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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
a) Fecal Impaction: Seepage or leaking of liquid stool often occurs when a patient has a fecal impaction. The liquid stool may leak around the solid mass of stool that is impacted in the colon.
b) Urinary Incontinence: Urinary incontinence refers to the involuntary loss of urine, not stool.
c) Bowel and Bladder training program: While bowel and bladder training programs may be helpful for managing incontinence, they are not the immediate solution for fecal impaction.
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