Nokea
Which data support to the nurse the client’s diagnosis of acute bacterial prostatitis?
- A. Terminal dribbling.
- B. Urinary frequency.
- C. Stress incontinence.
- D. Sudden fever and chills.
Correct Answer: D
Rationale: Acute bacterial prostatitis presents with sudden systemic symptoms like fever and chills, often with dysuria. Terminal dribbling, frequency, and incontinence are more typical of BPH or chronic conditions.
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The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?
- A. The nurse allows the client to talk about not wanting to eat.
- B. The nurse tells the client if he does not eat, a feeding tube will be placed.
- C. The nurse consults the dietitian about the client’s nutritional needs.
- D. The nurse asks the family to bring favorite foods for the client to eat.
Correct Answer: B
Rationale: Paternalism involves acting in the client’s best interest without their consent. Threatening a feeding tube overrides the client’s refusal to eat. Allowing discussion, consulting a dietitian, or involving family respect autonomy.
Which finding provides the best evidence that peritoneal dialysis is achieving a therapeutic effect?
- A. Urine output increases.
- B. Appetite improves.
- C. Red blood cell count is lower.
Correct Answer: B
Rationale: Improved appetite indicates reduced uremia, a sign that dialysis is effectively removing toxins.
The nurse is developing a care map to care for a client diagnosed with chronic renal failure (CRF) on hemodialysis. Which interrelated concepts should be included in the map? Select all that apply.
- A. Fluid and electrolytes.
- B. Hematologic regulation.
- C. Digestion.
- D. Metabolism.
- E. Mobility.
- F. Nutrition.
Correct Answer: A,B,D,F
Rationale: CRF affects fluid/electrolyte balance (impaired excretion), hematologic regulation (anemia from low erythropoietin), metabolism (altered drug clearance), and nutrition (dietary restrictions). Digestion and mobility are less directly impacted.
The client with possible renal calculi is scheduled for a renal ultrasound. Which intervention should the nurse implement for this procedure?
- A. Ask if the client is allergic to shellfish or iodine.
- B. Keep the client NPO eight (8) hours prior to the ultrasound.
- C. Ensure the client has a signed informed consent form.
- D. Explain the test is noninvasive and there is no discomfort.
Correct Answer: D
Rationale: Renal ultrasound is noninvasive, painless, and requires minimal preparation. Explaining this reduces anxiety. No contrast (iodine) is used, NPO is unnecessary, and informed consent is not typically required.
If this client shares cultural characteristics of other Native Americans, which findings in the cultural assessment should be included in the client's care plan? Select all that apply.
- A. Native Americans may hesitate to share personal information with strangers.
- B. Questions regarding health history may be interpreted as prying.
- C. Native Americans value listening skills.
- D. Touching on the head is considered offensive.
- E. Native Americans pattern their lifestyle according to 'clock time.'
- F. Direct eye contact should be used when addressing the client or family.
Correct Answer: A,B,C
Rationale: These cultural characteristics reflect common Native American values and should guide culturally sensitive care.