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 C
Explanation
Choice A rationale
Cabbage is low in potassium, making it a suitable food for clients who need to avoid high-potassium foods. It contains approximately 150 mg of potassium per cup, which is relatively low compared to other vegetables.
Choice B rationale
Watermelon is a fruit with moderate potassium content, containing about 170 mg of potassium per cup. While not extremely high, it is not the best choice for someone seeking to increase potassium intake significantly.
Choice C rationale
A medium potato is high in potassium, with about 900 mg of potassium. Potatoes are an excellent source of potassium, which is essential for maintaining proper muscle and nerve function.
Choice D rationale
An apple is low in potassium, containing around 150 mg per small apple. It is a good option for clients who need to limit their potassium intake, but not for those looking to increase it. .
Correct Answer is A
Explanation
Choice A rationale
Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.
Choice B rationale
While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.
Choice C rationale
Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.
Choice D rationale
Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.
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