A nurse on a rehabilitative unit is caring for a 65-year-old female client who is postoperative following knee arthroplasty.
The nurse is evaluating the client. Select the 2 findings that require immediate follow-up.
Oral fluid intake
Urinalysis
Report of sensation upon urination
Color of urine
Correct Answer : B,C
Choice A rationale: While oral fluid intake is important for hydration and general health, it is not an immediate priority unless there is evidence of dehydration, which is not present here. The client’s main issues are urinary symptoms and infection.
Choice B rationale: Urinalysis results showing cloudy appearance, foul odor, and elevated pH indicate a urinary tract infection (UTI), which requires immediate follow-up due to the risk of sepsis and worsening infection if untreated. Normal urine should be clear, aromatic, and have a pH of 4.6–8.0.
Choice C rationale: The client’s report of burning sensation upon urination is a classic symptom of a UTI. Dysuria, urgency, and frequency are concerning signs of infection that require prompt medical attention to prevent complications such as pyelonephritis or bacteremia.
Choice D rationale: While the amber yellow color of urine is within normal range, the associated symptoms and laboratory findings are more concerning. The color alone does not indicate an immediate issue compared to the urinalysis and reported urinary discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Leuprolide, a gonadotropin-releasing hormone agonist, decreases testosterone production by downregulating the pituitary gland, which in turn reduces the stimulation of the testes to produce testosterone.
Choice B rationale
Leuprolide does not directly kill cells at all stages of cellular division. Its primary action is to reduce hormone levels, particularly testosterone, which can influence cancer cell growth.
Choice C rationale
Leuprolide does not increase estrogen levels in the body. Its function is to decrease androgen (testosterone) levels, which are implicated in the growth of prostate cancer cells.
Choice D rationale
Leuprolide does not suppress the production of growth hormone. Its main effect is on the pituitary-gonadal axis, leading to decreased production of sex hormones like testosterone. .
Correct Answer is D
Explanation
Choice A rationale
Omeprazole does not have bactericidal activity. It is a proton pump inhibitor (PPI) that blocks the enzyme H+/K+ ATPase in the stomach lining, reducing gastric acid production.
Choice B rationale
Omeprazole does not neutralize stomach acid. It works by inhibiting the final step of acid production in parietal cells, leading to a significant decrease in gastric acid secretion.
Choice C rationale
Omeprazole does not coat the stomach lining. Instead, it reduces stomach acid by inhibiting the proton pump mechanism in gastric parietal cells, leading to decreased acid production and less gastric irritation.
Choice D rationale
Omeprazole is a proton pump inhibitor that effectively reduces stomach acid production by blocking the H+/K+ ATPase enzyme in gastric parietal cells, which decreases acid secretion and relieves GERD symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.