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 C

Explanation

A. Maintaining bed rest is not typically required after an IVP unless otherwise indicated for the patient's condition.
B. Administering a laxative is not a standard intervention following an IVP unless the patient specifically requires it for bowel preparation or constipation.
C. Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
D. While assessing for hematuria may be appropriate, it is not a primary intervention directly related to the IVP procedure itself.

A. "Your body has insulin resistance and decreased insulin secretion." B. "Your kidneys are not able to reabsorb water which leads to Type 2 diabetes mellitus." C. "An infection in your pancreas destroyed the cells that make insulin." D. "Your body is destroying the cells that secrete insulin."

Correct Answer is A

Explanation

A. Type 2 diabetes typically develops due to insulin resistance in the body’s cells and a decrease in insulin secretion by the pancreas. This is an accurate and informative response.
B. Kidney issues related to water reabsorption are not the cause of Type 2 diabetes. This response is inaccurate.
C. Infections in the pancreas are not a primary cause of Type 2 diabetes; rather, they are more likely associated with pancreatitis or other conditions.
D. Type 1 diabetes involves autoimmune destruction of insulin-producing cells, but Type 2 diabetes does not typically involve this autoimmune process.

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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

Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?

Correct Answer is C

Explanation

A client who has Type 2 diabetes mellitus asks the nurse, "why did I develop diabetes?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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