The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

Chronic pain

Impaired urinary elimination

Risk for bleeding

Risk for urinary tract injury

Answer and Explanation

The Correct Answer is B

B. Impaired urinary elimination: This is the priority problem for a client diagnosed with BPH. BPH commonly obstructs the flow of urine out of the bladder, leading to symptoms such as urinary hesitancy, weak urinary stream, incomplete emptying, and urinary retention. Addressing impaired urinary elimination is crucial to prevent complications such as urinary retention, urinary tract infections, and kidney damage.

A. While BPH can cause symptoms such as urinary hesitancy, frequency, urgency, and incomplete emptying, chronic pain is not typically a primary symptom of BPH itself. However, complications of BPH, such as urinary retention or urinary tract infections, may cause discomfort or pain. Addressing pain related to complications of BPH is important but may not be the priority in all cases.
C. While BPH itself does not typically increase the risk of bleeding, procedures used to diagnose or treat BPH, such as transurethral resection of the prostate (TURP), may carry a risk of bleeding. However, this risk is usually managed intraoperatively and postoperatively by healthcare providers. In the absence of specific interventions or procedures with bleeding risks, addressing bleeding may not be the priority for a client with BPH.
D. Urinary tract injury, particularly during surgical procedures to treat BPH, is a potential complication. However, it may not be the priority problem in the absence of planned interventions or procedures.

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Correct Answer is D

Explanation

D. In paralytic ileus, there is a lack of bowel motility, resulting in absent or diminished bowel sounds on auscultation and absent passage of flatus. The bowel sounds may be hypoactive or completely absent due to the lack of peristalsis. Additionally, the client may experience abdominal distention and discomfort due to the accumulation of gas and fluid in the intestines.
A. Pencil-thin stools are more commonly associated with conditions such as colorectal cancer or rectal strictures. In paralytic ileus, where there is a lack of bowel motility, the stools are typically absent rather than thin.
B. Fecal-smelling breath is not a typical finding in paralytic ileus. While it may occur in conditions associated with severe constipation or bowel obstruction, it is not specific to paralytic ileus.
C. Passage of mucus and blood in stools is not a characteristic finding of paralytic ileus. It is more commonly associated with conditions such as inflammatory bowel disease or colorectal cancer.

A. Attention-deficit/hyperactivity disorder B. Diabetes mellitus C. Rheumatoid arthritis D. Hypotension

Correct Answer is B

Explanation

B. Childhood obesity is a significant risk factor for the development of type 2 diabetes mellitus (T2DM) in children and adolescents. Excess adiposity can lead to insulin resistance, a key underlying mechanism in the development of T2DM.
A. While ADHD is a neurodevelopmental disorder that can affect children, it is not typically considered a direct consequence or complication of childhood obesity. However, there may be associations between obesity and ADHD, such as shared genetic factors or lifestyle factors, but causality is not clearly established.
C. Rheumatoid arthritis is an autoimmune disorder characterized by inflammation of the joints. While obesity is a known risk factor for osteoarthritis, particularly in weight-bearing joints, it is not typically associated with rheumatoid arthritis.
D. Hypotension, or low blood pressure, is not typically considered a complication of childhood obesity. In fact, obesity is more commonly associated with hypertension (high blood pressure) due to the increased strain on the cardiovascular system.

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The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with a paralytic ileus. What would be an expected assessment finding?

Correct Answer is D

Explanation

A nurse is teaching a class about long-term effects of childhood obesity. The nurse should include which of the following conditions as a potential complication of childhood obesity?

Correct Answer is B

Explanation

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