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A male client has a tentative diagnosis of urethritis. The nurse should
assess the client for which manifestation of the disorder?
Hematuria and pyuria
Hematuria and urgency
Dysuria and proteinuria
Dysuria and penile discharge
4, Urethritis in the male client often results from chlamydial infection and
is characterized by dysuria, which is accompanied by a clear to
mucopurulent discharge. Because this disorder often coexists with
gonorrhea, diagnostic tests are done for both and include culture and
rapid assays. Hematuria is not associated with urethritis. Proteinuria is
associated with kidney dysfunction.
,The nurse is caring for 4 pediatric clients. After receiving reports from
the night shift, which child should the nurse assess first? (Scroll for
Answer)
A 6-year-old child being treated for bacterial meningitis and on the
tenth day of antibiotic treatment
A 6-week-old infant admitted to the hospital for decreased level of
consciousness; shaken baby syndrome is suspected
A 2-year-old child with cerebral palsy being admitted to the hospital for
surgical placement of a gastrostomy feeding tube the next day
A 16-year-old child with a ventriculoperitoneal shunt that was placed at
birth for hydrocephalus; possible shunt malfunction is suspected, and
the child is scheduled and ready for a computed tomography (CT) scan
of the head
2, The infant or child who is the most unstable should be assessed first. A
6-week-old infant with an altered level of consciousness suspected to
have resulted from shaken baby syndrome is the most unstable client
because the infant could be developing increased intracranial pressure
(ICP) and require interventions for the complications associated with
increased ICP. The 6-year-old child on day 10 of antibiotics for bacterial
meningitis is a stable client. The 2-year-old child with cerebral palsy
being admitted for surgical placement of a gastrostomy tube will need
an admission assessment, but this child is stable. The 16-year-old with a
possible shunt malfunction could become unstable, but because this
child is older and ready for the CT scan, he or she is stable at this time.
, The nurse is reviewing the client's arterial blood gas (ABG) results and
notes the following values:
pH: 7.35; PaO2: 80 mm Hg; PaCO2: 55mmHg; HCO: 30mEq/L.
The nurse should recognize that this result is suggestive of which acid
base imbalance? (Scroll for Answer)
A.Compensated metabolic acidosis
B.Compensated respiratory acidosis
C.Compensated metabolic alkalosis
D.Compensated metabolic alkalosis
B - the pH is within normal range while the carbon dioxide level is
increased indicating compensated respiratory acidosis
When educating a patient about inject-able influenza immunization, the
registered nurse considers the following...
It is contraindicated during pregnancy.
Its use is limited to children older than 6 years old.
It contains a live virus.
Its use is recommended for virtually all children age 6 months to 18
years old.
4 This vaccine can be given to infants 6 months and older.