Exhibits
The nurse has reviewed the laboratory results and flow sheet.
Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.
The nurse recognizes that the client has
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Bladder retention: The client reports increased urinary urgency and frequency, waking at night to void, and instances of incontinence. These symptoms are consistent with bladder retention, where the bladder does not empty completely, often seen in benign prostatic hyperplasia (BPH).
Overflow incontinence: This type of incontinence occurs when the bladder is full, and small amounts of urine leak out due to an inability to empty the bladder properly, commonly associated with BPH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Agreeing with the delusions can reinforce the false beliefs and is not an effective therapeutic approach.
B. Disagreeing and setting limits may escalate the client's anxiety or agitation and does not address the delusion in a therapeutic manner.
C. While informing the provider is important, the immediate action should focus on therapeutic communication with the client.
D. Presenting a personal perception of reality in a non-confrontational manner helps the client to gently challenge their delusion and encourages a more grounded conversation.
Correct Answer is D
Explanation
A. Assisting with giving sips of water could pose a choking risk if the client's swallowing ability is impaired.
B. Using a straw could increase the risk of aspiration for a client with swallowing difficulties.
C. Obtaining thickening powder might be necessary, but first the nurse must assess the client's ability to swallow safely.
D. Assessing the client's swallowing reflex is the priority to ensure safe swallowing and prevent aspiration.
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