The nurse is caring for a newly admitted patient with urinary incontinence and impaired mobility. Which finding will the nurse expect?

Tiny blood clots in the urine

Skin irritation or redness in the perineal area

Increased urinary frequency

Decreased urine specific gravity

Answer and Explanation

The Correct Answer is B

Choice A reason: Tiny blood clots in the urine (hematuria) suggest urinary tract infection or trauma, not directly related to incontinence or mobility issues. Skin irritation from prolonged urine exposure is more expected, making this finding less likely in this patient patient.

Choice B reason: Skin irritation and redness in the perineal area are expected in urinary incontinence and impaired mobility, as prolonged moisture and pressure cause maceration and dermatitis. This is a common complication requiring skin protection, making it the correct finding finding.

Choice C reason: Increased urinary frequency may occur in incontinence but is not the primary concern compared to skin damage from constant moisture due to impaired mobility. Perineal irritation is a more direct consequence, making this less specific to the described scenario.

Choice D reason: Decreased urine specific gravity indicates dilute urine, unrelated to incontinence or mobility. It may occur in overhydration, but skin irritation from urine exposure is the most relevant finding in this patient context, making this incorrect incorrect.

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Correct Answer is B

Explanation

Choice A reason: Bananas are high in potassium, contraindicated for a low-potassium diet. They can elevate serum potassium, risking hyperkalemia, making this an incorrect choice for the diet plan.

Choice B reason: White rice is low in potassium, making it suitable for a low-potassium diet. It provides carbohydrates without significantly affecting potassium levels, making it the correct food to include.

Choice C reason: Spinach is high in potassium, inappropriate for a low-potassium diet. Consuming it could exacerbate hyperkalemia, making this incorrect for a patient requiring potassium restriction.

Choice D reason: Potatoes are high in potassium, unsuitable for a low-potassium diet. They increase potassium intake, risking imbalance, making this an incorrect choice for the client’s dietary plan.

A. Encourage the client to ambulate every 4 hours B. Administer a prescribed analgesic C. Apply a warm compress to the incision D. Instruct the client to avoid deep breathing

Correct Answer is B

Explanation

Choice A reason: Ambulation every 4 hours prevents complications like thrombosis but does not directly relieve incisional pain. Analgesics address pain immediately, making ambulation a secondary intervention.

Choice B reason: Administering a prescribed analgesic directly relieves incisional pain, improving comfort and recovery. Pain management is a priority post-cholecystectomy, making this the correct action for the nurse to take.

Choice C reason: A warm compress may increase bleeding or swelling at the incision site. Analgesics are safer and more effective for pain relief, making this an incorrect for postoperative care.

Choice D reason: Avoiding deep breathing risks infection, a postoperative complication. Analgesics relieve pain, enabling deep breathing to promote lung expansion, making this incorrect and counterproductive.

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The nurse is caring for a newly admitted patient with urinary incontinence and impaired mobility. Which finding will the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a low-potassium diet. Which of the following foods should be included in the diet plan?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a cholecystectomy and reports incisional pain. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?

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