During a family picnic, a relative of a nurse asks what they should do if there is blood in their urine and some pain in their lower abdomen. The best advise the nurse could give this family member would be which intervention?
Increase their intake of cranberry juice and other fluids
Wait and see if it goes away without treatment
Go to the emergency room right away
Get an appointment with their family provider
The Correct Answer is D
A. Increase their intake of cranberry juice and other fluids: While cranberry juice and increased fluids may help prevent or relieve mild urinary tract infections, the presence of blood in the urine (hematuria) and lower abdominal pain may indicate a more serious condition that requires professional evaluation rather than home remedies alone.
B. Wait and see if it goes away without treatment: Ignoring hematuria and pain can delay diagnosis and treatment of potentially serious conditions such as infections, stones, or other urinary tract problems. Prompt assessment is important to prevent complications.
C. Go to the emergency room right away: Unless symptoms are severe, such as uncontrollable pain, fever, or signs of systemic infection, immediate emergency care may not be necessary. However, timely medical evaluation is still essential.
D. Get an appointment with their family provider: This is the most appropriate advice because a healthcare provider can perform necessary assessments, such as history, physical exam, and diagnostic tests, to determine the cause of hematuria and pain and initiate appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. May be idiopathic: In many cases, especially central precocious puberty, no identifiable underlying cause is found. This is referred to as idiopathic precocious puberty and is a common diagnosis, particularly in girls.
B. Peripheral precocious puberty is independent of gonadotropin release from the pituitary gland: Peripheral (or gonadotropin-independent) precocious puberty occurs due to hormone secretion from sources other than the pituitary, such as adrenal tumors or ovarian cysts.
C. Central precocious puberty is caused by premature activation of the hypothalamic-pituitary-gonadal (HPG) axis: This is the most common form and involves early activation of the normal puberty pathway via the HPG axis.
D. It is defined as the onset of secondary sexual characteristics before age 8 in girls and age 9 in boys: This is the widely accepted medical definition of precocious puberty based on chronological age for the appearance of secondary sexual characteristics.
E. Tall stature during childhood is a common feature, but final adult height may be shorter than expected without treatment: Early growth spurts can lead to early closure of growth plates, resulting in reduced adult height if untreated.
Correct Answer is C
Explanation
A. Changing an IV: This procedure involves standard precautions to avoid bloodborne infections, not primarily fecal-oral infections like hepatitis A. It is more relevant to viruses such as hepatitis B and C.
B. Disposing of food trays: While hygiene in food service is important, the nurse’s direct role in disposing of trays does not significantly contribute to HAV prevention. HAV is transmitted primarily through the fecal-oral route rather than leftover food on trays.
C. Emptying bed pans: Hepatitis A is spread via the fecal-oral route. Handling feces, especially without strict hand hygiene and appropriate protective equipment, poses a high risk for transmission. Therefore, careful attention is needed during this activity to prevent spread.
D. Taking an oral temperature: This involves mucosal contact but carries minimal risk of spreading hepatitis A, especially when using disposable covers and practicing standard precautions. It is not a primary concern for fecal-oral transmission.
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