A client arrives to the clinic for treatment of a cough. The client reports sometimes urinating accidentally while coughing and states, "It is a normal part of aging I suppose." Which assessment should the practical nurse (PN) make?
Degree of interference with sexual relationships.
Number of urinary tract infections in the last 12 months.
Information of how the problem impacts lifestyle.
Knowledge of companies that deliver incontinence products
The Correct Answer is C
Rationale:
A. Degree of interference with sexual relationships is incorrect because while this may be relevant later, it is not the primary concern when assessing the impact of urinary incontinence on daily life.
B. Number of urinary tract infections in the last 12 months is incorrect as this is more related to risk factors and complications, not the current functional impact of incontinence.
C. Information on how the problem impacts lifestyle is correct because urinary incontinence affects quality of life, social interactions, and activities of daily living. Understanding the lifestyle impact helps the PN plan individualized interventions, provide education, and refer to appropriate support or treatment options.
D. Knowledge of companies that deliver incontinence products is incorrect because providing resource information is secondary to assessing the actual impact of the problem on the client’s life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. This option is incorrect because nonmaleficence refers to the ethical principle of “do no harm.” While the PN’s actions are supportive, they are actively promoting well-being rather than simply avoiding harm.
B. This option is incorrect because autonomy refers to respecting an individual’s right to make their own decisions. Although the coworker’s autonomy is respected, the PN’s focus is on providing helpful interventions and support, not simply honoring decision-making.
C. This option is correct because beneficence refers to actions that promote the well-being of others. By recommending support systems and providing guidance to help the coworker cope with emotional distress, the PN is actively contributing to the coworker’s welfare.
D. This option is incorrect because fidelity refers to being faithful to commitments and maintaining trust in professional relationships. While the PN may be trustworthy, the primary ethical principle demonstrated here is the promotion of well-being, which aligns with beneficence.
Correct Answer is A
Explanation
Rationale:
A. This option is correct because for an intradermal injection, the bevel of the needle should be pointing up to allow proper placement of the medication into the dermis, creating a small bleb or wheal. Correct bevel orientation helps ensure accurate absorption and prevents leakage.
B. This option is incorrect because the syringe should be held at a 5–15 degree angle to the skin, not perpendicular. Holding it perpendicular (90 degrees) is appropriate for intramuscular injections, not intradermal.
C. This option is partially correct because the upper arm is a common site for ID injections, but other sites such as the forearm or upper back can also be used. Bevel orientation is the critical action for proper administration.
D. This option is incorrect because massaging the injection site is not recommended for intradermal injections, as it can disperse the medication and affect test results (e.g., tuberculin skin test).
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