An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

Obtain a clean, voided urine specimen for analysis.

Evaluate the client's response to bladder training efforts.

Provide protective undergarments for the client.

Encourage increased fluid intake for 24 hours.

Answer and Explanation

The Correct Answer is A

Choice A reason: Obtaining a urine specimen is essential for analyzing possible infections or other abnormalities that could be causing urinary incontinence.

Choice B reason: While evaluating the client's response to bladder training is important, it is not the first step before diagnosing the cause of new-onset incontinence.

Choice C reason: Providing protective undergarments may help manage symptoms but does not address the underlying cause of the incontinence.

Choice D reason: Encouraging increased fluid intake could potentially exacerbate incontinence symptoms and is not a diagnostic intervention.

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Correct Answer is D

Explanation

Choice A reason: Heat and cold therapy can help manage symptoms but are not directly related to health promotion and teaching.

Choice B reason: Avoiding foods containing purine is more related to conditions like gout, not rheumatoid arthritis.

Choice C reason: Immobilization of affected joints is not a health promotion strategy and can actually worsen rheumatoid arthritis symptoms over time.

Choice D reason: Prevention through nutrition and exercise is a key component of health promotion and teaching for clients with rheumatoid arthritis, as it can help manage symptoms and improve overall health.

A. Mild sedation. B. Dizziness reported after the initial dose. C. Somnambulism. D. A change in the sleep-wake cycle.

Correct Answer is C

Explanation

Choice A reason: Mild sedation is a common and expected side effect of ramelteon, which is a sedative used to treat insomnia. It is generally not a cause for concern unless it persists or worsens.

Choice B reason: Dizziness reported after the initial dose is also a common side effect of ramelteon. It usually diminishes as the body adjusts to the medication. However, if dizziness persists or is severe, it should be reported to the healthcare provider.

Choice C reason: Somnambulism, or sleepwalking, is a serious side effect that should be reported to the healthcare provider immediately. Ramelteon can cause people to engage in activities while not fully awake and have no memory of the activity afterward. This could include walking, driving, eating, or making phone calls, and poses a significant safety risk.

Choice D reason: A change in the sleep-wake cycle is an expected effect of ramelteon, as it is used to manage the sleep-wake cycle in people with insomnia. It is not typically a side effect that needs to be reported unless the changes are extreme or cause significant distress.

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An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing responsibility is related to health promotion and teaching for the client with rheumatoid arthritis?

Correct Answer is D

Explanation

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

Correct Answer is C

Explanation

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