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 C
Explanation
A. Assessing papillary reactions to light is important in a neurological assessment but is not the priority in this situation.
B. Measuring and recording abdominal girth is not relevant to the client's current symptoms.
C. Auscultating over the main stem bronchus is the priority action as the client's symptoms suggest potential airway compromise, possibly from inhalation injury or swelling. Early identification and management of airway issues are critical in burn patients.
D. Determining the time of last oral intake is part of a comprehensive assessment but is not the immediate priority when airway compromise is suspected.
Correct Answer is B
Explanation
A. Hiring a private nurse may be an option but is not the most immediate or practical solution given the client's current resources and concerns.
B. Suggesting contacting social services to find respite care is a practical and immediate solution to ensure her husband’s care while the client recovers.
C. A case management evaluation is helpful but may not address the immediate need for respite care during the client's recovery period.
D. Recommending that the family return might not be feasible or immediate, and respite care can provide the necessary support during recovery.
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