A nurse is reinforcing bladder management instructions with a client who has urinary incontinence.Which of the following statements by the client indicates an understanding?

I should use the bathroom at set times during the day.

I should stop drinking fluids an hour before bedtime.

I can continue to drink coffee every day.

I can insert a catheter in my bladder at bedtime.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Scheduled bathroom trips promote bladder retraining by establishing a pattern, enhancing control in clients with urinary incontinence. Bladder retraining encourages the bladder to hold more urine over time by following a structured toileting schedule, reducing incontinence frequency.

Choice B rationale

Limiting fluids before bedtime minimally affects urinary incontinence and can lead to insufficient hydration, resulting in more concentrated urine, which may irritate the bladder and increase urgency sensations.

Choice C rationale

Coffee contains caffeine, a diuretic, and bladder irritant that exacerbates incontinence symptoms by stimulating bladder contractions and increasing urinary frequency. Limiting caffeine is recommended for such clients.

Choice D rationale

Indwelling catheters are not generally recommended for bladder management due to their risks, including urinary tract infections and mechanical irritation. Non-invasive approaches are preferred for long-term urinary incontinence management.

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Correct Answer is ["119"]

Explanation

Step 1 is to convert the client's weight from pounds to kilograms: 175 lb ÷ 2.2 = 79.545 kg.

Step 2 is to calculate the dose: 1.5 mg × 79.545 kg = 119.3175 mg.

Step 3 is to round the answer to the nearest whole number: 119 mg. Final answer: 119 mg.

A. Cracks at the corners of the mouth. B. Reddened tongue. C. Pale conjunctiva. D. Brittle fingernails.

Correct Answer is A

Explanation

Choice A rationale

Cracks at the corners of the mouth, or cheilosis, are often associated with nutritional deficiencies like iron or vitamin B deficiencies. Monitoring for these cracks helps diagnose and treat the underlying condition.

Choice B rationale

A reddened tongue is typically associated with vitamin B12 deficiency or other conditions but not cheilosis. It can help identify a different deficiency or condition.

Choice C rationale

Pale conjunctiva is an indicator of anemia but does not specifically correlate with cheilosis. It suggests reduced hemoglobin levels due to iron deficiency.

Choice D rationale

Brittle fingernails may result from chronic iron deficiency anemia but are not directly related to cheilosis. They serve as additional evidence of prolonged anemia.

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A nurse is reinforcing bladder management instructions with a client who has urinary incontinence.Which of the following statements by the client indicates an understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["119"]

Explanation

A nurse is collecting data from a client who has iron-deficiency anemia.Which of the following should the nurse monitor for the clinical manifestation of cheilosis?

Correct Answer is A

Explanation

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