A client's catheter bag was left on the client's bed for a prolonged period of time, and the client develops a urinary tract infection (UTI). In evaluating the cause of the infection, which should the nurse identify as the infection reservoir?
Client's bladder.
Catheter tubing.
The client's bed.
Urinary meatus.
The Correct Answer is B
A. Client's bladder: The bladder is typically sterile. Infection is most likely introduced from external sources such as the catheter or tubing.
B. Catheter tubing: The catheter and its tubing can harbor bacteria, which increases the risk of a urinary tract infection.
C. The client's bed: Although the bed should be kept clean, it is unlikely to be the direct source of infection.
D. Urinary meatus: The meatus is usually sterile, and infection is more likely to arise from the catheter or tubing.
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Correct Answer is "{\"xRanges\":[269.328125,299.328125],\"yRanges\":[161,191]}"
Explanation
Rhinorrhea refers to the drainage of a clear fluid from the nose. When caring for a client following a head injury, the nurse should observe for rhinorrhea specifically at the nose. This is because the fluid leaking from the nose could potentially be cerebrospinal fluid (CSF), indicating a possible skull fracture or other serious head injury.
Correct Answer is A
Explanation
A. Identifying support systems is the first step in addressing the client’s emotional distress and providing the appropriate resources, such as therapy or support groups, for recovery.
B. Exploring feelings of hope is important, but first, it’s essential to establish a support system that can provide the client with the care they need.
C. Inquiring about plans for further education may not be appropriate at this moment, as the client’s emotional needs should take priority.
D. Explaining the ELISA test would be irrelevant since the client has already been diagnosed as HIV positive.
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