An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

Exposing the affected area to air.

Avoiding the application of moisture sealant.

Avoiding using an electric room deodorizer.

Using scented sprays or perfumes.

Answer and Explanation

The Correct Answer is A

Exposing the affected area to air. Exposing the affected area to air is appropriate because it allows the skin to breathe and reduces the risk of skin breakdown. The client should be instructed to change the pad frequently and wash the perineal area with mild soap and water.

Option B, avoiding the application of moisture sealant, may increase the risk of skin breakdown.

Option C, avoiding using an electric room deodorizer, is not related to the situation.

Option D, using scented sprays or perfumes, may cause skin irritation.

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Correct Answer is B

Explanation

Inspection, followed by Auscultation, Percussion, and Palpation. Inspection assesses for abdominal contour, symmetry, any visible masses, scars or other abnormalities. Auscultation assesses bowel sounds, and Percussion assesses for any areas of tenderness, and to determine the presence of fluid, gas or masses. Palpation assesses for any masses, areas of tenderness, organ size or other abnormalities. This is the order that allows the nurse to assess the abdomen systematically and accurately.

A: Palpation comes last because it can stimulate bowel sounds, which can make the nurse miss some of the sounds while auscultating.

C: Auscultation must be done before percussion and palpation to prevent altering bowel sounds.

D: Percussion comes before palpation to avoid altering the underlying structures of the abdomen.

Correct Answer is {"dropdown-group-1":"E"}

Explanation

Brudzinski sign is a clinical sign of meningitis, an inflammation of the membranes that cover the brain and spinal cord. It is characterized by reflexive flexion of the knees and hips following passive neck flexion13. To test for this sign, the examiner places one hand on the chest and the other behind the neck of the patient lying flat on the back, and then lifts the head forward. Brudzinski sign was first described by Polish pediatrician Józef Brudziński over 100 years ago. It may be absent, especially in young children.

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An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)

Correct Answer is B

Explanation

The nurse in the clinic is assessing a young child brought in by the parents with symptoms of meningitis. The nurse will assess for dropdown by asking the child to flex the chin to the neck.

Correct Answer is {"dropdown-group-1":"E"}

Explanation

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