When admitting a client with benign prostatic hypertrophy, the most relevant assessment made by the nurse is

Perineal edema.

Distention of the lower abdomen.

Chest pain radiating to the groin.

Urethral discharge

Answer and Explanation

The Correct Answer is B

Rationale:
A. Perineal edema is not a common or primary sign associated with benign prostatic hypertrophy (BPH).
B. Distention of the lower abdomen indicates urinary retention, which is a common complication of BPH due to obstruction of urine flow.
C. Chest pain radiating to the groin is not related to BPH; it may suggest cardiac or vascular issues.
D. Urethral discharge is more indicative of infection or sexually transmitted diseases, not BPH.

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Correct Answer is D

Explanation

Rationale:
A. Osteomyelitis is a bone infection, more commonly associated with open fractures or post-surgical complications, not typically a preoperative concern with closed femoral neck fractures.
B. Septicemia (blood infection) is possible but not a primary complication of a closed hip fracture before surgery.
C. Phantom pain is associated with amputations, not hip fractures.
D. Avascular necrosis is a significant risk with femoral neck fractures due to compromised blood supply to the femoral head. Without adequate blood flow, bone tissue can die, leading to joint dysfunction and chronic pain.

A. Communicate the findings to the healthcare provider because the client may have a complication, such as an anastomotic leak. B. Slow the client's oral intake in consultation with the dietitian to prevent further dumping syndrome. C. Insert a nasogastric tube as prescribed to facilitate STAT gastric decompression D. Continue to monitor the client.

Correct Answer is A

Explanation

Rationale:
A. Increasing abdominal pain, tachycardia, and a low-grade fever in a postoperative bariatric surgery client may indicate a serious complication such as an anastomotic leak. This requires immediate communication with the healthcare provider.
B. Dumping syndrome typically causes symptoms like dizziness, diarrhea, and sweating after eating—not increasing pain and fever.
C. Nasogastric tube insertion is usually contraindicated after bariatric surgery unless specifically ordered, as it may disrupt surgical sites.
D. These are not mild findings that warrant passive monitoring; prompt intervention is necessary to prevent worsening of a potentially life-threatening complication.

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When admitting a client with benign prostatic hypertrophy, the most relevant assessment made by the nurse is

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

An adult is postoperative on day 2 following bariatric surgery. The nurse's most recent assessment reveals increasing abdominal pain that the client rates at 8 out of 10, a heart rate of 112 beats per minute, and an oral temperature of 38.1°C (100.6°F). What is the nurse's best action?

Correct Answer is A

Explanation

A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

A client is being weaned from total parenteral nutrition (TPN) and is expected to begin taking solid food today. The ongoing solution rate has been 100mL/hour. The nurse anticipates a change in orders regarding the TPN solution.

When admitting a client with benign prostatic hypertrophy, the most relevant assessment made by the nurse is

A client seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?

A nurse is providing education to a group of adults during a community health fair about cancer screening. Which of the following statements by a participant indicates a need for further teaching?

A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

A nurse teaches clients strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

The nurse is teaching self-care to a client with a newly applied cast to the forearm. Which of the following does the nurse instruct the client to notify the practitioner immediately?