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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Macule: A macule is a flat, discolored spot on the skin, less than 1 cm in diameter. The described mass is elevated, so this term is incorrect.
B. Vesicle: A vesicle is a small, fluid-filled blister. The described mass is not fluid-filled, so this term is incorrect.
C. Papule: A papule is a small, solid, elevated lesion, usually less than 1 cm in diameter. The described mass is larger than a papule.
D. Nodule: A nodule is a solid, elevated lesion that is larger than a papule (usually more than 1 cm in diameter). The described mass fits this description.

A. Give the client more than one choice for resolving the conflict. B. Move toward the client using an aggressive stance. C. Choose two staff members to represent the staff and speak to the client. D. Stand between the client and the doorway of the room.

Correct Answer is D

Explanation

A. Give the client more than one choice for resolving the conflict. While providing choices can be beneficial in some situations, it is not a direct action to ensure immediate environmental safety when a client is escalating aggressively.
B. Move toward the client using an aggressive stance. This approach is inappropriate and can escalate the situation further. A calm and non-threatening demeanor is essential in managing an aggressive client.
C. Choose two staff members to represent the staff and speak to the client. Having multiple staff members engage with an agitated client can sometimes help, but it’s crucial that any interaction is done calmly and without escalating the situation.
D. Stand between the client and the doorway of the room. This is the most appropriate action to ensure safety. Positioning yourself between the client and the exit can prevent the client from leaving the room and potentially harming themselves or others while ensuring a safe space to de-escalate.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a focused skin assessment for a client as part of a comprehensive health screening. The nurse notes a mass which is hard, deep, and elevated 2 cm (0.8 in) in diameter on the client's back. Which of the following terms should the nurse use to document this finding?

Correct Answer is D

Explanation

A nurse in an acute care mental health facility is sitting with a group of clients in a meeting room. A client suddenly jumps up and begins yelling angrily. Which of the following actions should the nurse take to ensure environmental safety?

Correct Answer is D

Explanation

A nurse is caring for a newly admitted client on a medical-surgical unit. The nurse is acting in the role of client advocate when taking which of the following actions?

A nurse is caring for a client who has tuberculosis and speaks a different language than the nurse. When providing culturally competent care, which of the following actions should the nurse take?

A nurse is assessing a client who has an ankle fracture of the right foot and is at risk for complex regional pain syndrome (CRPS). The nurse should identify that which of the following findings is a manifestation of CRPS?

A nurse is preparing to administer fentanyl 100 mcg via IV bolus to a client who is postoperative and is currently receiving 0.9% sodium chloride by continuous IV infusion. Which of the following actions should the nurse take?

A nurse is planning care for a client who practices Hinduism. The nurse should expect that the client has which of the following religious beliefs?

A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

A nurse is teaching a female young adult client about performing a breast self-examination. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?