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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.

A. Place the client in contact Isolation. B. Prepare the client for a colonoscopy. C. Administer docusate sodium 500 mg daily. D. Use a bleach solution to clean the client's bedside table. E. Use hand sanitizer immediately after caring for the client.

Correct Answer is ["A","D"]

Explanation

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

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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?

Nursing Test Bank

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