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    HESI RN Exit VI Proctored ExamQuestion 103
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    HESI RN Exit VI Proctored Exam
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    Patient Data Exhibits The nurse reviews the history and physical, the nurses' notes, and flow sheet to see what is causing the client's symptoms. Click to highlight the findings that require follow-up. A 70-year-old male visits his primary healthcare provider reporting an increase in urinary urgency and frequency. The client reports that he has been waking 2 to 3 times at night needing to void. He reports that there have been 3 to 4 incidences of incontinence over the last 3 months, which has caused him to feel embarrassed. The client has a history of obesity and diabetes mellitus that is controlled with metformin 1,500 mg PO daily. Client reports a penile implant that was inserted 20 years ago and had no issues since then. Other medications include atorvastatin 20 mg PO daily for high cholesterol, a daily multivitamin, and 200 mg of ibuprofen PO 1 to 2 times a week for generalized aches and pains.

    Explanation & Rationale

    Increased Urinary Urgency and Frequency and Nocturia: These symptoms warrant further investigation for possible underlying conditions such as BPH or other genitourinary issues. Penile Implant: Changes in sexual function or discomfort with the penile implant should be evaluated to ensure there are no complications. Ibuprofen Use: Assessment of the impact of ibuprofen on urinary symptoms and overall health should be considered.

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