An older adult male client reports nocturia with difficulty starting his urine stream. Which additional assessment should the nurse perform to obtain further data related to this information?

Observe the scrotum for swelling.

Inspect the urethral meatus for discharge.

Question the client about related symptoms.

Palpate the inguinal area for a bulge.

Answer and Explanation

The Correct Answer is C

A. Observe the scrotum for swelling: Scrotal swelling might indicate issues such as a hydrocele, varicocele, or hernia, but it is not directly linked to urinary difficulties like nocturia or trouble initiating urination. It’s not the most targeted assessment in this context.

B. Inspect the urethral meatus for discharge: Discharge can suggest infection, such as urethritis or sexually transmitted infections, but it’s not a common finding in cases of nocturia and hesitancy typically associated with prostate issues.

C. Question the client about related symptoms: Asking about related symptoms such as weak stream, dribbling, incomplete emptying, or urgency helps the nurse assess for conditions like benign prostatic hyperplasia (BPH). This focused history provides critical insight into urinary function and guides further evaluation or referral.

D. Palpate the inguinal area for a bulge: This checks for inguinal hernias, which can cause groin discomfort but are not typically linked with urinary hesitancy or nocturia. It's a useful exam, but not the most relevant first step based on the symptoms presented.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Borborygmi sounds: Borborygmi are loud, prolonged, gurgling bowel sounds typically associated with increased gastrointestinal motility. They are usually heard without a stethoscope and are often linked to hunger or certain GI conditions, not the normal rhythm described.

B. Hyperactive bowel sounds: These are frequent, high-pitched, loud sounds that may occur more than 30 times per minute. They are associated with diarrhea, gastroenteritis, or early bowel obstruction—not the steady, moderate-frequency sounds described.

C. Hypoactive bowel sounds: These are infrequent bowel sounds (fewer than 5 per minute), often soft and low-pitched, possibly indicating slowed intestinal activity from surgery, inflammation, or ileus. The client’s pattern of sounds every 5–10 seconds does not meet this definition.

D. Normal bowel sounds: Bowel sounds occurring every 5 to 15 seconds and lasting a few seconds (gurgles, clicks) are considered normal. These reflect regular peristaltic activity and digestion, making this the correct documentation for the described findings.

A. Encourage the client to keep checking the mole with a magnifying mirror. B. Advise the client to see his healthcare provider (HCP) for immediate evaluation. C. Offer to teach a family member how to monitor the skin around the mole. D. Ask the client if he often spends time outside in the sun without a shirt.

Correct Answer is B

Explanation

A. Encourage the client to keep checking the mole with a magnifying mirror: While regular self-monitoring of skin lesions is helpful for early detection, it is not an appropriate response when significant changes in a mole have already occurred. This approach delays necessary evaluation and possible diagnosis of skin cancer.

B. Advise the client to see his healthcare provider (HCP) for immediate evaluation: A mole that has darkened and increased in size could indicate malignant melanoma, a serious form of skin cancer. These changes align with the "ABCDE" criteria often used to identify suspicious moles: Asymmetry, Border irregularity, Color change, Diameter, Evolving. Prompt evaluation by a healthcare provider is crucial for early diagnosis and potential life-saving treatment.

C. Offer to teach a family member how to monitor the skin around the mole: Although involving family members in health monitoring can be supportive, it does not replace the need for immediate professional assessment when concerning changes in a mole are reported.

D. Ask the client if he often spends time outside in the sun without a shirt: Exploring sun exposure is relevant in skin cancer risk assessment, but it is not the priority action in this situation. The immediate concern is the suspicious change in the mole, which requires urgent medical attention.

View Question and Answer

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

An older adult male client reports nocturia with difficulty starting his urine stream. Which additional assessment should the nurse perform to obtain further data related to this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While auscultating for bowel sounds in an adult client, the nurse notes a series of gurgles that last about 3 seconds and occur every 5 to 10 seconds in all quadrants. How should the nurse document this finding?

Correct Answer is D

Explanation

A client asks the nurse to look at a mole located on the back. The client tells the nurse that the mole has changed from brown to black and enlarged in size. Which is the priority nursing action?

Correct Answer is B

Explanation

To assess for the presence of egophony, which instruction should the nurse give the client who has a lung abscess?

The nurse is assessing older adult clients in a community health clinic. Which assessment finding is an indicator for immediate medical follow-up?

When assessing a client's mouth, which finding requires immediate follow-up by the nurse?

To confirm the presence of a barrel chest documented in the client's medical record, which action should the nurse take?

The nurse continues a neurologic assessment of the cranial nerve XI (spinal accessory) for a client as seen in the picture. Which instruction should the nurse give the client to complete this assessment?

While assessing a client, the nurse notices that the client's legs are asymmetrical. Which additional physical data should the nurse collect?

The nurse is obtaining a health history for a client being admitted for new onset seizures. Which action should the nurse implement to accurately record the health history findings?