Retention Assessment in Nursing Care

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10 Questions

Which statement about cardiac markers is correct?

Troponin remains elevated for up to 2 weeks after an MI.

Which of the following is NOT a symptom of peripheral arterial disease (PAD)?

Swollen ankles and feet

What is the recommended treatment guideline for a patient with a suspected myocardial infarction (MI)?

Perform a 12-lead ECG within 10 minutes of arrival and administer thrombolytics within 30 minutes if indicated.

Which of the following is NOT a modifiable risk factor for peripheral arterial disease (PAD)?

Age

What is the recommended management strategy for Raynaud's syndrome?

Avoid triggers such as cold temperatures, smoking, and stress.

Which of the following is an appropriate method for assessing urinary retention in a patient with an indwelling catheter?

Clamping the catheter for 4 hours, allowing the patient to void, and measuring the residual urine on two separate occasions

Which medication is commonly used to treat bladder cancer, and what is a potential side effect that should be monitored?

Methotrexate; monitor for decreased white blood cell count

Which of the following statements regarding the appearance and care of a stoma is correct?

A healthy stoma should have a pink or red, moist appearance, and the area should be kept clean and dry

Which of the following is a potential complication that should be monitored after a coronary artery bypass graft (CABG) surgery?

Hematomas (bruising)

Which of the following statements regarding cholesterol levels and their management is correct?

Triglyceride levels should be less than 150 mg/dL, and statin medications may cause side effects like muscle pain and impaired memory

Test your knowledge on retention assessment in nursing care, including palpation of bladder, bladder scan, patient's ability to void, monitoring for decreased white blood cell count with methotrexate, and stoma care.

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