A nurse is providing teaching to an older adult client about factors that increase the risk of urinary tract infection. Which of the following information should the nurse include?
Bladder capacity decreases in older adults.
The urethral sphincter functions less efficiently.
Decreased bladder tone can cause urinary retention.
The ability to concentrate urine decreases.
The Correct Answer is C
A. "Bladder capacity decreases in older adults." While bladder capacity does decrease with age, this alone does not directly increase UTI risk.
B. "The urethral sphincter functions less efficiently." Although sphincter function may decline, this typically leads to incontinence rather than urinary retention, which is the main UTI risk factor.
C. "Decreased bladder tone can cause urinary retention." Urinary retention leads to stasis of urine, promoting bacterial growth and increasing UTI risk.
D. "The ability to concentrate urine decreases." Decreased ability to concentrate urine does not directly cause UTIs, though it may lead to dehydration, which could contribute to UTI risk indirectly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Direct all communication through the client's family." While family members may assist in communication, they may omit, alter, or misunderstand medical information. Using a trained medical interpreter ensures accurate and confidential communication.
B. "Limit instructions to simple and short one-sentence instructions." While clear, simple instructions are helpful, language barriers still exist. This does not fully address the client’s difficulty in understanding.
C. "Ask a coworker who speaks the client's language to translate information." A coworker may not be a certified medical interpreter and could misinterpret critical information. Medical translation should always be done by a qualified interpreter.
D. "Find an available interpreter to help with communication." A trained medical interpreter provides accurate, unbiased, and professional translation, ensuring that the client fully understands their care and can make informed decisions.
Correct Answer is A
Explanation
A. Case manager A case manager helps coordinate home oxygen therapy, arranges for home health services, and ensures the client has access to needed resources, such as durable medical equipment and personal assistance for ADLs.
B. Hospice care facility Hospice is appropriate for clients with a terminal illness and a life expectancy of 6 months or less. COPD is chronic but not necessarily end-stage.
C. Long-term care facility This client is not indicated for long-term institutional care but rather for home-based support.
D. Pharmacist While a pharmacist is important for medication education, they do not coordinate oxygen therapy or ADL assistance.
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