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

Inspection, followed by Auscultation, Percussion, and Palpation. Inspection assesses for abdominal contour, symmetry, any visible masses, scars or other abnormalities. Auscultation assesses bowel sounds, and Percussion assesses for any areas of tenderness, and to determine the presence of fluid, gas or masses. Palpation assesses for any masses, areas of tenderness, organ size or other abnormalities. This is the order that allows the nurse to assess the abdomen systematically and accurately.

A: Palpation comes last because it can stimulate bowel sounds, which can make the nurse miss some of the sounds while auscultating.

C: Auscultation must be done before percussion and palpation to prevent altering bowel sounds.

D: Percussion comes before palpation to avoid altering the underlying structures of the abdomen.

A. Acromegaly. B. Gigantism. C. Dwarfism. D. Simmonds disease.

Correct Answer is B

Explanation

Gigantism. Oversecretion of growth hormone before puberty leads to gigantism, which is characterized by excessive growth in height and length of bones. The growth hormone stimulates the growth of cartilage and bone, resulting in an increased height. When oversecretion occurs after puberty, it results in acromegaly, which is characterized by the enlargement of bones in the face, hands, and feet.

Choice A, Acromegaly, is incorrect because acromegaly results from oversecretion of growth hormone after puberty, and not before puberty.

Choice C, Dwarfism, is incorrect because dwarfism is caused by insufficient growth hormone secretion or poor response to the hormone, and not oversecretion.

Choice D, Simmonds disease, is incorrect because Simmonds disease is a rare disorder characterized by the atrophy of the pituitary gland, which results in decreased secretion of several hormones, including growth hormone.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)

Correct Answer is B

Explanation

The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?

Correct Answer is B

Explanation

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