Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?

Costovertebral tenderness

Foul-smelling urine

Bladder distention

Suprapubic discomfort

Answer and Explanation

The Correct Answer is A

The most helpful finding by the nurse in determining whether a 67-yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis) would be

**costovertebral tenderness**⁴. This is because costovertebral tenderness is a common symptom of pyelonephritis⁵. Pyelonephritis is an infection of the upper urinary tract that can cause fever, chills, ﬂank pain, nausea, vomiting, and costovertebral tenderness⁵. Foul-smelling urine and bladder distention are not specific symptoms of pyelonephritis⁵. Suprapubic discomfort can be a symptom of lower urinary tract infection⁵.

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Correct Answer is A

Explanation

Prochlorperazine is an antiemetic medication that is commonly used to treat nausea and vomiting caused by various conditions, including chemotherapy, radiation therapy, and surgery. Giving the medication before the dressing changes, can prevent or minimize the onset of nausea and vomiting, which can be triggered by the pain and anxiety associated with the procedure.

Option B, keeping the patient NPO (nothing by mouth) for 2 hours before dressing changes, may be helpful in reducing the risk of aspiration if the patient needs sedation or general anesthesia for the procedure. However, it is not directly related to reducing the patient's nausea.

Option C, avoiding performing dressing changes close to the patient's mealtimes, may help reduce the risk of nausea caused by an overly full stomach, but it is not directly related to reducing the patient's nausea during the procedure.

Option D, administering prescribed morphine sulfate before dressing changes, may help reduce the patient's pain during the procedure, but it may also increase the risk of nausea and vomiting as a side eﬀect. Therefore, this option may not be the most useful in decreasing the patient's nausea.

A. Walking or cycling frequently will help bowel motility. B. Bulk-forming laxatives are an excellent source of fiber. C. A good time for bowel movement may be after breakfast. D. Some over-the-counter (OTC) medications cause constipation. E. Stimulants and saline laxatives can be used regularly.

Correct Answer is ["A","C","D"]

Explanation

Option b is not entirely correct because while bulk-forming laxatives contain fiber, they may not always be the best source of fiber, and their use should be individualized according to the patient's needs.

Option e is incorrect because while stimulants and saline laxatives can be eﬀective for occasional constipation, they should not be used regularly or for an extended period without medical supervision as they can lead to dependence and other complications.

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Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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Which finding by the nurse will be most helpful in determining whether a 67- yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (pyelonephritis)?