A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?

Monitor intake and output.

Administer pain medication.

Ambulate in hall.

Strain the urine.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Monitoring intake and output is important but not the first priority. The immediate concern is to address the client’s pain.
Choice B rationale

Administering pain medication is the first priority. Managing the client’s pain will help alleviate discomfort and allow for further assessment and treatment.
Choice C rationale
Ambulating in the hall is not appropriate for a client experiencing flank pain and nausea. It could exacerbate the symptoms.
Choice D rationale
Straining the urine is important for identifying any stones, but it is not the first priority. Pain management should be addressed first.

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Correct Answer is D

Explanation

Choice A rationale
A 2-hour blood glucose level of 132 mg/dL is below the threshold for diabetes diagnosis, which is 200 mg/dL or higher.
Choice B rationale
An HbA1c level of 5.2% is within the normal range. Diabetes is diagnosed with an HbA1c of 6.5% or higher.
Choice C rationale
A casual blood glucose level of 178 mg/dL is elevated but not diagnostic of diabetes. Diabetes is diagnosed with a casual blood glucose level of 200 mg/dL or higher.
Choice D rationale

A fasting blood glucose level of 155 mg/dL is above the threshold for diabetes diagnosis, which is 126 mg/dL or higher. This indicates that the client is at risk for diabetes mellitus.

A. Difficulty starting the flow of urine. B. Painful urination. C. Urge incontinence. D. Critically elevated prostate-specific antigen (PSA) level.

Correct Answer is A

Explanation

Choice A rationale

Difficulty starting the flow of urine is a common symptom of benign prostatic hyperplasia (BPH). This condition involves the enlargement of the prostate gland, which can obstruct the urethra and make it difficult to initiate urination.
Choice B rationale
Painful urination is not typically associated with BPH. It is more commonly linked to urinary tract infections or other conditions such as prostatitis.
Choice C rationale
Urge incontinence is not a primary symptom of BPH. While BPH can cause urinary frequency and urgency, urge incontinence is more often related to overactive bladder syndrome.
Choice D rationale
Critically elevated prostate-specific antigen (PSA) levels are not a direct symptom of BPH. Elevated PSA levels can be indicative of prostate cancer or other prostate conditions, but not specifically BPH12.

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A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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