Nokea
Dipstick testing of an older adult patients urine indicates the presence of protein. Which of the following statements is true of this assessment finding?
- A. This finding needs to be considered in light of other forms of testing.
- B. This finding is a risk factor for urinary incontinenc
- D. This finding is likely the result of an ag
Correct Answer: A
Rationale: Rationale:
1. Protein in urine can indicate renal issues, so further testing like urine protein/creatinine ratio is needed.
2. Proteinuria doesn't directly relate to urinary incontinence.
3. The finding is not related to age or gender, ruling out options B and D.
4. Option A is correct as it emphasizes the need for additional testing to confirm the presence and significance of protein in urine.
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A patient has low cardiac output due to poor cardiac function. He is eclematous. Which one of the following should be avoided because it can aggravate cardiac dysfunctions?
- A. Furosemide
- B. Spironolactone
- C. Mannitol
- D. Hydrochlorothiazide
Correct Answer: C
Rationale: The correct answer is C: Mannitol. Mannitol is an osmotic diuretic that can worsen heart failure by increasing plasma volume and exacerbating the workload on the heart. Furosemide (A) and Hydrochlorothiazide (D) are loop and thiazide diuretics, respectively, commonly used to manage fluid overload in heart failure patients. Spironolactone (B) is a potassium-sparing diuretic that can be beneficial in heart failure by counteracting potassium loss caused by other diuretics.
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for _______ cancer.
- A. Uterine.
- B. Cervical.
- C. Ovarian.
- D. Endometrial.
Correct Answer: B
Rationale: The correct answer is B: Cervical cancer. HPV is a known risk factor for cervical cancer as certain strains of the virus can lead to changes in cervical cells that may progress to cancer. Regular examinations, such as Pap smears, can help detect any abnormalities early on and prevent the development of cervical cancer.
Choice A: Uterine cancer is not directly linked to HPV.
Choice C: Ovarian cancer is not commonly associated with HPV.
Choice D: Endometrial cancer is not directly caused by HPV.
Regular screenings for cervical cancer are crucial for women with HPV to monitor any changes and take necessary preventive measures.
Cloxacillin is indicated in infections caused by the following organism(s):
- A. Staphylococci
- B. Streptococci
- C. Gonococci
- D. All of the above
Correct Answer: A
Rationale: Cloxacillin is a beta-lactam antibiotic effective against Staphylococci. Staphylococci commonly cause skin and soft tissue infections. Streptococci are not typically treated with cloxacillin. Gonococci are not susceptible to cloxacillin. Therefore, the correct answer is A, as it is the only organism listed that is indicated for treatment with cloxacillin.
The nurse plans care for the patient with APSGN based on what knowledge?
- A. [choice A]
- B. [choice B]
- C. [choice C]
- D. [choice D]
Correct Answer: D
Rationale: The correct answer is D because APSGN (Acute Poststreptococcal Glomerulonephritis) is caused by an immune response to a streptococcal infection. Therefore, the nurse must understand the pathophysiology, signs/symptoms, treatment, and potential complications associated with APSGN to provide effective care. Choice A, B, and C may not directly address the specific knowledge needed to care for a patient with APSGN, making them incorrect options.
The nurse and urologist have both been unsuccessful
- A. Assuming a supine position for self-catheterization in catheterizing a patient with a prostatic obstruction and
- B. Using clean technique at home to catheterize a full bladder. What approach does the nurse anticipate
- C. Inserting the catheter 1 to 2 inches into the urethra the physician using to drain the patients bladder?
- D. Self-catheterizing every 2 hours at home
Correct Answer: E
Rationale: Rationale:
E is the correct answer because it addresses the need for further assessment and intervention by the healthcare team. The nurse and urologist's unsuccessful attempts indicate a need for a different approach. Options A, B, C, and D do not address the need for additional assessment or intervention. Option A focuses on positioning, B on technique, C on depth of insertion, and D on frequency of self-catheterization. None of these options address the need for a different plan of care. Therefore, E is the correct choice as it prompts the healthcare team to reassess and consider alternative strategies.