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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This question assesses for glucose management under stress but does not specifically target autonomic neuropathy.
B. Painful ulcerations relate more to peripheral neuropathy rather than autonomic neuropathy.
C. Skin changes could be a result of diabetes but do not directly assess autonomic neuropathy.
D. Autonomic neuropathy can affect digestion, leading to symptoms such as bloating due to delayed gastric emptying (gastroparesis).
Correct Answer is ["A","C","D","E"]
Explanation
A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.
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