The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

loss of bladder tone.

decrease in testosterone.

intake of caffeine.

decrease in bladder capacity.

Answer and Explanation

The Correct Answer is D

A. Loss of bladder tone: Loss of bladder tone can contribute to urinary issues but is not the primary cause of nocturia.
B. Decrease in testosterone: Decreased testosterone is not a direct cause of nocturia.
C. Intake of caffeine: While caffeine intake can contribute to nocturia, it is not the most likely cause in older adults.
D. Decrease in bladder capacity: Decreased bladder capacity is common in older adults and is a primary cause of nocturia, leading to more frequent urination at night.

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Correct Answer is C

Explanation

A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.

A. "What we say can be secret. What I write in the chart is available to the health team." B. "I am required to report any intent to hurt yourself or others." C. "Conversations between patient and nurse are confidential." D. "I can't help you unless you trust me."

Correct Answer is B

Explanation

A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.

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The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?

Correct Answer is C

Explanation

The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

Correct Answer is B

Explanation

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