A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?
Palpate the right flank for tenderness.
Evaluate the urine for a strong odor.
Test the urine for the presence of hematuria.
Measure the temperature and pulse rate.
The Correct Answer is D
D. In a client presenting with urinary symptoms and lower back pain, measuring the temperature and pulse rate is essential for assessing for signs of systemic infection, such as fever (elevated temperature) and tachycardia (elevated pulse rate). These vital signs can help determine the urgency of the situation and guide further assessment and management.
A. Palpating the right flank for tenderness may be appropriate to assess for signs of kidney involvement, such as in pyelonephritis. However, this intervention is not the first priority. Assessing for systemic signs of infection, such as fever, is more urgent.
B. Evaluating the urine for a strong odor may provide additional information about the student's symptoms, but it is not the first intervention priority.
C. Testing the urine for the presence of hematuria (blood in the urine) is an important diagnostic step in evaluating urinary symptoms, but it is not the first intervention priority. Hematuria may be present in various conditions, including UTIs, kidney stones, or other urinary tract disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D Peritoneal dialysis involves using the peritoneum (the lining of the abdominal cavity) as a semipermeable membrane to remove waste products and excess fluid from the body. It requires a healthy peritoneal membrane for effective dialysis. Crohn's disease, especially if it has led to extensive inflammation or scarring of the peritoneum, can impair the function of the peritoneum and make peritoneal dialysis less effective or even contraindicated.
A While chronic viral hepatitis may affect the liver's ability to metabolize waste products, it is not necessarily a contraindication for peritoneal dialysis. However, active hepatitis or significant liver dysfunction may impact the choice of dialysis modality and require careful evaluation by the healthcare team.
B Nephrotic syndrome involves kidney damage that leads to excessive protein loss in the urine, fluid retention, and other complications. While nephrotic syndrome may necessitate dialysis as kidney function declines, it is not a contraindication for peritoneal dialysis per se.
C While diabetes-related complications can influence the choice of dialysis modality and require close monitoring, type 2 diabetes mellitus alone is not a contraindication for peritoneal dialysis.
Correct Answer is C
Explanation
C. In glaucoma management, the use of topical eye drops to reduce intraocular pressure is a cornerstone of treatment. These medications work to decrease fluid production in the eye or increase fluid drainage, thereby lowering IOP and reducing the risk of optic nerve damage and vision loss. Adherence to the prescribed eye drop regimen is crucial for controlling IOP and preventing further vision deterioration.
A. While wearing prescription glasses may be important for correcting vision problems, such as nearsightedness or farsightedness, they do not directly address the underlying issue of increased intraocular pressure associated with glaucoma.
B. While maintaining a healthy diet rich in nutrients, including carotene, is important for overall eye health, there is no evidence to suggest that it directly affects the progression of glaucoma or intraocular pressure.
D. Regular monitoring of intraocular pressure is an essential part of managing glaucoma. Frequent eye pressure measurements help assess the effectiveness of treatment and detect any changes in intraocular pressure that may indicate progression of the disease.
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