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An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?

The importance of using vaginal lubricants.

Methods used to practice safe sex.

Intercourse positions that can help prevent tears.

Information about alternative ways to express sexuality.

Answer and Explanation

The Correct Answer is B

A. Lubricants can help, but they do not address the risk of sexually transmitted infections (STIs).

B. Unprotected intercourse increases the risk of STIs, making safe sex education the priority.

C. Positioning may help prevent tears but does not address the risk of STIs.

D. Alternative ways to express sexuality may be useful but are not the most critical teaching point.

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Correct Answer is D

Explanation

A. The nurse should not attempt to calculate a new dose unless specifically trained to do so; altering a medication dose without provider confirmation can lead to errors.

B. Asking the pharmacist for a new dose may be appropriate, but the nurse must first clarify the discrepancy.

C. Withholding the medication alone is insufficient; the nurse must also report and clarify the issue.

D. Reporting the mismatch ensures that the discrepancy is addressed before administration, preventing medication errors. The nurse should verify the order with the healthcare provider and pharmacy.

Correct Answer is []

Explanation

Potential Condition: Nocturia

The client is a 74-year-old female with type 2 diabetes mellitus, which increases the risk of nocturia (frequent nighttime urination) due to poor glycemic control, diuretic effects of hyperglycemia, and age-related changes in bladder function. No ketones or protein in the urine suggests no active diabetic ketoacidosis (DKA) or nephropathy. No blood in the urine, ruling out hematuria.

Actions to Take:

Review home medications: Some medications, such as diuretics, may contribute to nocturia. Certain diabetes medications, like SGLT2 inhibitors (e.g., empagliflozin, canagliflozin), promote glucose excretion in the urine, leading to increased urination.

Implement fall precautions: Elderly clients waking up frequently at night to urinate are at a high risk of falls, especially if they have neuropathy from diabetes. Ensuring proper lighting, accessible pathways, and bedside commodes can help prevent falls.

Parameters to Monitor:

Intake and output (I&O): Tracking urinary output can help determine the severity of nocturia and assess for potential fluid imbalances. Helps monitor the effectiveness of interventions.

Blood glucose: Hyperglycemia causes osmotic diuresis, increasing urine production and contributing to nocturia. Good glycemic control can help reduce nocturia episodes.

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An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?

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Naxlex Comprehensive Predictor Exams

The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?

Correct Answer is D

Explanation

Patient Data Exhibits Complete the diagram by dragging from the choices area condition the client is most likely experiencing. two take to address that condition, and two parameters the to assess the client's progress.

Correct Answer is []

Explanation

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