A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
- A. Difficulty starting the flow of urine.
- B. Painful urination.
- C. Urge incontinence.
- D. Critically elevated prostate-specific antigen (PSA) level.
Correct Answer: A
Rationale: Difficulty starting urine flow is common in BPH due to prostate enlargement obstructing the urethra.
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A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?
- A. Obesity.
- B. Dehydration.
- C. Iron deficiency.
- D. Protein in the urine.
Correct Answer: B
Rationale: Dehydration is a significant risk factor for renal calculi as it leads to concentrated urine, promoting crystallization of minerals and stone formation.
A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?
- A. Take temperature weekly.
- B. Participate in gardening for mild exercise.
- C. Eat plenty of fresh fruits and vegetables.
- D. Avoid crowded places.
Correct Answer: D
Rationale: Avoiding crowded places reduces infection risk in neutropenic clients with low white blood cell counts.
A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)
- A. Acetone breath.
- B. Fever.
- C. Serum glucose 800 mg/dL (74 to 106 mg/dL).
- D. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L).
- E. Insidious onset.
Correct Answer: B,C,E
Rationale: Fever, serum glucose of 800 mg/dL, and insidious onset are characteristic of HHS, often triggered by infection and marked by extreme hyperglycemia without significant ketoacidosis.
A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose of this test?" Which of the following responses should the nurse give?
- A. This test will inform your provider if you are anemic.
- B. This test will inform your provider if you have an infection.
- C. This test will inform your provider how your kidneys are functioning.
- D. This test will inform your provider if you have a thyroid disorder.
Correct Answer: C
Rationale: A serum creatinine test measures the level of creatinine in the blood, which is an indicator of kidney function. Elevated creatinine levels can indicate impaired kidney function or kidney disease.
A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?
- A. Blood glucose levels.
- B. Gallbladder studies.
- C. Liver function tests.
- D. Thyroid function studies.
Correct Answer: C
Rationale: Liver function tests are required for pyrazinamide due to its potential for hepatotoxicity, necessitating regular monitoring.
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