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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Crackles in the lungs: Pulmonary edema causes fluid accumulation in the alveoli, leading to crackles or rales heard during auscultation of the lungs.
B. Jugular vein distension: Increased pressure in the pulmonary circulation can lead to right-sided heart strain, resulting in visible jugular venous distension.
C. Persistent, dry cough: Cough in pulmonary edema is typically productive, often associated with pink, frothy sputum due to fluid leakage into the alveoli.
D. Frothy, blood-tinged sputum: A hallmark sign of pulmonary edema, this occurs as fluid mixed with blood leaks into the alveoli and airways due to high pulmonary capillary pressure.
E. Bradycardia: Pulmonary edema is typically associated with tachycardia as a compensatory response to hypoxia and impaired cardiac output, not bradycardia.
Correct Answer is D
Explanation
A. Critical pathways have an unlimited timeframe for completion: Critical pathways are designed with specific timelines to standardize care and ensure timely achievement of outcomes, so they do not have unlimited timeframes.
B. Nurses should discontinue the critical pathway if variances occur: Variances are documented and addressed, not a reason to discontinue the pathway. They help track deviations and guide individualized care adjustments.
C. Nurses' notes are used to create the critical pathway: Critical pathways are developed from evidence-based guidelines and clinical expertise, not directly from nurses' notes, though documentation helps evaluate their effectiveness.
D. Critical pathways should reduce health care costs: By standardizing care, minimizing delays, and improving efficiency, critical pathways aim to reduce unnecessary interventions and overall health care costs.
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