During a health history, a patient tells the nurse that he has had trouble in starting his urine stream. Which term is used to document this symptom?

Frequency

Urgency

Spray

Hesitancy

Answer and Explanation

The Correct Answer is D

Choice A reason: Frequency refers to frequent urination, not difficulty starting the stream. Hesitancy describes the specific symptom of delayed urine flow, often in prostate issues, so this is incorrect for documentation.

Choice B reason: Urgency is the sudden need to urinate, not trouble initiating the stream. Hesitancy captures the patient patient’s symptom of starting urination, making this incorrect for the term used.

Choice C reason: Spray is not a medical term for urinary symptoms; it’s irrelevant to starting difficulty. Hesitancy is the precise term for this issue, so this is incorrect for documentation purposes.

Choice D reason: Hesitancy is the term used for difficulty initiating the urine stream, often due to obstruction like benign prostatic hyperplasia. This matches the patient’s symptom, making it the correct term for documentation.

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Correct Answer is B

Explanation

Choice A reason: Deep-vein thrombophlebitis involves deep vein inflammation and clotting, causing pain, swelling, and warmth, but not typically visible dilated veins. The described tortuous veins are superficial, not deep, making this an incorrect diagnosis for the findings.

Choice B reason: Varicose veins are dilated, tortuous superficial veins, often in the lower legs, causing heaviness or aching. These result from venous insufficiency, leading to blood pooling, which matches the patient’s visible veins and symptoms, making this correct.

Choice C reason: Peripheral artery disease causes reduced arterial blood flow, leading to pain, pallor, or claudication, not dilated veins. The visible tortuous veins suggest a venous issue, not arterial, making this an incorrect condition for the findings.

Choice D reason: Chronic lymphedema causes swelling due to lymphatic fluid accumulation, typically without dilated veins. The patient’s tortuous veins and heaviness point to venous pathology, not lymphatic, making this an incorrect diagnosis for the described symptoms.

A. Intelligence B. Cerebral cortex function C. Reflexes D. Cranial nerves

Correct Answer is C

Explanation

Choice A reason: Intelligence cannot be assessed in a 3-month-old, as cognitive abilities are not yet developed enough for evaluation. Sucking and grasping are innate behaviors driven by reflexes, not conscious thought, making this an incorrect assessment focus.

Choice B reason: Cerebral cortex function is immature in a 3-month-old, and sucking and grasping are primarily brainstem-mediated reflexes. These actions do not directly assess higher cortical functions like memory or reasoning, making this an incorrect choice.

Choice C reason: Sucking and grasping in a 3-month-old are primitive reflexes (sucking reflex and palmar grasp reflex), mediated by the brainstem. Assessing these evaluates normal neurological development, making this the correct focus of the nurse’s inquiry.

Choice D reason: While sucking involves Cranial Nerves V, VII, IX, and XII, and grasping involves spinal reflexes, the nurse is assessing the presence of these reflexes, not the cranial nerves directly. Reflex assessment is the primary focus, making this less precise.

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During a health history, a patient tells the nurse that he has had trouble in starting his urine stream. Which term is used to document this symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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