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 A
Explanation
A. "Sexual orientation describes a person's primary pattern of sexual attraction." This statement is accurate. Sexual orientation refers to the pattern of emotional, romantic, or sexual attraction one has toward others, which can be towards the same sex, opposite sex, or both.
B. "Interest in sexual activity decreases with age." This statement is not universally true. While some individuals may experience a decrease in interest in sexual activity with age, others maintain or even increase their sexual interest and activity. Age-related changes in sexual activity vary widely among individuals.
C. "The incidence of sexually transmitted infections is decreasing." This statement is incorrect. The incidence of sexually transmitted infections (STIs) has been increasing in many regions, particularly among certain age groups and populations.
D. "Gender identity is determined by the time a child is 2 years old." This statement is misleading. Gender identity typically begins to develop in early childhood, but it is not fully formed by age 2. It may evolve as the child grows and matures.
Correct Answer is C
Explanation
A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
