After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

explore whether the client has made any changes to diet or exercise pattern.

discuss bariatric surgery with the client.

review diet and exercise guidelines with the client.

instruct the client to record weight weekly.

Answer and Explanation

The Correct Answer is A

A. Before taking further action, the nurse should investigate whether there have been any changes in the client's diet, exercise routine, or lifestyle that may have contributed to the plateau in weight loss. Understanding any modifications made by the client can provide valuable insights into potential factors affecting their weight loss progress.
B. Bariatric surgery is a significant decision that requires careful consideration and evaluation of various factors. It is not appropriate to jump to this option without first exploring other potential reasons for the lack of weight loss.
C. While it's essential to review diet and exercise guidelines periodically to ensure the client is following appropriate recommendations, this option may not address the underlying cause of the recent lack of weight loss.
D. Regular weight monitoring is an important component of weight management and can provide valuable information about the client's progress. However, instructing the client to record weight weekly alone may not address the underlying reason for the lack of weight loss.

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Correct Answer is B

Explanation

A. Alpha adrenergic blockers are medications commonly used to help control symptoms of benign prostatic hyperplasia (BPH) by relaxing the muscles of the prostate and bladder neck, thereby improving urine flow and reducing urinary symptoms such as hesitancy, urgency, and frequency.
B. Benign prostatic hyperplasia (BPH) is not cancerous and does not typically progress to prostate cancer. While both BPH and prostate cancer involve growth of the prostate gland, they are distinct conditions with different risk factors, symptoms, and treatment approaches.
C. In some cases, if symptoms of BPH are severe or do not respond to medication, surgical management may be necessary. Common surgical procedures for BPH include transurethral resection of the prostate (TURP) or laser prostatectomy.
D. There are several nonsurgical treatment options available for BPH, including alpha adrenergic blockers, 5-alpha reductase inhibitors, combination therapy, and minimally invasive procedures such as transurethral microwave thermotherapy (TUMT) or prostatic artery embolization (PAE).

A. Severe abdominal distention and cramping B. Vomiting of fecal material and absent bowel sounds C. Ribbon-like stools and mild discomfort D. Crampy abdominal pain, wavelike and colicky

Correct Answer is D

Explanation

D. The initial clinical manifestation associated with an obstruction in the duodenum is crampy abdominal pain, wavelike, and colicky. This discomfort occurs due to the blockage of the small intestine, leading to spasms and pain as the body tries to move contents past the obstruction.
A. Severe abdominal distention and cramping can occur with various gastrointestinal conditions, including an obstruction in the duodenum. However, this manifestation is not specific to duodenal obstruction and can occur with obstructions at other locations in the gastrointestinal tract.
B. Vomiting of fecal material, known as feculent vomiting, is a hallmark sign of a complete obstruction in the lower gastrointestinal tract.
C. Ribbon-like stools are more commonly associated with conditions affecting the lower gastrointestinal tract, such as colorectal cancer or irritable bowel syndrome (IBS).

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After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches the client about his newly-diagnosed benign prostatic hyperplasia (BPH). Which statement made by the client Indicates the need for further education?

Correct Answer is B

Explanation

The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

Correct Answer is D

Explanation

The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?

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