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.
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Related Questions
Correct Answer is C
Explanation
A. A client who consumes all the food from their meal tray: Eating a full meal is generally positive and does not require immediate reporting unless related to specific dietary restrictions or concerns.
B. A client who requests assistance to use the bedside commode: Requesting help to use the commode is expected and can be managed by the assistive personnel without urgent nurse notification.
C. A client who has a prescription for compression stockings and did not receive them: Compression stockings prevent deep vein thrombosis and promote circulation. Not receiving them as prescribed is a safety concern that requires prompt nurse awareness and intervention.
D. A client who requests to sit in the bedside chair while watching TV: This is a normal, non-urgent request that the assistive personnel can usually handle without needing to notify the nurse immediately.
Correct Answer is A
Explanation
A. Methylprednisolone: This corticosteroid is commonly used to reduce inflammation in conditions like pneumonia. One of its known adverse effects is hyperglycemia, especially during stress or infection, due to its role in increasing gluconeogenesis and decreasing peripheral glucose uptake.
B. Ondansetron: This antiemetic is used to prevent nausea and vomiting. It does not significantly affect blood glucose levels and is not associated with hyperglycemia as an adverse effect.
C. Guaifenesin: As an expectorant, guaifenesin helps loosen mucus in the airways but has no known effect on glucose metabolism. It is not linked to elevated blood glucose in clinical use.
D. Amoxicillin: This antibiotic is effective in treating bacterial pneumonia but does not impact glucose levels. Hyperglycemia is not a typical adverse effect of this medication.
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