A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?
Incontinence
Low back pain
Confusion
Urinary retention
The Correct Answer is C
A. Incontinence: Incontinence can occur in older adults with UTIs, but it is not necessarily unique to this age group and can occur in individuals of all ages with UTIs.
B. Low back pain: Low back pain can be a symptom of a UTI in individuals of any age and is not specifically unique to older adults.
C. Confusion: Confusion, also known as acute delirium, is a common and often unique symptom of UTIs in older adults. It can manifest as disorientation, altered mental status, agitation, or
behavioral changes.
D. Urinary retention: Urinary retention, the inability to completely empty the bladder, is not typically associated with UTIs. It is more commonly seen in conditions such as urinary tract obstruction or neurological disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Implement neutropenia isolation: Neutropenia isolation is not applicable for a client with C. diff infection. Neutropenia isolation is used for clients with low neutrophil counts to protect them from exposure to pathogens due to their compromised immune system.
B. Disinfect equipment with bleach solution: Clostridium difficile spores are resistant to many disinfectants, but they can be effectively killed by bleach solutions (sodium hypochlorite).
Disinfecting equipment with bleach solution helps prevent the spread of C. diff infection.
C. Monitor the client for manifestations of fluid overload: Manifestations of fluid overload, such as edema or shortness of breath, are not typically associated with C. diff infection. Monitoring for fluid overload is important in other clinical contexts, such as heart failure.
D. Use alcohol hand sanitizer following client care: Alcohol-based hand sanitizers are not effective against C. diff spores. Hand hygiene should be performed with soap and water, as alcohol-based sanitizers are not effective against C. diff spores.
Correct Answer is C
Explanation
A. To relieve itching or discomfort: Skin biopsies are not typically performed to relieve itching or discomfort. Other treatments, such as topical medications or systemic therapies, may be used for symptomatic relief.
B. To improve the appearance of the skin: Skin biopsies are not performed for cosmetic purposes. They are diagnostic procedures used to obtain tissue samples for examination under a microscope to diagnose or rule out various skin conditions.
C. To remove a suspicious lesion: Skin biopsies are commonly performed to remove suspicious lesions, such as moles, growths, or areas of abnormal skin, for further evaluation and diagnosis.
This helps determine if the lesion is benign or malignant and guides subsequent treatment decisions.
D. To treat a skin infection: Skin biopsies are not performed as a primary treatment for skin infections. Biopsies are diagnostic procedures used to obtain tissue samples for analysis and are not typically indicated for treating infections.
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