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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The irrigation solution is typically maintained at a continuous rate to prevent clot formation and maintain catheter patency, which is important for promoting urinary drainage and preventing obstruction.
B. This involves injecting more saline into the bladder through the catheter to help break up and flush out the clots. This should be done carefully and gently to avoid causing any damage or discomfort.

C. Discontinuing the infusion solution may not be necessary or appropriate, as the continuous bladder irrigation (CBI) solution is typically maintained at a continuous rate to prevent clot formation and maintain catheter patency after a TURP procedure.

D.While it's important to monitor the drainage, simply observing won't address the issue of the clots.

A. Do your family members share combs and brushes? B. Do you have any dry patches on your feet and hands? C. Has everyone at home already had varicella? D. Have the antifungal creams been effective?

Correct Answer is C

Explanation

C. Herpes zoster is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox (varicella). Asking whether everyone at home has already had varicella helps assess the risk of exposure to susceptible individuals who could potentially develop chickenpox upon exposure to the herpes zoster rash.
A. Sharing combs and brushes may increase the risk of transmitting head lice, fungal infections, or bacterial infections, but it is not directly relevant to the assessment of herpes zoster.
B. Dry patches on the feet and hands may be indicative of various dermatological conditions such as eczema or psoriasis, but they are not specific to herpes zoster. Herpes zoster typically presents as a painful rash with clusters of fluid-filled blisters along a specific dermatome
D. Asking about the effectiveness of antifungal creams is relevant if the client is being treated for a fungal infection, but it does not provide information specific to herpes zoster.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?

Correct Answer is C

Explanation

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