Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

Maintaining optimal bladder emptying.

Doing leg exercises at least daily.

Using appropriate coping to allay anxiety.

Performing deep breathing exercises periodically.

Answer and Explanation

The Correct Answer is A

Maintaining optimal bladder emptying. A client with benign prostatic hyperplasia (BPH) may have difficulty urinating due to an enlarged prostate gland. To maintain optimal bladder emptying, the nurse may teach the client to double void, sit down while urinating, and avoid caffeine and alcohol.

Leg exercises, choice B, may be helpful in preventing blood clots but are not directly related to BPH.

Coping strategies, choice C, may be helpful for reducing anxiety but do not address the management of BPH.

Deep breathing exercises, choice D, may be helpful for reducing anxiety but do not address the management of BPH.

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Correct Answer is A

Explanation

drug allergy. A skin rash is a common symptom of an allergic reaction to a medication, and a drug allergy can occur at any time during drug therapy. A drug allergy may be due to an immune response, causing the immune system to overreact to a medication that it identifies as harmful to the body. The symptoms of a drug allergy may include a rash, hives, itching, or difficulty breathing. It is important for the nurse to determine which medication the client is taking and if the client has a history of allergies.

Heat stroke (B) occurs when the body is exposed to high temperatures, leading to symptoms such as high body temperature, confusion, and loss of consciousness. Hormone changes (C) can cause various changes in the body but do not usually cause skin rashes. A suntan (D) is a reaction of the skin to ultraviolet light and is not a cause of a skin rash.

A. The client's vital signs are temperature, 101.9 F; heart rate, 88 beats/minute; respiratory rate, 18 breaths/minute, and blood pressure, 138/80 mm Hg. B. The client has periorbital edema and ecchymosis. C. The client prefers to rest in the semi-Fowler's position. D. The client's level of consciousness has improved.

Correct Answer is A

Explanation

The client's vital signs are temperature, 101.9 F; heart rate, 88 beats/minute; respiratory rate, 18 breaths/minute, and blood pressure, 138/80 mm Hg. An elevated temperature is a significant finding that may indicate the presence of an infection, which can cause further neurological damage in a client with an intracranial injury. The physician should be notified promptly, as the client may require antibiotic therapy to prevent the spread of infection.

B. Periorbital edema and ecchymosis are normal findings following head injury and should be monitored but do not require immediate intervention.

C. Resting in semi-Fowler's position is an appropriate position to maintain after intracranial pressure-reducing surgery.

D. Improved level of consciousness is a positive finding and indicates that the client is responding well to treatment.

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Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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