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An older adult has a diagnosis of Alzheimer disease and has recently been
experiencing fecal incontinence. However, the nurse has observed no recent change
in the character of the client's stools. What is the nurse's most appropriate
intervention?
A. Keep a food diary to determine the foods that exacerbate the client's symptoms.
B. Provide the client with a bland, low-residue diet.
C. Toilet the client on a frequent, scheduled basis.
D. Liaise with the primary provider to obtain an order for loperamide.
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C. Toilet the client on a frequent, scheduled basis.
A 69-year-old client has maintained a consistent diet and activity level throughout
adulthood. Over the past few years, however, the client has reported a gradual
increase in adipose tissue. When providing health education, the nurse should
address what topic?
,A. Weight gain as a natural, age-related change
B. Loss of skeletal muscle with aging
C. Changes in food cravings that are common in older adults
D. Changes in metabolism that accompany the aging process
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D. Changes in metabolism that accompany the aging proces
A client with kidney stones is scheduled for extracorporeal shock wave lithotripsy
(ESWL). What should the nurse include in the client's postprocedure care?
A. Strain the client's urine following the procedure.
B. Administer a bolus of 500 mL normal saline following the procedure.
C. Monitor the client for fluid overload following the procedure.
D. Insert a urinary catheter for 24 to 48 hours after the procedure.
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A. Strain the client's urine following the procedure.
The nurse is teaching a health class of older adults about urinary tract infections
(UTI)s. What characteristic of UTIs should the nurse cite?
A. Men over age 65 are equally prone to UTIs as women, but are more often
asymptomatic.
B. The prevalence of UTIs in older men approaches that of women in the same age
group.
C. Men of all ages are less prone to UTIs, but typically experience more severe
symptoms.
D. The prevalence of UTIs in men cannot be reliably measured, as men generally do
not report UTIs.
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B. The prevalence of UTIs in older men approaches that of women in the
same age group.
A nurse is providing care for a client whose recent colostomy has contributed to a
nursing diagnosis of Disturbed Body Image Related to Colostomy. What intervention
best addresses this diagnosis?
A. Encourage the client to conduct online research into colostomies.
B. Engage the client in dialogue about the implications of having the colostomy.
C. Emphasize the fact that the colostomy was needed to alleviate a much more
serious health problem.
D. Emphasize the fact that the colostomy is temporary measure and is not
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B. Engage the client in dialogue about the implications of having the
colostomy.
A client has undergone the creation of an Indiana pouch for the treatment of bladder
cancer. The nurse identified the nursing diagnosis of "disturbed body image." How can
the nurse best address the effects of this urinary diversion on the client's body image?
A. Emphasize that the diversion is an integral part of successful cancer treatment.
B. Encourage the client to speak openly and frankly about the diversion.
C. Allow the client to initiate the process of providing care for the diversion.
D. Provide the client with detailed written materials about the diversion at the time of
discharge.
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, B. Encourage the client to speak openly and frankly about the diversion.
A client has been admitted to the medical unit with a diagnosis of ureteral colic
secondary to urolithiasis. When planning the client's admission assessment, the nurse
should be aware that what signs and symptoms are characteristic of this diagnosis?
Select all that apply.
A. Diarrhea
B. High fever
C. Hematuria
D. Urinary frequency
E. Acute pain
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C) Hematuria
D) Urinary frequency
E) Acute pain
A nurse is conducting health screening with a diverse group of clients. Which client
likely has the most risk factors for developing hemorrhoids?
A. A 45-year-old teacher who stands for 6 hours per day
B. A pregnant woman at 28 weeks' gestation
C. A 37-year-old construction worker who does heavy lifting
D. A 60-year-old professional who is under stress
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B. A pregnant woman at 28 weeks gestation