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
dropdown
incontinence and
dropdown
which may be caused by benign prostate hyperplasia.

Answer and Explanation

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

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Naxlex Comprehensive Predictor Exams

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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.

A. Bruises in various stages of healing B. Over-sedation C. Depression or withdrawn behavior D. Leaving an older adult in a public space E. Untreated pressure injuries F. Poor personal hygiene

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.

Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.

Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.

Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.

Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.

Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

Correct Answer is D

Explanation

Patient Data Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

Exhibits The nurse reviews the healthcare provider's orders. Select the 4 things the nurse should educate the client about taking his medication.

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Patient Data Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?