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).

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale

Using a straw can increase the risk of aspiration in clients with dysphagia as it forces liquid directly to the back of the throat without adequate control.

Choice B rationale

Providing oral care before meals can help stimulate the appetite and ensure that the mouth is clean, reducing the risk of infection and improving the overall eating experience.

Choice C rationale

Scheduling physical therapy directly before meals can cause fatigue, making it more difficult for the client to eat safely and effectively.

Choice D rationale

Tilting the head back can increase the risk of aspiration. The safer method for clients with dysphagia is usually to keep the head in a neutral or slightly forward position when swallowing.

A. "I can decrease my risk for a stroke by losing excess weight.”. B. "My risk for a stroke increases if my HbA1c level is 6 percent or less.”. C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke.”. D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke.”. . . .

Correct Answer is A

Explanation

Choice A rationale

Losing excess weight can help reduce the risk of stroke by lowering blood pressure and improving overall cardiovascular health.

Choice B rationale

An HbA1c level of 6 percent or less is typically considered good control of diabetes and does not increase the risk of stroke.

Choice C rationale

A total cholesterol level below 200 mg/dL is actually desirable and helps reduce the risk of stroke.

Choice D rationale

Glucocorticoids are not typically prescribed to reduce the risk of stroke; they can increase blood sugar levels and other risk factors. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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