The nurse receives an order for a medication that will assist the client at bedtime. The abbreviation for the best time to administer this medication is:

HOB

HOH

Answer and Explanation

The Correct Answer is B

A. HOB (Head of Bed): This abbreviation refers to the position of the client's bed and does not indicate a specific time for medication administration. It stands for "Head of Bed" and is often used in nursing documentation to describe the elevation of the head of the bed relative to the client's body.

B. hs: This is the correct abbreviation. "hs" stands for "hora somni" in Latin, which translates to "at bedtime." It indicates that the medication should be administered to the client before they go to sleep for the night. This abbreviation is commonly used in medication orders and nursing documentation to specify the timing of medications given at bedtime.

C. hr: This abbreviation stands for "hour," indicating a specific time frame rather than a particular time of day. It does not specify bedtime as the intended time for medication administration.

D. HOH (Hard of Hearing): This abbreviation refers to the client's auditory status and does not indicate a specific time for medication administration. It stands for "Hard of Hearing" and is used to describe clients who have difficulty hearing.

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Correct Answer is C

Explanation

A. frequent enuresis: Frequent enuresis refers to the involuntary loss of urine during the day or night, often associated with bedwetting. It does not specifically describe the sudden, compelling need to urinate described by the client.

B. urinary frequency: Urinary frequency is the need to urinate more often than usual, which may or may not be associated with urgency. It does not fully capture the sudden, urgent need to urinate described by the client.

C. urinary urgency: Urinary urgency is the sudden, compelling need to urinate that cannot be delayed. This aligns with the client's description of feeling like they have to go immediately and cannot wait. Therefore, this is the most appropriate choice.

D. urge incontinence: Urge incontinence involves the involuntary loss of urine associated with a sudden, strong desire to urinate. While similar to urinary urgency, it specifically refers to the leakage of urine that can occur due to the inability to reach the toilet in time after feeling the urge to urinate. However, the client's statement does not indicate actual urine leakage, making this option less appropriate than urinary urgency.

A. "I am so depressed living with this pain that I don't know if I can go on anymore." B. "At home I take something for pain before it gets too bad." C. "I try to pretend that the pain isn't part of me, but it's hard to do." D. "I live with pain every day, and it sometimes prevents me from doing the things I love to do."

Correct Answer is A

Explanation

This statement raises concern because it suggests that the client is experiencing thoughts of hopelessness and suicidal ideation. Expressions of feeling overwhelmed by pain to the extent of questioning the desire to continue living indicate a need for immediate attention and intervention to address the client's emotional distress and ensure their safety.

B. This statement indicates the client's proactive approach to pain management by taking medication preemptively before pain becomes severe. It reflects an understanding of pain management strategies and a willingness to address pain effectively.

C. Although this statement acknowledges the challenge of coping with pain, it also suggests the client's attempts to cope by mentally dissociating from the pain. While coping mechanisms vary among individuals, this response does not raise immediate concern unless accompanied by more severe signs of distress.

D. This statement acknowledges the chronic nature of the client's pain and its impact on daily activities but does not indicate thoughts of self-harm or severe emotional distress. It reflects the client's adaptation to living with pain and a willingness to engage in activities despite its presence.

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The nurse receives an order for a medication that will assist the client at bedtime. The abbreviation for the best time to administer this medication is:

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Naxlex Comprehensive Predictor Exams

The client tells the nurse. "The need to urinate comes on me all of a sudden, and it feels as though I have to go immediately-that I can't wait." The nurse charts that the client is experiencing:

Correct Answer is C

Explanation

The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?

Correct Answer is A

Explanation

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