment elevation indicates this type of myocardial infarction requiring rapid reperfusion.
What is a STEMI?
The first priority during an active tonic-clonic seizure is this nursing action.
What is protect the patient from injury?
After 3 days of TMP-SMX therapy, a patient continues to have dysuria. The nurse should anticipate this next action.
What is obtaining a urine culture and sensitivity before changing antibiotics?
Sudden vision loss in a patient with poorly controlled hypertension requires this priority nursing action.
What is notify the healthcare provider immediately for urgent evaluation?
Anxiety-induced hyperventilation most often results in this acid-base imbalance.
What is respiratory alkalosis?
Crackles, dyspnea, and hypotension after an MI suggest this life-threatening complication.
What is acute pulmonary edema (or cardiogenic shock)?
A patient suddenly stops speaking, stares blankly for several seconds, and then resumes the conversation without remembering the event.
What is an absence seizure?
This statement shows effective teaching for preventing recurrent urinary tract infections.
What is "I will drink plenty of fluids and urinate after sexual intercourse."?
This/These symptom(s) is/are most characteristic of retinal detachment.
What is flashes of light, floaters, or a curtain descending over vision?
Opioid-induced hypoventilation commonly causes this acid-base imbalance.
What is respiratory acidosis?
A pulseless patient in ventricular tachycardia requires this immediate intervention.
What is defibrillation?
This IV medication is typically administered first to stop an active tonic-clonic seizure.
What is lorazepam (Ativan)?
These findings should make the nurse suspect a UTI in an older adult.
What are acute confusion, urinary frequency, new urinary incontinence, falls, and decreased functional status?
Discharge teaching before retinal detachment surgery
What is avoid sudden eye movements and maintain the prescribed head position?
Muscle weakness and dysrhythmias in a patient taking loop diuretics suggest this electrolyte imbalance.
What is hypokalemia?
A symptomatic patient with sinus bradycardia should receive this first-line medication.
What is atropine?
A nurse is preparing to administer alteplase. This blood pressure must be achieved before the infusion can begin.
What is less than 185/110 mm Hg?