Nokea
Which assessment supports the nurse's assumption that the client's sleep disturbance was most likely due to anxiety?
- A. The client was pacing the room before bedtime.
- B. The client's vital signs were stable during the night.
- C. The client requested a sleeping pill earlier.
- D. The client reported feeling rested in the morning.
Correct Answer: A
Rationale: Pacing before bedtime is a behavioral sign of anxiety, supporting the assumption that anxiety caused the sleep disturbance.
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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 client is diagnosed with a uric acid stone. Which foods should the client eliminate from the diet to help prevent reoccurrence?
- A. Beer and colas.
- B. Asparagus and cabbage.
- C. Venison and sardines.
- D. Cheese and eggs.
Correct Answer: C
Rationale: Uric acid stones are linked to high purine intake. Venison and sardines are high-purine foods, increasing uric acid production. Beer/colas affect hydration, asparagus/cabbage are low-purine, and cheese/eggs are less relevant.
Which intervention should the nurse include when preparing a teaching plan for the client with chronic prostatitis?
- A. Sit in a warm sitz bath for 10 to 20 minutes several times daily.
- B. Sit in the chair with the feet elevated for two (2) hours daily.
- C. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily.
- D. Stop broad-spectrum antibiotics as soon as the symptoms subside.
Correct Answer: A
Rationale: Warm sitz baths reduce inflammation and pain in chronic prostatitis. Elevating feet is unrelated, tea/coffee are bladder irritants, and stopping antibiotics early risks recurrence.
When teaching a client with cystitis about urinary tract irritants, the nurse correctly identifies which of the following substances as potential irritants to avoid? Select all that apply.
- A. Alcohol
- B. Milk
- C. Tea
- D. Chocolate
- E. Coffee
- F. Pears
Correct Answer: A,C,E
Rationale: Alcohol, tea, and coffee are bladder irritants that can exacerbate cystitis symptoms, while milk and pears are generally neutral.
When asked about factors that are linked to bladder cancer, the nurse correctly identifies which factors? Select all that apply.
- A. Stress incontinence
- B. Frequent intercourse
- C. Sexual promiscuity
- D. Cigarette smoking
- E. History of prostate cancer
- F. Exposure to asbestos
Correct Answer: D
Rationale: Cigarette smoking is a well-established risk factor for bladder cancer.