COMPLETE SOLUTIONS
A client is admitted to the hospital for elective knee surgery to
be performed the following day. The client tells the nurse that he
has benign prostatic hyperplasia (BPH). Which assessment
findings support the diagnosis of BPH? SATA
A. Nocturia
B. Elevate white blood cell (WBC) count
C. Urinary frequency
D. Increased time to void
E. Fever correct answers A. Nocturia
C. Urinary frequency
D. Increased time to void
A client is experiencing increased urinary urgency and
incontinence. Which medication does the nurse anticipate will
be prescribed for this client?
A. Anticholinergic agent
B. Diuretic
C. Antiflatulent
D. Cholinergic agent correct answers A. Anticholinergic agent
A client who has an indwelling catheter reports a need to
urinate. Which of the following interventions should the nurse
perform ?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for her to urinate
C. Recatheterize the bladder with a large-gauge catheter
D. Collect a urine specimen for analysis correct answers A.
Check to see whether the catheter is patent
,A nurse in a providers office is assessing a client who reports
losing control of urine whenever she coughs, laughs or sneezes.
The client relates a history of three vaginal births, but no serious
accidents of illnesses. Which of the following interventions are
appropriate for helping to control or eliminate the client's
incontinence? SATA
A. Limit total daily fluid intake
B. Decrease or avoid caffeine
C. Increase intake of calcium
D. Avoid intake of alcohol
E. Use Crede maneuver correct answers B. Decrease or avoid
caffeine
D. Avoid intake of alcohol
A nurse is caring for a client who has been sitting in a chair for 3
hours. Which of the following is the client at risk for?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction correct answers C Pressure Ulcer
A nurse is caring for a client who has had diarrhea for the past 4
days. When assessing the client, the nurse should expect which
of the following findings? SATA
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema correct answers B. Hypotension
C. Fever
,D. Poor skin turgor
A nurse is caring for a client who is on bed rest. Which of the
following interventions should the nurse implement to maintain
the patency of the client's airway?
A encourage isometric exercises
B. Suction every 8 hours
C. Give low-dose heparin
D. Promote incentive spirometer use correct answers D.
Promote incentive spirometer use
A nurse is caring for a client who is postoperative. Which of the
following nursing interventions reduce the risk of thrombus
development? SATA
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review laboratory values for total protein level
D. Place pillows under the client's knees and lower extremities
E. Assist the client to change position often correct answers B.
Apply elastic stockings
E. Assist the client to change position often
A nurse is caring fro a client who will perform a fecal occult
blood testing at home. Which of the following information
should the nurse include when explaining the procedure to the
client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated with urine correct
answers D.The specimen cannot be contaminated with urine
, A nurse is instructing a client who is postoperative about the
sequential compression device the provider has prescribed?
Which of the following client statements should indicate to the
nurse that the client understands the teaching?
A. This device will keep me from getting sores on my skin
B. This thing will keep the blood pumping through my legs
C. With this thing on, my leg muscles won't get weak
D. This device is going to keep my joints in good shape correct
answers B. This thing will keep the blood pumping through my
legs
A nurse is preparing to initiate a bladder training program for a
client who has a voiding disorder. Which of the following
actions should the nurse take? SATA
A. Establish a schedule of voiding prior to meals
B. Have the client record voiding times
C. Gradually increase the voiding intervals
D. Remind client to hold urine until nest scheduled voiding time
E. Provide a sterile container for voiding correct answers B.
Have the client record voiding times
C. Gradually increase the voiding intervals
D. Remind client to hold urine until nest scheduled voiding time
A nurse is talking with a client who reports constipation. When
the nurse discusses dietary changes that can help prevent
constipation, which of the following foods should the nurse
recommend?
A. Macaroni and cheese
B. Fresh fruit and whole wheat toast
C. Rice pudding and ripe bananas