Fundamentals Exam 3

Which genitourinary factors contribute to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients ?

Urinary Tract Infection (UTI)

Which intervention would the nurse recommend to facilitate eating safely when a client with scleroderma reports difficulty chewing and swallowing ?

Eat a mechanical soft diet

Which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of urination with a digital rectal examination report indicating smooth, firm, and enlarged prostate tissue surrounding the urethra ?

Benign prostatic hyperplasia (BPH)

Which indicator of client is important for the nurse to assess in a client receiving total parenteral nutrition ?

Blood glucose

A client develops an intestinal obstruction. A nasogastric tube is inserted and connected to low, continuous suction. The nurse monitors the client for fluid deficit. Which clinical findings would the nurse expect if the client becomes dehydrated ?

Inelastic skin turgor

Which information about BPH is important for the nurse to consider when caring for a client with that condition ?

It predisposes to hydronephrosis

After surgery, a client is prescribed a clear liquid diet. Which items would the nurse offer to the client ? Select all that apply

Jell-O Broth Ginger Ale

Which is a normal finding during the regular checkup of an older adult ? Select all that apply

Loss turgor Decreased night vision Decreased mobility of ribs

A client with stomach cancer expresses a lack of interest in food and consumes only small amounts. Which nursing intervention is best for meeting dietary needs for this client ?

Nutritional supplements between meals

Compromised nutrition during chemotherapy can contribute to a increased risk of infection and other problems. Which actions would the nurse take to offset nutritional deficiencies ?

Provide oral supplements

The nurse is caring for a client with a bowel obstruction. Which assessments findings indicate the possible onset of peritonitis ? Select all that apply

Rebound tenderness Diminished bowel sounds Rigid, board like abdomen

Which action would the nurse plan to ensure optimal nutrition during the pregnancy for the client who maintains a vegetarian diet ?

Refer the client to a dietitian to help plan her daily menu

Which type of diet would the nurse expect the HCP to prescribe for a client diagnosed with rheumatoid arthritis ?

Regular diet with vitamins and minerals

Which condition would the nurse suspect if the client reports passing urine involuntarily while coughing ?

Stress incontinence

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The HCP prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse explains that the TPN therapy provides which benefit ?

Will meet the clients nutritional needs without causing the discomfort precipitated by eating