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Patient Data

Exhibits

The nurse reviews the history and physical, the nurses' notes, and flow sheet to see what is causing the client's symptoms.

Click to highlight the findings that require follow-up.

A 70-year-old male visits his primary healthcare provider reporting an increase

in urinary urgency and frequency. The client reports that he has been waking 2 to 3 times at night needing to void. He reports that there have been 3 to 4 incidences of incontinence over the last 3 months, which has caused him to feel embarrassed. The client has a history of obesity and diabetes mellitus that is controlled with metformin 1,500 mg PO daily. Client reports a penile implant that was inserted 20 years ago and had no issues since then. Other medications include atorvastatin 20 mg PO daily for high cholesterol, a daily multivitamin, and 200 mg of ibuprofen PO 1 to 2 times a week for generalized aches and pains.

increase in urinary urgency and frequency

client reports that he has been waking 2 to 3 times at night needing to void.

He reports that there have been 3 to 4 incidences of incontinence over the last 3 months

200 mg of ibuprofen PO 1 to 2 times a week

a history of obesity and diabetes mellitus

Client reports a penile implant that was inserted 20 years ago and had no issues since then

atorvastatin 20 mg PO daily for high cholesterol

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Increased Urinary Urgency and Frequency and Nocturia: These symptoms warrant further investigation for possible underlying conditions such as BPH or other genitourinary issues.

Penile Implant: Changes in sexual function or discomfort with the penile implant should be evaluated to ensure there are no complications.

Ibuprofen Use: Assessment of the impact of ibuprofen on urinary symptoms and overall health should be considered.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Food contamination from flood waters can lead to gastrointestinal issues, but in disaster scenarios, contaminated drinking water is a more common source of widespread diarrhea.

B. Close living quarters at evacuation centers can contribute to the spread of infectious diseases, but they are less likely to be the primary source of contamination compared to drinking water.

C. Nosocomial transmission in the medical area is possible but less likely to be the primary source of widespread diarrhea among disaster victims.

D. Drinking water contaminated by sewage is a common and significant source of gastrointestinal infections, especially in disaster scenarios where infrastructure may be compromised.

A. Mix the next dose with food. B. Withhold this dose. C. Give another dose. D. Administer a half dose now.

Correct Answer is B

Explanation

A. Mixing the dose with food is not recommended as it might affect the absorption of the medication and does not address the immediate situation.

B. Withholding the dose is appropriate because it is uncertain how much of the medication was absorbed. Administering another dose could lead to toxicity.

C. Giving another dose without knowing how much was absorbed could cause an overdose.

D. Administering a half dose now is not recommended because the exact amount absorbed is unknown, risking either underdose or overdose.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?

Correct Answer is D

Explanation

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

Correct Answer is B

Explanation

Twelve hours after experiencing a traumatic closed fracture of the lower left tibia, a client reports pain, tingling, and diminished toe movement in the left foot. Which nursing problem has the highest priority based on this information?

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

Exhibits The nurse reviews the healthcare provider's orders. Select the 4 things the nurse should educate the client about taking his medication.

Patient Data Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After Initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement?