The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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Correct Answer is A

Explanation

A. Older adults with UTIs may present with atypical symptoms such as confusion or acute changes in mental status, known as delirium, rather than classic urinary symptoms. This is often referred to as "geriatric UTI syndrome" and can be the only presenting symptom in some cases.
B. Incontinence can occur in individuals of all ages with UTIs and is not unique to older adults.
C. Urinary retention is not typically associated with UTIs in older adults; instead, they may experience urinary frequency and urgency.
D. Low back pain can occur in individuals of all ages with UTIs and is not unique to older adults.

A. Bowel sounds B. Temperature C. Heart rate D. Skin integrity

Correct Answer is B

Explanation

A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

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The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Correct Answer is A

Explanation

Which finding is most important to monitor when caring for a patient with leukemia?

Correct Answer is B

Explanation

A patient reporting palpitations has multiple premature ventricular contractions (PVCS) on an electrocardiogram (ECG) tracing. Which patient statement Indicates teaching is effective?

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

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