A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Suprapubic tenderness.

Proteinuria.

Generalized edema.

Oliguria.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Suprapubic tenderness is correct. Cystitis, an inflammation of the bladder, often presents with suprapubic tenderness due to the irritation and inflammation of the bladder wall.
Choice B rationale

Proteinuria is incorrect. While proteinuria can be a sign of kidney disease, it is not a typical finding in cystitis. Cystitis primarily affects the bladder and does not usually cause significant protein leakage into the urine.
Choice C rationale
Generalized edema is incorrect. Generalized edema is more commonly associated with conditions that affect the kidneys’ ability to filter blood, such as nephrotic syndrome, rather than cystitis.
Choice D rationale
Oliguria is incorrect. Oliguria, or reduced urine output, is not a typical symptom of cystitis. Cystitis usually causes symptoms like frequent urination, urgency, and dysuria.

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Correct Answer is ["A","D"]

Explanation

Choice A rationale
Monitoring the puncture site for hematoma is crucial because a hematoma can indicate bleeding at the puncture site, which can lead to complications such as infection or nerve damage. Hematomas can also cause increased intracranial pressure, which can be dangerous for the patient. Therefore, it is essential to monitor the site closely to ensure that any signs of bleeding are detected early and managed appropriately.
Choice B rationale
Elevating the client’s head of bed is incorrect because it can increase the risk of cerebrospinal fluid (CSF) leakage from the puncture site. After a lumbar puncture, it is recommended to keep the patient in a flat position for several hours to reduce the risk of post-lumbar puncture headache and to allow the puncture site to heal properly. Elevating the head of the bed too soon can disrupt this process and lead to complications.
Choice C rationale

Inserting a urinary catheter is incorrect because it is not a standard procedure following a lumbar puncture. The primary focus after a lumbar puncture is to monitor for complications related to the procedure itself, such as bleeding, infection, or CSF leakage. Inserting a urinary catheter is not necessary unless there is a specific indication for it, such as urinary retention or other urological issues.
Choice D rationale
Encouraging fluid intake is correct because it helps to replenish the CSF that was removed during the lumbar puncture. Increased fluid intake can also help to reduce the risk of post- lumbar puncture headache, which is a common complication. Hydration is important for overall recovery and helps to maintain normal bodily functions.
Choice E rationale
Applying a cervical collar to the client is incorrect because it is not related to the care of a lumbar puncture site. A cervical collar is typically used for patients with neck injuries or conditions affecting the cervical spine. It has no role in the management of a lumbar puncture site and would not provide any benefit in this context.

A. Take temperature weekly. B. Participate in gardening for mild exercise. C. Eat plenty of fresh fruits and vegetables. D. Avoid crowded places.

Correct Answer is D

Explanation

Choice A rationale
Taking temperature weekly is incorrect. Clients with neutropenia are at high risk for infections due to their low white blood cell count. Therefore, they should monitor their temperature daily to detect any signs of infection early.
Choice B rationale
Participating in gardening for mild exercise is incorrect. Gardening can expose individuals to soil-borne organisms that could lead to infections, which is particularly dangerous for neutropenic patients.
Choice C rationale

Eating plenty of fresh fruits and vegetables is incorrect. Fresh fruits and vegetables can harbor bacteria and other pathogens that can cause infections in neutropenic patients. It is safer to consume cooked or canned foods.
Choice D rationale
Avoiding crowded places is correct. Neutropenic patients should avoid crowded places to reduce their risk of exposure to infections.

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A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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