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 A

Explanation

A. Acute pain deep within the eye following laser trabeculoplasty surgery may indicate a serious complication such as increased intraocular pressure or infection. It is crucial to report this symptom to the surgeon immediately for further evaluation and management.

B. Administering an antiemetic is not directly related to addressing the acute eye pain.

C. Applying bilateral eye shields can help with photosensitivity but does not address the underlying cause of the acute pain.

D. Beginning postoperative prophylactic antibiotics may be necessary but does not address the immediate concern of the acute pain reported by the client.

A. Severe motor dysfunction determines the extent of successful habilitation. B. Brain damage with CP is not progressive but does have a variable course. C. Continued development of the brain lesion determines the child's outcome. D. CP is one of the most common permanent physical disability in children.

Correct Answer is B

Explanation

A. This statement does not directly address the mother's concern about the progression of CP.

B. Explaining that brain damage with CP is not progressive but has a variable course provides clear and accurate information, reassuring the mother that while the condition itself does not worsen, symptoms and functional abilities may change over time.

C. This option incorrectly suggests that the brain lesion will continue to develop, which is not accurate for CP.

D. This statement provides general information about CP but does not address the specific concern about progression of movement impairments.

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Body System	Assessment Finding
Neurological	Restless Awake and alert Anxious
Respiratory	Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough
Cardiovascular	Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Correct Answer is A

Explanation

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Correct Answer is B

Explanation

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

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 client tells the nurse about beginning an exercise program a month ago to lose weight and improve sleep. The client states, "It still takes at least two hours to fall asleep at night." Which action should the nurse implement?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Patient Data Exhibits After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood sugar?" Which are the nurse's best responses? Select all that apply.