Exhibits
Click to highlight the findings that would indicate the client's condition has improved.
The client presents for his 30 day follow up appointment. The client reports not feeling dizzy when he gets up to ambulate. He reports his heart races at times when he goes to the bathroom. The client reports 1 episode of incontinence in the last 30 days. Gets up 1 to 2 times a night to void. Has noticed increased swelling of his testicles. Even with the penile implant, the client is unable to have penetrative intercourse with his partner. The client is experiencing body aches daily.
client reports not feeling dizzy when he gets up to ambulate
client reports 1 episode of incontinence in the last 30 days
Gets up 1 to 2 times a night to void
reports his heart races at times when he goes to the bathroom
noticed increased swelling of his testicles
Even with the penile implant, the client is unable to have penetrative intercourse with his partner
client is experiencing body aches daily
The Correct Answer is ["A","B","C"]
Reduction in Incontinence: 1 episode in the last 30 days compared to previous reports.
No Dizziness: Improved from previous dizziness issues.
Stable Nocturia: No significant worsening in nighttime voiding frequency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","G"]
Explanation
A. Rise slowly when getting up: Finasteride and tamsulosin can cause orthostatic hypotension, making it important for the client to change positions slowly to prevent dizziness and falls.
B. Take medication in the morning: Tamsulosin is typically taken once daily, 30 minutes after the same meal each day, often recommended in the morning to align with the daily routine and reduce the likelihood of missing doses.
C. Erectile dysfunction is common with the prescribed medication: Finasteride may cause sexual side effects such as erectile dysfunction, decreased libido, and ejaculation disorders. It is important to inform the client of these potential side effects.
D. Medication may cause the heart to race: This is not a common side effect of finasteride or tamsulosin. Tamsulosin can cause hypotension, but it does not typically cause tachycardia.
E. Ibuprofen should be taken 2 hours before taking medication: There is no specific interaction that requires timing ibuprofen around these medications.
F. Symptoms should be resolved within 1 week: Improvement in symptoms of benign prostatic hyperplasia (BPH) with medications like finasteride and tamsulosin typically takes several weeks to months, not just one week.
G. Ensure cane is used when ambulating: Given the client's use of a cane and the potential for orthostatic hypotension, it is crucial to reinforce the use of the cane to prevent falls and ensure safe ambulation.
Correct Answer is ["A","B","E"]
Explanation
A. Assessing for symmetrical chest movement helps ensure that air is moving into both lungs, indicating proper placement of the ETT.
B. Obtaining a portable chest x-ray is a definitive method to verify ETT placement in the correct position within the trachea.
C. Monitoring ETT markings is useful for tracking tube displacement over time, but it does not confirm correct placement.
D. Checking capillary refill is not relevant for confirming ETT placement; it assesses peripheral circulation.
E. Auscultating for bilateral breath sounds confirms that air is reaching both lungs, which indicates correct placement of the ETT.
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