A nurse is admitting a client who has acute pyelonephritis. Which of the following assessment findings should the nurse expect? (Select all that apply.)

Tachypnea

Nausea

Hypothermia

Bradycardia

Flank pain

Answer and Explanation

Correct Answer : B,E

A) Tachypnea:
Tachypnea, or rapid breathing, is not a typical symptom of acute pyelonephritis. This condition primarily affects the kidneys and urinary tract, and while it can cause systemic symptoms, tachypnea is more commonly associated with respiratory issues.

B) Nausea:
Nausea is a common symptom of acute pyelonephritis. The infection and inflammation of the kidneys can lead to gastrointestinal symptoms, including nausea and vomiting.

C) Hypothermia:
Hypothermia, or abnormally low body temperature, is not commonly associated with acute pyelonephritis. Patients with this condition are more likely to present with fever rather than hypothermia.

D) Bradycardia:
Bradycardia, or slow heart rate, is not typically seen in acute pyelonephritis. In fact, systemic infections and the associated fever can often lead to an increased heart rate (tachycardia).

E) Flank pain:
Flank pain is a hallmark symptom of acute pyelonephritis. The pain is usually located in the back and sides, near the affected kidney, and can be quite severe. This pain results from the inflammation and infection of the kidney.

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Correct Answer is A

Explanation

A) Rotating the earmold forward when inserting the hearing aid is a correct technique. This ensures a proper fit and helps to position the hearing aid comfortably in the ear canal, which can enhance the effectiveness and comfort of the device.

B) Cleaning the hearing aid with alcohol swabs can damage the delicate components of the device. Instead, hearing aids should be cleaned with a dry cloth or a soft brush specifically designed for this purpose to avoid damaging the hearing aid.

C) Turning the hearing aid on before inserting it may result in feedback or a whistling sound. It's usually recommended to insert the hearing aid first and then turn it on to avoid any discomfort or unwanted noise.

D) If the hearing aid whistles, it is not typically related to the battery. Whistling is often caused by improper fit, earwax buildup, or feedback issues. Changing the battery is unlikely to resolve the whistling problem and is not the recommended solution.

A. Orthostatic hypotension B. Muscle tenderness C. Decreased heart rate D. Oliguria

Correct Answer is A

Explanation

A) Orthostatic hypotension:
Tamsulosin, an alpha-blocker used to treat benign prostatic hypertrophy, can cause orthostatic hypotension, which is a significant adverse effect. This condition involves a sudden drop in blood pressure when standing up, leading to dizziness or fainting. It's important for clients to report these symptoms to their healthcare provider for potential adjustment of medication or additional instructions on managing this side effect.

B) Muscle tenderness:
Muscle tenderness is not commonly associated with tamsulosin. While muscle pain can occur with other medications, it is not a known adverse effect of tamsulosin and does not require immediate notification to the provider in the context of this medication.

C) Decreased heart rate:
Tamsulosin does not typically cause bradycardia (decreased heart rate). This side effect is more associated with beta-blockers or other cardiac medications, rather than alpha-blockers like tamsulosin. Reporting this would be relevant for those other medications but not for tamsulosin.

D) Oliguria:
Oliguria, or decreased urine output, is not a known adverse effect of tamsulosin. Tamsulosin helps improve urine flow in clients with benign prostatic hypertrophy, so reporting oliguria would not be pertinent in this context. Instead, it could indicate another underlying issue.

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A nurse is admitting a client who has acute pyelonephritis. Which of the following assessment findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a hearing impairment and a new hearing aid. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has benign prostatic hypertrophy and a new prescription for tamsulosin. The nurse should instruct the client to notify the provider of which of the following findings as an adverse effect of tamsulosin?

Correct Answer is A

Explanation

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