The nurse observes a practical nurse (PN) pouring warm water over the perineal area of a female client who has frequent urinary incontinence while the client is positioned on a bedpan. Which action should the nurse take?

Suggest contacting the healthcare provider for a prescription for catheter insertion.

Recommend a complete bath to cleanse the perineal area more fully.

Evaluate the effectiveness of this measure to stimulate client voiding.

Instruct the PN that this technique promotes infection in elderly females.

Answer and Explanation

The Correct Answer is C

A.   Suggest contacting the healthcare provider for a prescription for catheter insertion: Catheter insertion may not be necessary if the client is able to void with this technique. It's important to evaluate less invasive measures first.
B.   Recommend a complete bath to cleanse the perineal area more fully: While cleanliness is important, the immediate concern is addressing urinary incontinence and promoting voiding.
C.   Evaluate the effectiveness of this measure to stimulate client voiding: Warm water can sometimes stimulate voiding reflexes in clients who have difficulty emptying their bladders. Assessing the client's response to this measure is appropriate.
D.   Instruct the PN that this technique promotes infection in elderly females: Pouring warm water over the perineal area does not necessarily promote infection, especially if proper hygiene
measures are followed. It's important to assess the effectiveness of the intervention before assuming it is inappropriate.

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Correct Answer is B

Explanation

A. Mild sedation is a common side effect of ramelteon and typically does not require immediate medical attention. It may improve with continued use as the body adjusts to the medication.
B. Somnambulism (sleepwalking) is a less common but potentially serious side effect of ramelteon. It can pose safety risks to the client, and the healthcare provider should be notified promptly to assess the severity and determine if the medication needs to be adjusted or
discontinued.
C. A change in the sleep-wake cycle is a common intended effect of ramelteon as it helps regulate sleep patterns. However, if the change is extreme or disruptive, it may warrant further evaluation by the healthcare provider.
D. Dizziness reported after the initial dose is a common side effect of ramelteon and usually
diminishes with continued use. It may not require immediate medical attention unless it persists or worsens.

A. Vitamin D combined with calcium is balanced with phosphorus for absorption for strong bones. B. Calcium uses vitamin D that is produced in the skin by exposure to sunshine. C. Avoiding the use of sunscreen is important for adequate vitamin D synthesis. D. Adding daily Vitamin D with oral calcium supplements promotes absorption of calcium into bone.

Correct Answer is D

Explanation

A. Vitamin D combined with calcium is balanced with phosphorus for absorption for strong bones: While phosphorus is important for bone health, this statement does not specifically address the role of vitamin D in calcium absorption.
B. Calcium uses vitamin D that is produced in the skin by exposure to sunshine: This statement describes the role of sunlight in vitamin D synthesis but does not emphasize the importance of vitamin D supplementation in osteoporosis management.
C. Avoiding the use of sunscreen is important for adequate vitamin D synthesis: While sunscreen can inhibit vitamin D synthesis, this statement does not directly address the importance of
vitamin D supplementation in osteoporosis management.
D. Adding daily Vitamin D with oral calcium supplements promotes absorption of calcium into bone: This statement emphasizes the crucial role of vitamin D in facilitating calcium absorption into bones, which is essential for maintaining bone density and preventing osteoporosis
progression.

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The nurse observes a practical nurse (PN) pouring warm water over the perineal area of a female client who has frequent urinary incontinence while the client is positioned on a bedpan. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

Correct Answer is B

Explanation

The nurse is teaching a client with early osteoporosis the importance of including vitamin D with calcium supplements. Which information is most important for the nurse to provide to encourage the client's compliance in the management of progressing osteoporosis?

Correct Answer is D

Explanation

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