A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Low back pain

Incontinence

Urinary retention

Confusion

Answer and Explanation

The Correct Answer is D

A. Low back pain is a symptom that may indicate pyelonephritis but is not specific to older adults.
B. Incontinence can occur in UTIs but is common in older adults for various reasons and is not specific to a UTI.
C. Urinary retention is not a distinguishing feature of UTI in older adults.
D. Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.

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Correct Answer is B

Explanation

A. Omitting the KCL dose would be inappropriate, as the client's potassium level is low and requires correction.
B. A potassium level of 3.0 mEq/L is below the normal range (3.5-5.0 mEq/L), and administering the prescribed potassium supplement is appropriate to prevent symptoms of hypokalemia.
C. There is no need to hold the dose and notify the provider, as the KCL is prescribed to correct low potassium levels.
D. The lab results do not need to be verified unless there is suspicion of error, as 3.0 mEq/L is consistent with hypokalemia requiring treatment.

A. Hepatitis B. Pancreatitis C. Renal stages D. Hip fracture

Correct Answer is C

Explanation

A. Hepatitis does not involve costovertebral pain and is unrelated to calcium supplementation.
B. Pancreatitis typically presents with abdominal pain, not costovertebral pain.
C. Renal stones (kidney stones) are a possible adverse effect of excess calcium intake and can cause costovertebral pain due to their location.
D. A hip fracture is associated with osteoporosis, but it does not present as costovertebral pain.

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A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having costovertebral pain?

Correct Answer is C

Explanation

Before the client starts taking phenazopyridine hydrochloride (Pyridium), she should be taught about which of the drugs side effects?

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