Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?
Costovertebral tenderness
Foul-smelling urine
Bladder distention
Suprapubic discomfort
The Correct Answer is A
The most helpful finding by the nurse in determining whether a 67-yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis) would be
**costovertebral tenderness**⁴. This is because costovertebral tenderness is a common symptom of pyelonephritis⁵. Pyelonephritis is an infection of the upper urinary tract that can cause fever, chills, flank pain, nausea, vomiting, and costovertebral tenderness⁵. Foul-smelling urine and bladder distention are not specific symptoms of pyelonephritis⁵. Suprapubic discomfort can be a symptom of lower urinary tract infection⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
The correct answers are a, c, and d. The client will need to take thyroid hormone replacement (levothyroxine) for the rest of her life since she had a total thyroidectomy. The dosage will need to be carefully monitored to ensure that it is correct, and laboratory tests will need to be done frequently to monitor thyroid hormone levels. Taking too much of the drug can cause hyperthyroidism symptoms, so it is important not to take more than prescribed. It is also important to check with a healthcare provider before taking any other medications or herbs, as they can interact with levothyroxine.
Answer b is incorrect because the client will need to take the drug for the rest of her life.
Correct Answer is D
Explanation
The nurse should quickly assess the patient's vital signs to check for signs of shock and instability. If the vital signs are unstable, the nurse should initiate appropriate interventions to stabilize the patient, such as administering oxygen, starting IV fluids, and providing continuous cardiac monitoring. Based on the sudden onset of severe upper abdominal pain, diaphoresis, and a firm abdomen, the nurse should suspect a possible perforation or bleeding related to the peptic ulcer. This is a medical emergency that requires immediate intervention. Therefore, the nurse should prioritize notifying the healthcare provider and preparing the patient for urgent medical evaluation.
Option A, irrigating the NG tube, is not appropriate in this situation and may further exacerbate the patient's condition if the ulcer has perforated.
Option B, elevating the foot of the bed, is also not appropriate as it does not address the patient's current symptoms.
Option C, giving the ordered antacid, may not be effective in addressing the severity of the patient's symptoms and should be postponed until the healthcare provider has evaluated the patient.
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