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Patient Data

Exhibits

The nurse reviews the history and physical, the nurses' notes, and flow sheet to see what is causing the client's symptoms.

Click to highlight the findings that require follow-up.

A 70-year-old male visits his primary healthcare provider reporting an increase

in urinary urgency and frequency. The client reports that he has been waking 2 to 3 times at night needing to void. He reports that there have been 3 to 4 incidences of incontinence over the last 3 months, which has caused him to feel embarrassed. The client has a history of obesity and diabetes mellitus that is controlled with metformin 1,500 mg PO daily. Client reports a penile implant that was inserted 20 years ago and had no issues since then. Other medications include atorvastatin 20 mg PO daily for high cholesterol, a daily multivitamin, and 200 mg of ibuprofen PO 1 to 2 times a week for generalized aches and pains.

increase in urinary urgency and frequency

client reports that he has been waking 2 to 3 times at night needing to void.

He reports that there have been 3 to 4 incidences of incontinence over the last 3 months

200 mg of ibuprofen PO 1 to 2 times a week

a history of obesity and diabetes mellitus

Client reports a penile implant that was inserted 20 years ago and had no issues since then

atorvastatin 20 mg PO daily for high cholesterol

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Increased Urinary Urgency and Frequency and Nocturia: These symptoms warrant further investigation for possible underlying conditions such as BPH or other genitourinary issues.

Penile Implant: Changes in sexual function or discomfort with the penile implant should be evaluated to ensure there are no complications.

Ibuprofen Use: Assessment of the impact of ibuprofen on urinary symptoms and overall health should be considered.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. The adult nurse practitioner may be involved in direct patient care but is not typically responsible for coordinating the overall progression of care.

B. The neurology unit supervisor might oversee the neurology-related aspects but not the overall case management.

C. The risk management nurse deals with issues related to patient safety and quality but does not usually coordinate patient care.

D. The nurse case manager is specifically responsible for coordinating the progression of care, including planning, implementing, and evaluating the overall treatment plan.

A. Pain scale rating of a 9 on a 0 to 10 scale. B. History of irritable bowel syndrome (IBS). C. Reports white, curdy vaginal discharge. D. Last menstrual period was 7 weeks ago.

Correct Answer is C

Explanation

A. A high pain rating is concerning but does not provide specific diagnostic information.

B. A history of IBS is relevant but not as immediately critical in this acute situation.

C. White, curdy vaginal discharge may indicate a yeast infection or other serious gynecological issue, which could be important in the differential diagnosis of abdominal pain.

D. A missed menstrual period is notable but may not be as urgent in the immediate assessment compared to other symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Correct Answer is D

Explanation

A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

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?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

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

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

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

An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)