When a client reports altered sexuality patterns, the nurse should: (Select all that apply).

Wait for the client to volunteer information about any sexual problems they are having.

Acknowledge the need for intimacy and need to value themselves in sexual relationships.

Ask if sexual experiences cause any kind of physical or emotional discomfort.

Discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

Answer and Explanation

Correct Answer : B,C,D

The nurse should acknowledge the need for intimacy and value themselves in sexual relationships, ask if sexual experiences cause any kind of physical or emotional discomfort, and discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

These actions show respect, empathy, and professionalism towards the client’s sexuality.

Choice A is wrong because waiting for the client to volunteer information about any sexual problems they are having may imply that the nurse is uncomfortable or uninterested in addressing sexuality.

The nurse should initiate the conversation and create a safe and supportive environment for the client to express their concerns.

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Correct Answer is A

Explanation

Insert a sterile needle and aspirate 3 to 5 mL of urine into the syringe. This is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter because it ensures that microorganisms in the specimen are from the urine, and not the result of contamination.

Choice B is wrong because it does not use sterile technique and it does not collect fresh urine. The urine in the drainage bag may have been sitting there for a long time and may not reflect the current condition of the patient’s urinary tract.

Choice C is wrong because it does not use sterile technique and it flushes the catheter with sterile water, which may dilute the urine and alter its composition.

Choice D is wrong because it does not use sterile technique and it collects urine from the drainage bag, which may be contaminated or stale.

A. A normal reaction to a position change. B. Gait belt applied. C. Orthostatic hypotension noted with dangling. D. Elevated blood sugar probable.

Correct Answer is C

Explanation

Orthostatic hypotension noted with dangling.

This means that the client’s blood pressure drops when changing position from lying down to sitting or standing. This can cause symptoms such as paleness, sweating, rapid pulse, weakness, and dizziness.

The nurse should document this finding and report it to the physician.

Choice A is wrong because a normal reaction to a position change would not cause such severe symptoms.

Choice B is wrong because the gait belt applied is not a finding but an intervention.

Choice D is wrong because elevated blood sugar probable is not a finding but a speculation.

Choice E is wrong because spot accucheck obtained is not a finding but an action.

Choice F is wrong because fear of falling expressed by a client is not a finding related to the client’s vital signs or physical condition.

Choice G is wrong because provided reassurance is not a finding but a nursing measure.

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When a client reports altered sexuality patterns, the nurse should: (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the most appropriate action when obtaining a sterile urine specimen from an indwelling urinary catheter?

Correct Answer is A

Explanation

A nurse is getting a client out of bed to ambulate for the first time. The client is pale, diaphoretic, has a pulse of 100/minute, and says, “I feel weak. Let me sit on the side of the bed for a minute.” What finding should the nurse document?

Correct Answer is C

Explanation

The nurse evaluates the client hydration status, using what assessment techniques? Select all that apply.

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