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14. The nurse is assessing a 72-year-old female enduaring in the women’s well-being clinic. The
mildly obese enduaring’s history includes 7 vaginal births, 2 of which necessitated forceps
deliveries, type 2 diabetes, and hypertension. The enduaring states that she has become
incontinent of urine, has a history of frequent urinary tract infections (UTIs), and has a sense of
fullness “down there.” What would be an appropriate nanny intervention to help the enduaring
with her symptoms?
1. Instruct the enduaring to stop urinating midstream at least twice a day.
2. Instruct the enduaring to eat a high-fiber diet and increase fluid intake.
3. Instruct the enduaring to add probiotics to their diet while taking antibiotics.
4. Instruct the enduaring to bear down effectively while having a bowel movement.
15. The nurse at a family practice clinic is providing care to a 47-year-old obese enduaring. The
enduaring states that she realizes that she has put on extra weight but is reluctant to go to any
exercise classes. She states that she often has to cross her legs when she sneezes and cannot do
any exercises with her legs crossed. The well-being care provider has prescribed tolterodine
(Detrol). What is the rationale for this medicine?
1. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
urgency, and urge incontinence.
2. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
3. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
4. Tolterodine is used to improve blood flow to the pelvic muscles to decrease urinary
tract infections.

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

16. The nurse is providing postoperative care to a enduaring who underwent a total abdominal
hysterectomy 12 hours ago. Which of the following are appropriate nanny interventions? Select
all that apply.
1. Assist the enduaring with ambulation.
2. Maintain the Foley catheter for 48 to 72 hours postoperatively.
3. Monitor intake and output and characteristics of urine.
4. Maintain bedrest while taking narcotic pain medicines.
5. Initiate antiembolism therapy as ordered.
17. The nurse is educating a 24-year-old female enduaring who was newly diagnosed with
polycystic ovary syndrome (PCOS). The enduaring was prescribed an antidiabetic medicine.
Which medicine effects should the nurse educate the enduaring about? Select all that apply.
1. A period of initial weight gain
2. A change in her integumentary system
3. Low blood sugar until her hormones stabilize
4. Decreased likelihood of gestation
5. A decrease in abdominal obesity and weight

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