A nurse is evaluating a hospitalized client who had an indwelling catheter removed four days ago. Which assessment findings suggest that this client has developed a Urinary Tract Infection (UTI)? Select all that apply.
Pale, yellow urine.
Cloudy urine.
Suprapubic pain.
Temperature of 38.2 C (100.7 F).
Constant urge to urinate.
Correct Answer : B,C,E
A. Pale, yellow urine: While pale yellow urine can be a symptom of a UTI, it is not specific enough and can be caused by other factors like dehydration or certain medications. Therefore, it is not a reliable indicator of a UTI in this case.
B. Cloudy urine: Cloudy urine is a more specific symptom of a UTI, as it can indicate the presence of white blood cells or bacteria in the urine. This finding, along with other symptoms, suggests a possible UTI.
C. Suprapubic pain: Suprapubic pain, which is pain felt above the pubic bone in the lower abdomen, is a common symptom of bladder infections, including UTIs. This finding is highly suggestive of a UTI in this client.
D. Temperature of 38.2 C (100.7 F): Although fever can be a symptom of a UTI, it is not always present and can be caused by other infections or conditions. Therefore, a single elevated temperature, without other supporting symptoms, is not conclusive for a UTI diagnosis.
E. Constant urge to urinate (dysuria): Dysuria, or a frequent and urgent need to urinate, is another common symptom of UTIs. This finding, along with cloudy urine and suprapubic pain, further strengthens the suspicion of a UTI in this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The physical dimension addresses the body's biological and physiological systems, such as organs, tissues, and cells. It does not directly relate to seeking support from others.
While the mother's actions may indirectly impact her child's physical health by reducing stress and potentially improving asthma management, the primary focus of her behavior is social connection and support, not physical interventions.
Choice B rationale:
The intellectual and spiritual dimension encompasses a person's thoughts, beliefs, values, and sense of purpose. While seeking support can involve sharing thoughts and beliefs, the mother's primary motivation is likely to connect with others who share similar experiences, rather than to explore intellectual or spiritual aspects of asthma.
Choice C rationale:
The socio-cultural dimension involves the social and cultural factors that influence a person's health and well-being. This includes:
Relationships with family, friends, and community
Cultural beliefs and practices
Social norms and expectations
Access to resources and support systems
The mother's desire to connect with other parents of children with asthma clearly demonstrates the influence of social relationships and shared experiences on her coping and support-seeking behavior.
This aligns with the concept of social support, which has been shown to have significant benefits for both physical and mental health.
Choice D rationale:
The environmental dimension refers to the physical and social surroundings that affect a person's health. While the environment can play a role in asthma management (e.g., exposure to allergens), it is not the primary focus of the mother's actions in seeking support from other parents.
Correct Answer is B
Explanation
Choice A rationale:
Brown or black urine is not a typical observation associated with Levodopa use. It can indicate other potential causes, such as: Dehydration
Liver disease
Rhabdomyolysis (muscle breakdown)
Certain medications like metronidazole or iron supplements
Hematuria (blood in the urine)
It's essential to rule out these conditions if brown or black urine is observed.
Choice C rationale:
Green or blue-green urine is also not common with Levodopa. It can be caused by:
Medications like amitriptyline, indomethacin, propofol, or methylene blue
Certain food dyes
Urinary tract infections caused by Pseudomonas bacteria
Familial benign hypercalcemia (a rare genetic condition)
Choice D rationale:
Blood-tinged urine (hematuria) is not a direct effect of Levodopa. It can signal underlying urinary tract issues, such as: Infections
Kidney stones
Bladder or kidney tumors
Trauma to the urinary tract
Strenuous exercise
Choice B rationale:
Orange or orange-red urine is the most common observation in patients taking Levodopa. This discoloration is due to: Breakdown of Levodopa into dopamine and other metabolites
These metabolites can impart an orange or reddish hue to the urine
The color intensity may vary depending on dosage and individual metabolism
It's generally harmless and doesn't require medical intervention
However, it's essential to inform healthcare providers about any urine color changes to ensure proper monitoring and rule out other potential causes.
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