A nurse is educating a client who has a urinary alteration about the common causes of dysuria. Which of the following client statements indicates an understanding of the teaching?
“This can be caused by diabetes mellitus.”
“This can be caused by the use of a diuretic medication.”
“This can be caused by using antidepressants.”
“This can be caused by enlargement of the prostate gland."
The Correct Answer is D
A. “This can be caused by diabetes mellitus.”: Uncontrolled diabetes mellitus can contribute to urinary retention or increased risk of infections, but it is not a direct common cause of dysuria, which is typically related to obstruction or inflammation.
B. “This can be caused by the use of a diuretic medication.”: Diuretics increase urine output and may cause urinary frequency, but they are not a primary cause of dysuria, which involves painful urination.
C. “This can be caused by using antidepressants.”: Antidepressants may cause urinary retention or difficulty initiating urination, but dysuria is not a commonly associated side effect.
D. “This can be caused by enlargement of the prostate gland.”: Prostatic enlargement, such as in benign prostatic hyperplasia (BPH), can obstruct urine flow and lead to painful or difficult urination, making it a common cause of dysuria in men.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “Place a warm, wet washcloth over your child’s forehead and the bridge of their nose.": Warm compresses can dilate blood vessels and potentially worsen the bleeding. A cold compress or direct pressure is more appropriate for stopping a nosebleed.
B. “Tell your child to blow their nose gently and then sit down and tilt their head backward.": Blowing the nose can dislodge clots and increase bleeding, and tilting the head backward risks aspiration of blood. The head should be tilted slightly forward.
C. “Use your thumb and forefinger to apply pressure to the sides of your child's nose.": Applying continuous pressure to the soft part of the nose for about 10 minutes helps compress blood vessels and promotes clot formation, which is the correct first-aid response for a nosebleed.
D. "Have your child lie down and turn their head to the side for 10 minutes.": Lying down can increase blood flow to the head and promote continued bleeding. Additionally, turning the head to the side risks aspiration of blood into the airway.
Correct Answer is A
Explanation
A. “I can start the medication 30 minutes earlier.”: Most facilities allow a 30-minute window before or after the scheduled administration time for IV antibiotics like vancomycin. Administering it more than 30 minutes early may interfere with therapeutic drug levels and proper dosing intervals.
B. “I have up to 2 hours after the usual scheduled time to give you this medication.”: While some medications may allow a late administration window, vancomycin requires precise timing to maintain therapeutic levels and prevent resistance. Delays beyond 30 minutes are generally not appropriate.
C. “I can adjust the time and schedule for when it's convenient for you.”: Medication schedules, especially for antibiotics, are based on pharmacokinetics and infection control. Altering times for convenience can compromise treatment effectiveness and safety.
D. “I can infuse the medication at a faster rate.”: Infusing vancomycin too quickly increases the risk of adverse reactions such as Red Man Syndrome. It must be administered over a prescribed minimum time to reduce complications.
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