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"]
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 D
Explanation
A. Serum sodium level is not directly related to the presence of infection or the client's ability to fight infection.
B. Platelet count is important for assessing bleeding risk but is not directly related to infection.
C. Hematocrit levels are related to the client's blood volume and anemia status but do not directly indicate infection.
D. Neutrophil count is crucial for assessing the client’s immune response and ability to fight infection. An elevated neutrophil count could indicate an ongoing infection, while a low count could suggest an immunocompromised state.
Correct Answer is C
Explanation
After removing a dressing that is saturated with sanguineous drainage, it is essential to dispose of it properly to prevent the spread of infection and maintain a safe environment. The dressing should be placed in a designated biohazard container, which is typically red, to signify that the contents are hazardous and require special handling. The red container is specifically used for items contaminated with blood or bodily fluids, ensuring that they are treated as medical waste and disposed of according to health and safety regulations.
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