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

Rhonchi. Rhonchi are low-pitched, rattling sounds that indicate mucus in the larger airways. They are most evident on expiration and may decrease after coughing.

Choice B is wrong because wheezes are high-pitched, squeaking sounds that indicate narrowed small air passages. They are usually heard on both inspiration and expiration.

Choice C is wrong because crackles are short, high-pitched popping sounds that indicate fluid or inflammation in the alveoli. They are usually heard on inspiration.

Choice D is wrong because pleural friction rubs are creaking or grating sounds that indicate inflammation of the pleura. They are usually heard on both inspiration and expiration and do not change with coughing.

A. Decreased flexibility. B. Pain when standing. C. Swelling of the ankles. D. Urinary incontinence.

Correct Answer is A

Explanation

Decreased flexibility is a normal age- related change that occurs in the elderly due to loss of elasticity in the ligaments and tendons.
Some possible explanations for the other choices are:
Choice B. Pain when standing. Pain when standing is not a normal finding and could indicate arthritis, osteoporosis, or injury.
Choice C. Swelling of the ankles. Swelling of the ankles is not a normal finding and could indicate heart failure, kidney disease, or venous insufficiency.
Choice D. Urinary incontinence. Urinary incontinence is not a normal finding and could indicate urinary tract infection, prostate enlargement, or neurological impairment.

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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

A nurse assessing a client’s lung sounds hears continuous low-pitched harsh rattling sounds over the client’s trachea that are most evident on expiration and are decreased after coughing. Which term is the appropriate choice to accurately document this lung sound?

Correct Answer is A

Explanation

Which assessment finding would be considered normal in an elderly client?

Correct Answer is A

Explanation

A nurse assessment of a client diagnosed with an acute loss of consciousness reveals a Glasgow Coma Scale (GCS) of 6. Which nursing diagnosis is the priority?

Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

What pain description is the client with renal calculi most likely to report during an assessment?

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Which is the most appropriate order to remove (doff) personal protective equipment (PPE)?

A client is prescribed haloperidol for the treatment of symptoms related to schizophrenia. What client statement suggests that the client needs further teaching?