What would the nurse anticipate to be used to treat this imbalance?

Your patient had a Foley catheter removed four hours ago, but reports the inability to void with a subjective sensation of needing to urinate. Which action should the nurse perform FIRST?
Select one:

initiate hourly intake and output.

gently palpate over the symphysis pubis for bladder fullness.

put the patient on the toilet and turn on the water.

notify the RN or the healthcare provider.

Answer and Explanation

The Correct Answer is B

A. While tracking intake and output is important, it does not directly address the patient’s current complaint or help identify urinary retention.
B.The first action is to assess the bladder for distention by palpating above the symphysis pubis. This helps determine if the bladder is full and not emptying, which may indicate urinary retention.
C. Encouraging natural voiding techniques (like running water) is appropriate, but only after assessment confirms the bladder is not overly distended.
D. Notifying the provider is important if interventions fail, but the nurse should first assess before escalating the situation.

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Correct Answer is D

Explanation

A. Metformin actually decreases insulin resistance, helping cells use insulin more effectively.
B. Metformin does not primarily block carbohydrate absorption; that is the mechanism of some other drugs like alpha-glucosidase inhibitors.
C. Metformin does not stimulate insulin secretion; it works independently of insulin release.
D. Metformin reduces hepatic gluconeogenesis (glucose production by the liver), which lowers blood sugar levels, making this the best explanation.

A. "Remove callouses at home." B. "Check your feet every day for sores, cracks and blisters." C. "Dry between toes after showering." D. "Cut your toenails sat an angle." E. "Do not apply lotion or powder between your toes.

Correct Answer is ["B","C","E"]

Explanation

A. Clients with diabetes should not remove callouses at home due to the risk of injury and infection. This should be done by a healthcare provider.
B. Daily foot checks help detect early signs of infection or injury, which is critical in diabetic foot care.
C. Keeping the area between the toes dry helps prevent fungal infections and skin breakdown.
D. Toenails should be cut straight across to reduce the risk of ingrown toenails, which can lead to infection.
E. Moisture between the toes can promote fungal growth and skin maceration, so this area should remain dry.

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What would the nurse anticipate to be used to treat this imbalance? Your patient had a Foley catheter removed four hours ago, but reports the inability to void with a subjective sensation of needing to urinate. Which action should the nurse perform FIRST? Select one:

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Naxlex Comprehensive Predictor Exams

A patient with type 2 diabetes mellitus asks the nurse how metformin decreases blood sugar. What is the best response by the nurse?

Correct Answer is D

Explanation

A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse Select all that apply. Select one or more:

Correct Answer is ["B","C","E"]

Explanation

In order to promote bladder and urinary tract health, the nurse should encourage patients to empty their bladder sooner, rather than waiting to urinate.

A nurse finds a patient who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reports feeling light-headed and shaky. Which complication should the nurse expect? Select one:

What would the nurse anticipate to be used to treat this imbalance? Your patient had a Foley catheter removed four hours ago, but reports the inability to void with a subjective sensation of needing to urinate. Which action should the nurse perform FIRST? Select one:

A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect? Select one:

A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

Hypoglycemia is most likely to occur with insulin during which phase of action?

The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects: Select one:

What would the nurse anticipate to be used to treat this imbalance?

Your patient had a Foley catheter removed four hours ago, but reports the inability to void with a subjective sensation of needing to urinate. Which action should the nurse perform FIRST?
Select one: