A nurse is caring for a client in the clinic who reports an inability to drain their bladder and urgency with urination. The client's medical history indicates they have had benign prostatic hypertrophy (BPH) for the last 26 years. Which of the following other clinical manifestations of BPH will the client most likely report to the nurse? (Select all that apply.)

Pain with urination

Urination at night

Swelling around the eyes

Difficulty getting the urine stream started

Answer and Explanation

Correct Answer : B,D

A. Pain with urination: Pain during urination is not typically a common symptom of BPH. It's more commonly associated with urinary tract infections (UTIs) rather than solely due to BPH.

B. Urination at night: Frequent urination, especially at night (nocturia), is a common symptom of BPH. As the prostate enlarges, it can obstruct the urethra, leading to incomplete emptying of the bladder, and causing increased urination, especially during the night.

C. Swelling around the eyes: Swelling around the eyes is not a direct symptom of BPH. It's more commonly related to other conditions like allergies or fluid retention but not specifically associated with BPH.

D. Difficulty getting the urine stream started: This is a hallmark symptom of BPH. Enlargement of the prostate can obstruct the urethra, leading to difficulty initiating urination or a weak urine stream.

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

Explanation

A. Diet restrictions: Clients undergoing hemodialysis often have specific dietary restrictions, such as limiting potassium, phosphorus, and sodium intake, as well as managing protein consumption. Educating the client about these restrictions is essential for their health and well-being.

C. Risk for depression: The diagnosis of end-stage kidney disease and the initiation of hemodialysis can lead to emotional challenges, including a risk for depression. It is important for the nurse to address mental health support and coping strategies.

D. Fluid restrictions: Clients on hemodialysis typically have fluid restrictions due to reduced kidney function and the risk of fluid overload. Education on managing fluid intake is critical to avoid complications.

E. Time requirements: Hemodialysis requires a significant time commitment, typically involving sessions lasting about 3 to 5 hours, three times a week. Discussing the time requirements helps the client plan for their treatment schedule and its impact on daily life.

Incorrect:

B. Home recording of the volume removed at each exchange: This option pertains more to peritoneal dialysis than to hemodialysis. In hemodialysis, the focus is on monitoring vital signs and laboratory values during treatment rather than recording volumes removed.

A. A client who was admitted for Clostridium difficile B. A client who was admitted for a staphylococcal skin infection C. A client who was admitted for Hemophilus influenzae type B pneumonia D. A client who was admitted for Escherichia coli of the intestines

Correct Answer is A

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse on the dialysis unit is caring for a client who has end-stage kidney disease and is getting ready for their first hemodialysis session. Which of the following topics should the nurse include when discussing the impact of hemodialysis treatment on the client's life? (Select all that apply.)

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

Explanation

Incorrect:

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is the most at risk for developing acute glomerulonephritis?

Correct Answer is A

A nurse is caring for a client who has chronic glomerulonephritis. The assistive personnel (AP) brings a snack into the client's room. Which of the following foods should the nurse stop the AP from giving to this client?

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

A nurse is assisting in the planning of a discharge teaching plan for a client with glomerulonephritis. Which of the following actions should the nurse expect to be included in the plan to reduce the development of complications?

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG Tube Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all that apply)

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?