A charge nurse is teaching a group of newly licensed nurses about manifestations of urinary tract infections in older adult clients. Which of the following manifestations should the nurse include in the teaching?
Elevated blood pressure
Decreased heart rate
Report of epigastric pain
Mental confusion
The Correct Answer is D
A. Elevated blood pressure This is not a common manifestation of a UTI in older adults.
B. Decreased heart rate This is not associated with UTIs.
C. Report of epigastric pain Epigastric pain is more related to gastrointestinal issues.
D. Mental confusion Older adults with UTIs often present with mental confusion or altered mental status, rather than the classic symptoms seen in younger individuals.
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Related Questions
Correct Answer is D
Explanation
A. Macule: A macule is a flat, discolored spot on the skin, less than 1 cm in diameter. The described mass is elevated, so this term is incorrect.
B. Vesicle: A vesicle is a small, fluid-filled blister. The described mass is not fluid-filled, so this term is incorrect.
C. Papule: A papule is a small, solid, elevated lesion, usually less than 1 cm in diameter. The described mass is larger than a papule.
D. Nodule: A nodule is a solid, elevated lesion that is larger than a papule (usually more than 1 cm in diameter). The described mass fits this description.
Correct Answer is A
Explanation
A. "You should get a dental assessment every 6 months." This is correct. It is recommended that adults visit the dentist every 6 months for a check-up and cleaning to maintain oral health.
B. "You should get a tuberculosis screening every 5 years." Routine tuberculosis screening every 5 years is not typically recommended for middle adults unless they are at high risk for TB exposure.
C. "You should get a breast examination every 3 years." Clinical breast exams are recommended every 3 years for women in their 20s and 30s and annually for women aged 40 and older, not for middle-aged adults specifically.
D. "You should get a glaucoma screening every 4 years." Glaucoma screening frequency can vary, but it is often recommended that adults have their eyes checked every 2 to 4 years starting at age 40, with more frequent screenings as they age.
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