The client tells the nurse. "The need to urinate comes on me all of a sudden, and it feels as though I have to go immediately-that I can't wait." The nurse charts that the client is experiencing:
frequent enuresis.
urinary frequency.
urinary urgency.
urge incontinence.
The Correct Answer is C
A. frequent enuresis: Frequent enuresis refers to the involuntary loss of urine during the day or night, often associated with bedwetting. It does not specifically describe the sudden, compelling need to urinate described by the client.
B. urinary frequency: Urinary frequency is the need to urinate more often than usual, which may or may not be associated with urgency. It does not fully capture the sudden, urgent need to urinate described by the client.
C. urinary urgency: Urinary urgency is the sudden, compelling need to urinate that cannot be delayed. This aligns with the client's description of feeling like they have to go immediately and cannot wait. Therefore, this is the most appropriate choice.
D. urge incontinence: Urge incontinence involves the involuntary loss of urine associated with a sudden, strong desire to urinate. While similar to urinary urgency, it specifically refers to the leakage of urine that can occur due to the inability to reach the toilet in time after feeling the urge to urinate. However, the client's statement does not indicate actual urine leakage, making this option less appropriate than urinary urgency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. White blood cells (WBCs): The nurse should monitor the client's white blood cell count to assess their ability to withstand exposure to pathogens. WBCs are integral to the body's immune response, as they play a crucial role in defending against infections. An elevated or decreased WBC count can indicate an underlying infection or immune dysfunction, helping the nurse identify potential risks to the client's health. Regular monitoring of WBC levels allows for timely intervention and assessment of the client's immune status.
B. Platelets: Platelets are primarily responsible for blood clotting and are not directly involved in the body's immune response to pathogens. While they are important for hemostasis and preventing excessive bleeding, monitoring platelet count is not directly indicative of a client's ability to withstand exposure to pathogens.
C. Red blood cells: Red blood cells (RBCs) are responsible for transporting oxygen throughout the body and are not directly involved in the immune response to pathogens. Monitoring red blood cell count, hemoglobin, and hematocrit levels is important for assessing oxygen-carrying capacity and detecting conditions such as anemia, but it does not provide specific information about the client's ability to combat infections.
D. Hematocrit: Hematocrit measures the proportion of red blood cells in the blood and is used to assess blood volume and oxygen-carrying capacity. While changes in hematocrit levels may indirectly indicate certain health conditions, such as dehydration or polycythemia, it does not directly reflect the client's immune status or ability to withstand exposure to pathogens.
Correct Answer is B
Explanation
A. HOB (Head of Bed): This abbreviation refers to the position of the client's bed and does not indicate a specific time for medication administration. It stands for "Head of Bed" and is often used in nursing documentation to describe the elevation of the head of the bed relative to the client's body.
B. hs: This is the correct abbreviation. "hs" stands for "hora somni" in Latin, which translates to "at bedtime." It indicates that the medication should be administered to the client before they go to sleep for the night. This abbreviation is commonly used in medication orders and nursing documentation to specify the timing of medications given at bedtime.
C. hr: This abbreviation stands for "hour," indicating a specific time frame rather than a particular time of day. It does not specify bedtime as the intended time for medication administration.
D. HOH (Hard of Hearing): This abbreviation refers to the client's auditory status and does not indicate a specific time for medication administration. It stands for "Hard of Hearing" and is used to describe clients who have difficulty hearing.
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