A nurse is assisting with the plan of care for a client who is immobile and is experiencing urinary retention. The nurse should plan to monitor the client for which of the following?

Bladder outlet obstruction

Protein in the urine

Neurogenic bladder

Urinary tract infection

Answer and Explanation

The Correct Answer is D

A)   Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.

B)   While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C)   This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D)   Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.

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Correct Answer is A

Explanation

A) Standing close to the object helps maintain better leverage and reduces strain on the back.
B) Keeping the feet apart provides a stable base of support when lifting heavy objects.
C) Twisting the spine can lead to injury; proper lifting involves keeping the spine aligned.
D) Bending at the hips and knees while keeping the back straight is the correct technique to avoid strain on the back.

A. Place their feet in line with their shoulders. B. Pivot their feet in the direction of the move. C. Raise the height of the client's bed. D. Tighten their abdominal muscles.

Correct Answer is C

Explanation

A) This is part of proper body mechanics but not the first action when repositioning a client.
B) Proper body mechanics involve pivoting rather than twisting the spine but is not the first action when repositioning a client.
C) Adjusting the bed height ensures the nurse is working at an optimal level to prevent strain during the repositioning process.
D) Engaging core muscles is important for stability during lifting and repositioning but is not the first action to take.

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A nurse is assisting with the plan of care for a client who is immobile and is experiencing urinary retention. The nurse should plan to monitor the client for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?

Correct Answer is A

Explanation

A nurse is preparing to reposition a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is assisting with teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

A nurse is preparing to reposition a client towards the head of the bed. In which of the following positions should the nurse place the client before repositioning them to the head of the bed?

A nurse is assisting with teaching a class about the skeletal muscle. Which of the following should the nurse identify as the function of the skeletal muscle?

A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

A nurse is ordering equipment for a medical-surgical unit. Which of the following equipment should the nurse identify as being ergonomic?

A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

A nurse is collecting data on the mobility of a client. Which of the following actions should the nurse take first?