Nokea
A nurse is reviewing the admission prescriptions for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse expect to administer?
- A. Oseltamivir.
- B. Silodosin.
- C. Ceftriaxone.
- D. Doxepin.
Correct Answer: B
Rationale: Silodosin, an alpha-blocker, treats BPH symptoms by relaxing prostate and bladder neck muscles, easing urination.
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A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
- A. Orange juice.
- B. White rice.
- C. Corn flakes cereal.
- D. Watermelon.
- E. Bananas.
Correct Answer: A,D,E
Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?
- A. Confusion.
- B. Urinary retention.
- C. Incontinence.
- D. Low back pain.
Correct Answer: A
Rationale: Confusion is a unique symptom of urinary tract infections (UTIs) in older adults, often being the first or only symptom, making it a critical indicator for this age group.
A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?
- A. Administer the medication with each meal.
- B. Initiate contact precautions.
- C. Have suction equipment at the bedside.
- D. Monitor the client for black, tarry stools.
Correct Answer: D
Rationale: Monitoring for black, tarry stools is crucial as clopidogrel increases bleeding risk, indicating potential gastrointestinal bleeding.
A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 0.6 mL
Rationale: 30 mg ÷ 50 mg/mL = 0.6 mL. The nurse should administer 0.6 mL per dose.
A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?
- A. The client has small blood clots in his urinary catheter.
- B. The client reports a continuous urge to void.
- C. The client reports burning around the urinary catheter.
- D. The client has bright red urine in his urinary catheter.
Correct Answer: D
Rationale: Bright red urine indicates active bleeding, a serious complication requiring immediate attention to prevent hemorrhage.