The nurse is teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?

"I need to inform my allergist that I cannot take my normal antihistamine."

"There should be no problem with drinking wine with dinner each night."

"My routine of drinking a quart (liter) of water first thing in the morning needs to change."

"I am so glad that I weaned myself off of coffee about a year ago."

Answer and Explanation

The Correct Answer is B

A. Certain antihistamines can worsen urinary retention in BPH, so informing the allergist is a good practice.

B. Alcohol, including wine, can worsen the symptoms of BPH by increasing urinary retention and bladder discomfort. The client needs further teaching regarding the effects of alcohol on BPH symptoms.

C. It is advisable to avoid large volumes of fluids in the morning, as this can exacerbate BPH symptoms.

D. Caffeine can irritate the bladder and worsen BPH symptoms, so weaning off coffee is a helpful measure.

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Correct Answer is A

Explanation

A. "I will make sure that my partner takes all the prescribed medication.": This is the correct answer. Expedited partner therapy involves treating the partner(s) without an initial clinical visit, so ensuring they take all prescribed medications is essential to prevent reinfection.

B. "I will have my partner take the antibiotics if any STI symptoms occur.": This is incorrect because the partner should take the antibiotics regardless of symptoms to effectively treat the infection.

C. "I will have my partner use a condom until I finish the antibiotics.": While condom use is important, it does not replace the need for the partner to receive treatment.

D. "I will tell my partner that it is important to be examined at the clinic.": Although important, expedited partner therapy aims to provide treatment without a clinic visit.

A. Adenosine 6 mg IV push B. Immediate cardioversion C. Adenosine 12 mg IV push D. Amiodarone 150 mg bolus followed by a 24 hour drip

Correct Answer is B

Explanation

A. Adenosine 6 mg IV push: Adenosine is used for certain supraventricular tachycardias, but immediate cardioversion is the first priority for a client with atrial flutter and chest pain.

B. Immediate cardioversion: This is the correct answer. Immediate cardioversion is indicated for atrial flutter with signs of hemodynamic instability, such as chest pain and shortness of breath.

C. Adenosine 12 mg IV push: Adenosine may be used after the first dose of 6 mg if the initial dose was ineffective, but cardioversion takes precedence for unstable patients.

D. Amiodarone 150 mg bolus followed by a 24-hour drip: Amiodarone is an antiarrhythmic used for rate control or rhythm conversion but is not the first step for hemodynamically unstable clients with atrial flutter.

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The nurse is teaching a client diagnosed with benign prostatic hyperplasia (BPH). What statement indicates the client needs further information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the nurse has taught the client with a newly diagnosed sexually transmitted infection about expedited partner therapy, which client statement indicates that teaching has been effective?

Correct Answer is A

Explanation

A client who is on the progressive care unit develops atrial flutter, rate 150 with dyspnea, shortness of breath and chest pain. Which action that is included in the hospital dysrhythmia protocol should the nurse do first?

Correct Answer is B

Explanation

After teaching a client who has an implantable cardioverter- defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?

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A nurse assesses a client with tachycardia. Which clinical manifestation requires immediate intervention by the nurse?

Physician orders Cardizem to infuse at 10 mg/hr. Available is Cardizem 125 mg in 100 ml D5W. What is the rate in ml/hr?

A nurse is assessing clients on a medical-surgical unit. Which client would the nurse identify as being at greatest risk for atrial fibrillation?

A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?

An emergency department nurse triages clients who present with chest discomfort. Which client would the nurse plan to assess first?

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