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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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Decreasing expiratory pressure might not directly address the elevated PaCO2 and low pH.

B. Increasing tidal volume may help, but it’s more critical to address the ventilation rate first.

C. Increasing the rate of ventilation will help blow off more CO2, correcting the respiratory acidosis (elevated PaCO2 and low pH).

D. Decreasing expiratory flow time is less relevant than adjusting ventilation rates in this scenario.

A. Guillain-Barre syndrome. B. Mycoplasma pneumonia. C. Cytomegalovirus. D. Epstein-Bar virus.

Correct Answer is A

Explanation

A. Guillain-Barre syndrome is a condition that can occur after an upper respiratory infection and is characterized by progressive weakness, numbness, and sometimes difficulty swallowing, which align with the client's symptoms.

B. Mycoplasma pneumonia primarily affects the respiratory system and does not typically cause lower extremity numbness and difficulty swallowing.

C. Cytomegalovirus can cause a range of symptoms but is not specifically associated with lower extremity numbness and difficulty swallowing.

D. Epstein-Barr virus is linked to infectious mononucleosis and does not typically cause lower extremity numbness and difficulty swallowing.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Correct Answer is A

Explanation

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

A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?

Twelve hours after experiencing a traumatic closed fracture of the lower left tibia, a client reports pain, tingling, and diminished toe movement in the left foot. Which nursing problem has the highest priority based on this information?

Patient Data Exhibits The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals. Which 3 responses should the diabetic nurse educator provide?

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

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?