Tamoxifen slows the growth of some breast tumors by binding to estrogen receptors. Is tamoxifen an $E$ or a $Z$ isomer?

Mrs. Russlyn, a 56-year-old woman, reports that she has to run to the restroom quickly when she feels the need to urinate. She makes a joke about needing to be close to a restroom when in public.

What questions will you ask to collect additional data about Mrs. Russlyn's incontinence?

Mrs. Russlyn, a 56-year-old woman, reports that she has to run to the restroom quickly when she feels the need to urinate. She makes a joke about needing to be close to a restroom when in public.

What type of incontinence is associated with losing urine when feeling the need to urinate?

Mrs. Russlyn, a 56-year-old woman, reports that she has to run to the restroom quickly when she feels the need to urinate. She makes a joke about needing to be close to a restroom when in public.

What kinds of treatment options are likely to be recommended for Mrs. Russlyn?

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

Discuss four or five general principles that you would use while caring for Mr. Jones's catheter.

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

Based on your knowledge of pathophysiology, what would you suspect is preventing the passage of the catheter?

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

What is your initial action?

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

How would you perform daily catheter care for Mr. Jones?

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

Which tasks would be appropriate to delegate to UAP? Select all that apply and give a rationale.

a. Gathering the equipment for the catheterization procedure

b. Inserting the Foley catheter

c. Emptying the drainage bag at the end of the shift

d. Checking the urinary meatus for complaints of bleeding

Mr. Jones, 65 years old, has a history of difficulty passing urine. The provider orders placement of a retention catheter. You attempt to insert a 14-Fr Foley catheter, but you meet resistance and the catheter will not pass. The patient reports an uncomfortable sensation in his genital area during the attempt.

Why is it important to keep the drainage bag below the level of the bladder once the catheter has been successfully inserted?

Determine the molecular formula for each of the following:

a. a 5-carbon hydrocarbon with one bond and one ring.

b. a 4-carbon hydrocarbon with two bonds and no rings.

c. a 10-carbon hydrocarbon with one bond and two rings.

What are the onset, peak, and duration of long-acting insulin?

You are working in an employee health clinic and taking a health history from Mr. Austin, who is 52 years old. He reports that he has chronic pancreatitis.

What questions should you ask about diet and lifestyle?

You are working in an employee health clinic and taking a health history from Mr. Austin, who is 52 years old. He reports that he has chronic pancreatitis.

What physical signs and symptoms should you ask about?