The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?
Hematuria.
Enuresis.
Anuria.
Dysuria.
The Correct Answer is B
Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.
Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.
Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.
Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Painless hematuria. Painless hematuria, the presence of blood in the urine without any accompanying pain, is the most common initial symptom of a malignant tumor of the bladder. Frequency, choice B, urinary retention, choice C, and fever, choice D, may also be associated with bladder cancer but are not typically the initial symptoms.
Correct Answer is B
Explanation
Provide the client with warm fluids. The shivering can occur due to the anesthesia, the effect of the surgery, or cold temperature in the operating room. The shivering increases the client's oxygen consumption and carbon dioxide production, which can cause hypoxia, hypercapnia, and acidosis. The nurse should provide warm fluids to prevent hypothermia and warm blankets to reduce shivering.
Option A, placing the client on a hypothermia blanket, is incorrect because it is used to lower body temperature, not raise it.
Option C, covering the client with a light blanket, is incorrect because it is not enough to keep the client warm.
Option D, ensuring that the room temperature is below 70°F, is incorrect because it is too cold for the client and can increase shivering.
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