Nokea
The patient complains of wetting when she sneezes. How should the nurse document this information?
- A. Nocturia
- B. Micturition
- C. Urge incontinence
- D. Stress incontinence
Correct Answer: D
Rationale: The correct answer is D: Stress incontinence. This type of incontinence is characterized by leakage of urine when there is increased intra-abdominal pressure, such as during sneezing or coughing. The nurse should document this information as stress incontinence to accurately describe the patient's symptoms. Nocturia (A) refers to waking up at night to urinate, not related to sneezing. Micturition (B) is the act of urination, not specific to the patient's symptoms. Urge incontinence (C) is characterized by a sudden and strong need to urinate, not triggered by sneezing.
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Which statement by a new nurse teaching a patient with cystitis requires intervention?
- A. You should always drink 1 to 3 liters of fluid every day.
- B. Empty your bladder regularly even if you do not feel the urge to urinate.
- C. Drinking cranberry juice daily may decrease bacteria in your bladder.
- D. It's OK to soak in the tub with bubble bath as it will keep you clean.
Correct Answer: D
Rationale: The correct answer is D because soaking in a tub with bubble bath can exacerbate cystitis symptoms due to potential irritation from the bubble bath chemicals. This can worsen the patient's condition. A, B, and C are correct statements. A promotes proper hydration, B encourages regular emptying of the bladder to prevent bacterial growth, and C suggests a potential remedy for cystitis by consuming cranberry juice.
A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
- A. Eliciting the cremasteric reflex is recommende
- C. The glans is assessed for redness or lesions.
- D. COM
Correct Answer: C
Rationale: The correct answer is C: The glans is assessed for redness or lesions. This is the appropriate step for a genital examination in a 2-month-old uncircumcised infant to check for any signs of infection or abnormalities. Eliciting the cremasteric reflex (choice A) is not necessary for a routine well-baby checkup and is more relevant in assessing testicular descent. Choices B and D are incomplete or irrelevant, not addressing the specific aspect of the genital examination needed in this scenario.
The main regulator of water reabsorption is
- A. renin
- B. angiotensin
- C. antidiuretic hormone
- D. aldosterone
Correct Answer: C
Rationale: The correct answer is C: antidiuretic hormone. Antidiuretic hormone (ADH) regulates water reabsorption in the kidneys by increasing permeability of the collecting ducts to water. This allows for reabsorption of more water back into the bloodstream, reducing urine output and maintaining water balance. Renin, angiotensin, and aldosterone are involved in regulating blood pressure and electrolyte balance, not specifically water reabsorption. Therefore, ADH is the main regulator of water reabsorption in the body.
The nurse is caring for a patient who is going to have to an older adult?
- A. If possible, try to drink at least 4 liters of fluid daily.
- B. Ensure that you avoid replacing water with other procedure? beverages.
- C. Discuss the patients diagnosis with the family.
- D. Remember to drink frequently, even if you dont feel
Correct Answer: D
Rationale: The correct answer is D because older adults are at higher risk for dehydration due to decreased thirst sensation. Reminding the patient to drink frequently, even if they don't feel thirsty, helps prevent dehydration. A: Drinking 4 liters of fluid daily may not be suitable for all older adults and can lead to water intoxication. B: Avoiding replacing water with other beverages is important, but it is not the most critical aspect of hydration in older adults. C: Discussing the patient's diagnosis with the family is unrelated to the immediate need for hydration in this scenario.
Which of the following antibiotics is considered safe to use in newborn babies?
- A. Chloramphenicol
- B. Trimethoprim/Sulfamethoxazole
- C. Tetracyclines
- D. Ampicillin
Correct Answer: D
Rationale: The correct answer is D: Ampicillin. It is considered safe to use in newborn babies due to its efficacy against common bacterial infections in this age group. Ampicillin is a broad-spectrum antibiotic that is often prescribed for neonatal sepsis and meningitis. It is also well-tolerated and has minimal side effects in newborns.
A: Chloramphenicol is not recommended in newborns due to the risk of gray baby syndrome.
B: Trimethoprim/Sulfamethoxazole can cause kernicterus and other adverse effects in newborns.
C: Tetracyclines can lead to tooth discoloration and inhibit bone growth in newborns.