The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

The client takes a furosemide with the evening medications.

The client uses the Credé's maneuver when urinating at bedtime.

The client takes 8 oz of water after dinner with her evening medications.

The client urinates for the evening while getting ready for bed.

Answer and Explanation

The Correct Answer is A

The client takes furosemide with the evening medications. Nocturia, or the need to wake up at night to urinate, can be caused by various factors. In this case, the client's medication, furosemide, is a diuretic that can increase urine output and cause nocturia. The other choices do not explain the cause of the client's nocturia.

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Correct Answer is B

Explanation

Anorexia nervosa is a nutritional disorder characterized by a distorted body image and fear of weight gain, leading to an abnormally low body weight. Clients with anorexia nervosa may also engage in binge eating and purging behaviors.

Choice A is incorrect because Kwashiorkor is a type of protein-energy malnutrition caused by a severe protein deficiency.

Choice C is incorrect because Crohn's disease is a chronic inflammatory bowel disease.

Choice D is incorrect because Bulimia nervosa is a nutritional disorder characterized by binge eating and purging behaviors.

A. Palpate gently without repeated attempts. B. Not palpate the thyroid and just listen for a bruit. C. Palpate firmly in order to feel the thyroid gland. D. Continue to palpate the gland until it is felt for enlargement.

Correct Answer is A

Explanation

Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.

Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.

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The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a young woman who is struggling with weight loss issues without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?

Correct Answer is B

Explanation

The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?

Correct Answer is A

Explanation

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