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A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Dribbling of urine

Color of the urine

Voiding patern

Proteinuria

Bladder distension

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Dribbling of urine can indicate urinary retention, as it may suggest that the bladder is not emptying

completely during voiding.

Choice B reason: While the color of the urine can provide information about hydration status and other health issues, it is not a direct indicator of urinary retention.

Choice C reason: The voiding patern is an important assessment for urinary retention. Infrequent voiding or small amounts despite a full bladder can be signs of this condition.

Choice D reason: Proteinuria is not typically used as an assessment for urinary retention. It can indicate kidney damage or disease but does not directly relate to the bladder's ability to empty.

Choice E reason: Bladder distension can be observed and palpated in cases of urinary retention, as the bladder may become enlarged due to the accumulation of urine.

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Correct Answer is B

Explanation

Choice A reason: Hyperkalemia refers to high potassium levels, which may not directly cause shortness of breath and swelling.

Choice B reason: Hypervolemia, or fluid overload, is likely the cause of the client's symptoms, including shortness of breath, swelling, crackles in the lungs, and elevated blood pressure.

Choice C reason: Hypovolemia, or fluid deficit, would not typically present with swelling and crackles in the lungs.

Choice D reason: Hyponatremia refers to low sodium levels, which may not directly cause the symptoms described.

Correct Answer is ["15"]

Explanation

Step 1: The total amount of amantadine required per dose is 150 mg.

Step 2: Each 5 mL of syrup contains 50 mg of amantadine.

Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of syrup. So, (150 mg ÷ 50 mg/5 mL).

Step 4: The result is 15 mL.

So, the nurse should administer 15 mL per dose. This is already a whole number, so no rounding is necessary.

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A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is preparing to administer amantadine 150 mg PO every 12 hours. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

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