A nurse is reinforcing bladder management instructions with a client who has urinary incontinence. Which of the following statements by the client indicates an understanding?

"I should use the bathroom at set times during the day."

"I can insert a catheter in my bladder at bedtime."

"I should stop drinking fluids an hour before bedtime."

"I can continue to drink coffee every day."

Answer and Explanation

The Correct Answer is A

A. "I should use the bathroom at set times during the day.": Timed voiding or scheduled toileting helps manage urinary incontinence by training the bladder and reducing episodes of urgency. This strategy promotes better bladder control and prevents accidents. Following a consistent schedule supports the effectiveness of bladder management interventions.

B. "I can insert a catheter in my bladder at bedtime.": Intermittent or indwelling catheterization carries risks of infection and is not recommended as a routine nightly practice for managing incontinence. Catheter use should be reserved for specific medical indications and performed under sterile technique.

C. "I should stop drinking fluids an hour before bedtime.": While reducing fluid intake before sleep may decrease nighttime urination, limiting fluids too aggressively can lead to dehydration and concentrated urine, which may irritate the bladder. Proper bladder management emphasizes scheduled voiding rather than fluid restriction alone.

D. "I can continue to drink coffee every day.": Caffeine is a bladder irritant and can worsen urgency and incontinence. Daily consumption may counteract bladder management strategies. Avoiding or limiting caffeinated beverages is recommended to reduce symptoms and improve control.

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Correct Answer is A

Explanation

A. "I should report episodes of diarrhea.": Lansoprazole can increase the risk of gastrointestinal infections because reduced stomach acid allows harmful bacteria to survive. Persistent diarrhea may signal C. difficile infection, which requires prompt evaluation. Reporting this symptom helps prevent complications and ensures timely treatment.

B. "I should expect the medication to cause indigestion.": Lansoprazole is designed to reduce gastric acid and relieve symptoms such as heartburn and indigestion. Experiencing indigestion would be inconsistent with its intended effects and may indicate improper use or another underlying issue.

C. "I should take the medication following a meal.": Proton pump inhibitors like lansoprazole work best when taken before meals because this timing enhances absorption and maximizes acid suppression. Taking it after eating may reduce its effectiveness.

D. "I should chew the capsule thoroughly.": Lansoprazole capsules are formulated as delayed-release granules that should be swallowed whole to maintain integrity. Chewing them disrupts the protective coating, leading to reduced effectiveness and potential irritation.

A. WBC count B. Abdominal findings C. BUN level D. Potassium level E. Blood pressure F. Breath sounds

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

Explanation

A. WBC count: The WBC count is within the normal range and does not indicate infection or inflammatory worsening at this time. It does not require urgent follow-up compared with other more concerning findings in this presentation.

B. Abdominal findings: High-pitched bowel sounds, pain, vomiting, and tenderness correlate with small-bowel obstruction and signal worsening motility. These findings raise concern for progression toward ischemia or perforation, so they require prompt follow-up.

C. BUN level: The elevated BUN suggests dehydration from vomiting and third-spacing associated with obstruction. This may lead to worsening renal perfusion if not corrected, indicating a need for timely follow-up and fluid management.

D. Potassium level: The potassium level is low and may worsen due to continued fluid losses, placing the client at risk for arrhythmias. Correction and monitoring are important, especially in the context of dehydration and tachycardia.

E. Blood pressure: The low blood pressure and elevated pulse indicate possible hypovolemia from fluid shifts and decreased intake. This hemodynamic change requires intervention to prevent further decline and maintain organ perfusion.

F. Breath sounds: Breath sounds are clear bilaterally and show no signs of respiratory involvement. They are not concerning in relation to the client’s current abdominal pathology and do not need immediate follow-up.

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A nurse is reinforcing bladder management instructions with a client who has urinary incontinence. Which of the following statements by the client indicates an understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is to begin taking lansoprazole. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

The nurse is collecting data on the client. Which of the following findings require follow-up?Select all that apply.

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

Explanation

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