Nokea
When the client complains about the bland taste of the food, the nurse appropriately recommends substituting salt with which condiment?
- A. Catsup
- B. Mustard
- C. Soy sauce
- D. Lemon juice
Correct Answer: D
Rationale: Lemon juice is a low-sodium flavor enhancer, suitable for a sodium-restricted diet, unlike catsup, mustard, or soy sauce.
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Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
- A. Urinary frequency is decreased.
- B. Urinary urgency is decreased.
- C. Urinary burning is decreased.
- D. Urine output is increased.
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
When managing catheter care, which nursing action is most important for promoting wound healing?
- A. Avoid tension on the catheter.
- B. Encourage oral fluid intake.
- C. Clean the urethral meatus daily.
- D. Clamp and release the catheter every 2 hours.
Correct Answer: A
Rationale: Avoiding tension on the catheter prevents trauma to the surgical site, promoting healing.
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when urinating. After asking the parent to leave the room, which question should the nurse ask the client?
- A. When was your last menstrual cycle?'
- B. Have you noticed any change in the color of the urine?'
- C. Are you sexually active?'
- D. What have you taken for the pain?'
Correct Answer: C
Rationale: Sexual activity is a risk factor for UTIs in young females due to urethral irritation. Asking this privately ensures honesty and guides diagnosis/treatment. Menstrual cycle, urine color, and pain relief are secondary.
The elderly client recovering from a prostatectomy has been experiencing stress incontinence. Which independent nursing intervention should the nurse discuss with the client?
- A. Establish a set voiding frequency of every two (2) hours while awake.
- B. Encourage a family member to assist the client to the bathroom to void.
- C. Apply a transurethral electrical stimulator to relieve symptoms of urinary urgency.
- D. Discuss the use of a 'bladder drill,' including a timed voiding schedule.
Correct Answer: D
Rationale: A bladder drill with timed voiding strengthens bladder control and reduces stress incontinence post-prostatectomy. Voiding every 2 hours is part of it, family assistance reduces independence, and electrical stimulators are not standard.
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
- A. Instruct the client to take the medication with food.
- B. Explain condoms should be used during treatment.
- C. Discuss the need for follow-up chest x-rays.
- D. Encourage a well-balanced diet and fluid intake.
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary TB), and diet/fluids are general or less specific.