A nurse is caring for an older adult client who has an indwelling urinary catheter. Which of the following manifestations should indicate to the nurse that the client is developing a urinary tract infection?
Increased fremitus
Suprapubic tenderness
Hypertension
Abdominal distention
The Correct Answer is B
A. Increased fremitus Fremitus is related to lung conditions, not urinary tract infections.
B. Suprapubic tenderness This is a common sign of a urinary tract infection.
C. Hypertension Hypertension is not a specific indicator of a urinary tract infection.
D. Abdominal distention Abdominal distention is not a common sign of a urinary tract infection and is more related to gastrointestinal issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.
Correct Answer is C
Explanation
A. Fresh vegetables Fresh vegetables are generally not associated with triggering migraines.
B. Frozen yogurt While some people may have individual triggers, frozen yogurt is not a common migraine trigger.
C. Red wine: Red wine contains tyramine, which is known to trigger migraines in many people.
D. Orange juice Orange juice is not commonly associated with triggering migraines.
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