R. R. is a 61-year-old male patient who presents with a chief complaint of fever and urinary symptoms. He was in his usual state of good health when for no apparent reason he developed pain in his back and perineal region, as well as fever and chills. He presents as septic. He had urinary hesitancy and decreased stream but now reports that he has not passed urine in more than 12 hours. Palpation of the lower abdomen is consistent with bladder distention. The AGACNP knows that which of the following is contraindicated in this circumstance?

Correct Answer: D

Rationale: In a patient with suspected prostatic abscess and urinary retention, urinary catheterization is contraindicated due to the risk of spreading infection and causing potential complications such as septicemia or worsening of the abscess. The introduction of a catheter can disrupt the abscess capsule, leading to dissemination of the infection. Therefore, other methods of decompression and treatment should be considered, such as drainage of the abscess or other appropriate interventions guided by a healthcare provider.

Correct Answer: B

Rationale: Puerperal psychosis often presents with manic episodes in the majority of cases.

Correct Answer: A

Rationale: Erb’s palsy results from damage to the C8 and T1 cervical nerve roots.

Correct Answer: B

Rationale: The main concern for a woman with multiple previous cesarean sections is uterine rupture.

Correct Answer: D

Rationale: Maternal hypertension can restrict fetal growth, increase preterm birth risk, and lead to stillbirth.