Patient Data
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
The Correct Answer is ["A","B","C","D","F"]
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.
B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.
C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.
D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.
Correct Answer is A
Explanation
A. The statement indicates that the client is swallowing the medication rather than inhaling it, which suggests improper use of the inhaler.
B. Difficulty inhaling and holding breath can occur with proper use but does not necessarily indicate incorrect technique.
C. While using the inhaler only when very short of breath may not be optimal management, it does not indicate incorrect use of the inhaler itself.
D. Shaking the inhaler before use is a correct technique to ensure proper medication delivery.
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