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 B
Explanation
A. Instructing the UAP to obtain a blood glucose level could be useful, but the nurse should prioritize assessing the client directly.
B. Assessing the client is the first step to confirm hypoglycemia and determine the severity, allowing for appropriate intervention.
C. Administering orange juice may be appropriate after confirming hypoglycemia, but an assessment should be performed first.
D. Administering dextrose is a severe intervention used when symptoms are extreme; assessment should occur first.
Correct Answer is D
Explanation
A. While sugar can raise blood glucose, it’s often not the most practical or readily available option in a clinical setting.
B. Graham crackers can be useful for longer-term glucose control but might not act as quickly as a liquid option.
C. Diet soda does not contain sugar and will not raise blood glucose levels.
D. Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.
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