The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?

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COPD Patient Care Question Questions

Question 1 of 5

The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?

Correct Answer: A

Rationale: Fecal impaction can obstruct the bladder outlet, worsening retention and risking complications like overflow.

Question 2 of 5

When teaching parents about sickle cell disease, the nurse should tell them that their child's anemia is caused by

Correct Answer: B

Rationale: Sickle cell anemia results from increased RBC destruction (hemolysis) outpacing production.

Question 3 of 5

The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?

Correct Answer: B

Rationale: Activity intolerance reflects impaired oxygenation, the most urgent issue in heart failure with pulmonary edema.

Question 4 of 5

The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?

Correct Answer: C

Rationale: Weekly visits enable directly observed therapy (DOT), ensuring compliance in TB treatment.

Question 5 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Hand-held games suit a child in traction, avoiding leg movement while engaging them.

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