A nurse is collecting data from an older adult client.Which of the following findings should the nurse identify as indicating the client has a bladder infection?
Changed mental status.
WBC Count 9,000/mm³ (5,000 to 10,000/mm³).
Diminished reflexes.
Temperature 37.3°C (99.1°F).
The Correct Answer is A
Choice A rationale
A changed mental status is a common sign of a urinary tract infection, especially in older adults, due to the effects of the infection on the central nervous system.
Choice B rationale
WBC count 9,000/mm³ is within the normal range of 5,000 to 10,000/mm³ and does not indicate an infection on its own.
Choice C rationale
Diminished reflexes are not typically associated with bladder infections and are not a reliable indicator.
Choice D rationale
A temperature of 37.3°C (99.1°F) is within the normal range and does not necessarily indicate a bladder infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Exercise can increase pressure in the middle ear and should be avoided until cleared by a healthcare provider. Engaging in physical activities too soon can impair the healing process after tympanoplasty.
Choice B rationale
Closing the mouth while sneezing reduces the risk of pressure changes in the middle ear, which could disrupt the surgical repair. The client should also avoid actions that can increase ear pressure, such as blowing their nose forcefully.
Choice C rationale
Shampooing hair can introduce water into the ear, potentially causing infection or damage to the surgical site. The client should follow the healthcare provider’s instructions regarding when it is safe to resume washing their hair.
Choice D rationale
Drinking through a straw creates negative pressure that can affect the middle ear and the healing process. The client should avoid using straws and other activities that create pressure changes in the ear.
Correct Answer is B
Explanation
Choice A rationale
Instilling a warm enema solution is not appropriate for treating malignant hyperthermia. The focus should be on cooling measures and medications.
Choice B rationale
Applying a cooling blanket is an appropriate action to help reduce the client's body temperature during malignant hyperthermia.
Choice C rationale
Administering meperidine IM is not indicated for malignant hyperthermia. The appropriate medications include dantrolene, cooling measures, and supportive care.
Choice D rationale
Ventilating the client with 100% oxygen, not 50%, is the appropriate action to ensure adequate oxygenation during malignant hyperthermia.
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