An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

Obtain a clean, voided urine specimen for analysis.

Evaluate the client's response to bladder training efforts.

Provide protective undergarments for the client.

Encourage increased fluid intake for 24 hours.

Answer and Explanation

The Correct Answer is A

Choice A reason: Obtaining a urine specimen is essential for analyzing possible infections or other abnormalities that could be causing urinary incontinence.

Choice B reason: While evaluating the client's response to bladder training is important, it is not the first step before diagnosing the cause of new-onset incontinence.

Choice C reason: Providing protective undergarments may help manage symptoms but does not address the underlying cause of the incontinence.

Choice D reason: Encouraging increased fluid intake could potentially exacerbate incontinence symptoms and is not a diagnostic intervention.

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Correct Answer is B

Explanation

Choice A reason: Reducing the risk for infection is important but not the primary goal for DJD as it is not primarily an infectious condition.

Choice B reason: Achieving satisfactory pain control is the primary goal in the management of DJD to improve the client's quality of life and functional ability.

Choice C reason: Obtaining adequate rest and sleep is beneficial for overall health but is secondary to pain control in the management of DJD.

Choice D reason: Improving stress management skills can help with overall well-being but is not the primary focus of care for a client with DJD.

Correct Answer is ["0.3"]

Explanation

Step 1: Convert the client's weight from lbs to kg using the conversion factor you provided (1 kg = 2.2 lbs).

So, 110 lbs × (1 kg ÷ 2.2 lbs) = 50 kg

Step 2: Calculate the daily dosage of dalteparin in units using the prescription (150 units/kg).

So, 50 kg × 150 units/kg = 7500 units

Step 3: Determine how many mL of the medication this dosage corresponds to using the information on the syringe (7500 units/0.3 mL).

So, 7500 units × (0.3 mL ÷ 7500 units) = 0.3 mL

The nurse should administer 0.3 mL of dalteparin to the client.

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An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

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Naxlex Comprehensive Predictor Exams

Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD)?

Correct Answer is B

Explanation

A client who weighs 110 lbs has received a prescription for dalteparin, 150 units/kg to be administered subcutaneously daily for 4 months. The medication is available in a 7,500 units/0.3 mL prefilled syringe. How many mL should the nurse administer? (Please enter the numerical value only.)

Correct Answer is ["0.3"]

Explanation

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