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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Exenatide does not act exactly the same as insulin. It is a glucagon-like peptide-1 (GLP-1) receptor agonist, not insulin.
B. Notify your healthcare provider if you start having abdominal pain is important because abdominal pain is a known side effect of exenatide and may indicate a more serious issue like pancreatitis, which needs to be addressed promptly.
C. There are precautions when taking exenatide with other medications, especially those that affect gastrointestinal motility or glucose levels, so this statement is incorrect.
D. Exenatide should be injected within 60 minutes before a meal, not 30 minutes before or after, to optimize its effectiveness.
Correct Answer is D
Explanation
A. Yellow expectorated sputum. This is typical in pneumonia, indicating bacterial infection, but it does not require immediate intervention compared to wheezing.
B. Shortness of breath on exertion. This is common in COPD and pneumonia, but the wheezing represents a more urgent concern for respiratory compromise.
C. Oral temperature of 100.5°F (38.1°C). This is a mild fever, which is common in infections like pneumonia, but it does not warrant immediate intervention like wheezing does.
D. Bilateral diffuse wheezing. Wheezing suggests bronchospasm, which could indicate airway obstruction or respiratory distress. This requires immediate attention, especially in a client with COPD and pneumonia, both of which can compromise respiratory function.
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