A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?

Palpate the right flank for tenderness.

Evaluate the urine for a strong odor.

Test the urine for the presence of hematuria.

Measure the temperature and pulse rate.

Answer and Explanation

The Correct Answer is D

D. In a client presenting with urinary symptoms and lower back pain, measuring the temperature and pulse rate is essential for assessing for signs of systemic infection, such as fever (elevated temperature) and tachycardia (elevated pulse rate). These vital signs can help determine the urgency of the situation and guide further assessment and management.
A. Palpating the right flank for tenderness may be appropriate to assess for signs of kidney involvement, such as in pyelonephritis. However, this intervention is not the first priority. Assessing for systemic signs of infection, such as fever, is more urgent.
B. Evaluating the urine for a strong odor may provide additional information about the student's symptoms, but it is not the first intervention priority.

C. Testing the urine for the presence of hematuria (blood in the urine) is an important diagnostic step in evaluating urinary symptoms, but it is not the first intervention priority. Hematuria may be present in various conditions, including UTIs, kidney stones, or other urinary tract disorders.

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Correct Answer is E, A, B, D, C

Explanation

Before administering digoxin, the nurse should check the patient's apical heart rate. If the heart rate is below 60 beats per minute for an adult, or below the prescribed limit for a child, the nurse should hold the medication and notify the healthcare provider. This is the first step because the nurse needs to have the medication in hand before proceeding with the other steps. This step is crucial to ensure that the right medication is being given to the right patient. It's a part of the "five rights" of medication administration: right patient, right medication, right dose, right route, and right time. Once the nurse has confirmed the patient's identity and heart rate, the next step is to open the medication package. After administering the medication, the nurse should document it in the patient's medical record. This is important for maintaining an accurate record of the patient's medication history.

A. Get an influenza vaccine every year as soon as available. B. Using salt, herbs, and spices will Improve the flavor of foods. C. Restrict alcoholic beverages to no more than 1-2 per week. D. Eat a protein snack 30 minutes before any exercise workout.

Correct Answer is B

Explanation

While getting an influenza vaccine annually is important for individuals with diabetes to prevent complications from influenza, it is not specific to diabetes self-management.

Using salt, herbs, and spices to enhance the flavor of foods can help reduce the reliance on added sugars and unhealthy fats for flavoring, which is beneficial for individuals with diabetes in managing blood sugar levels and overall health.

Alcohol use interferes with glycemic control. Diabetic clients should stop taking alcohol completely to reduce the risk of complications

Eating a protein snack before exercise may be helpful for some individuals to provide sustained energy and maintain blood sugar levels during physical activity. However, it is not a universal recommendation for all individuals with type 2 diabetes.

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A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)

Correct Answer is E, A, B, D, C

Explanation

The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

Correct Answer is B

Explanation

Patient Data Exhibits After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.

The healthcare provider prescribes penicillin 200,000 units IM for a client with pneumonia. The available vial is labeled, "Penicillin 500,000 units/mL". How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Patient’s Data Exhibits Select the 3 dietary choices that are not part of the recommended diet gout.

Patient Data Exhibits Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Patient Data Exhibits For each medication used to treat gout, choose the most likely therapeutic outcome and the teaching associated with the medication.

A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?