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Question 1 of 5

The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation?

Correct Answer: A

Rationale: Burning on urination (
A) suggests a urinary tract infection, requiring investigation. Dribbling (
B), nocturia (
D), and missing doses (
C) are common with BPH or medication non-adherence but less urgent.

Question 2 of 5

The nurse caring for a terminally ill client asks if the client has an advance directive. The client states, 'I already have a power of attorney.' What is the best response by the nurse?

Correct Answer: D

Rationale: Clarifying if the POA includes healthcare decisions (
D) ensures proper advance directive planning. Vague affirmations (A,
B) or suggesting a lawyer (
C) do not address the need for a healthcare-specific POA.

Question 3 of 5

The nurse observes a client who is walking with a cane. Which observation indicates that the client is walking appropriately?

Correct Answer: C

Rationale: Holding the cane on the unaffected side and moving it with the affected leg provides optimal support and balance, coordinating strength with the weaker side.

Question 4 of 5

A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:

Correct Answer: B

Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.

Question 5 of 5

The nurse is caring for a newborn who has a large myelomeningocele. It would be a priority for the nurse to

Correct Answer: B

Rationale: A myelomeningocele requires a sterile, moist dressing (
B) to prevent infection and drying. Checking anus tone (
A), measuring head circumference (
C), and supine positioning (
D) are secondary or contraindicated.

Similar Questions

The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
The nurse is caring for a client with schizophrenia. The client appears anxious and states, 'The voices are bad today; they sound so angry with me.' Which of the following responses would be most appropriate for the nurse to make?
Which of these clients, all of whom have the findings of a board-like abdomen, would the nurse suggest that the provider examine first?
The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?
The unlicensed assistive personnel (UAP) reports to the nurse that during rounds a client has recently become pale. What is the nurse's first action?

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