On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?

Fluid retention

Increased nutritional intake

Anorexia

Weight loss

Answer and Explanation

The Correct Answer is A

a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.

b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.

c) Anorexia: Anorexia is associated with weight loss, not weight gain.

d) Weight loss: The patient has gained weight, not lost it.

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Correct Answer is A

Explanation

a) Shorter in length: The female urethra is shorter than the male urethra, which makes it easier for bacteria to enter the bladder, increasing the risk of urinary tract infections. This difference is important when performing catheterization.

b) Longer in length: The male urethra is longer than the female urethra.

c) No connection with the bladder: Both the male and female urethras are connected to the bladder.

d) Has different innervation: While there are some differences in the innervation of male and female genital areas, the basic innervation of the urethra is similar for both sexes.

A. Lay the client flat in the bed B. Administer oral pain medication C. Allow the feeding to flow by gravity D. Verify the placement

Correct Answer is D

Explanation

a) Lay the client flat in the bed: The client should not be flat to reduce the risk of aspiration. The head of the bed should be elevated at least 30 to 45 degrees.

b) Administer oral pain medication: This action is not related to verifying NG tube placement prior to feeding.

c) Allow the feeding to flow by gravity: The nurse should verify tube placement before administering the feeding, regardless of whether it’s given by gravity or pump.

d) Verify the placement: Verifying the NG tube placement is essential to ensure the feeding goes into the stomach and not the lungs, which can lead to aspiration pneumonia

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On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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