The client asks the nurse, "how did I get this urinary tract infection?" the nurse should explain that in most instances, cystitis is caused by:

A descending infection from the urethra

An infection elsewhere in the body

Urinary stasis in the bladder

Congenital strictures in the urethra

Answer and Explanation

The Correct Answer is C

A. UTIs typically start as an ascending infection from the urethra into the bladder, not descending.
B. UTIs, especially cystitis, are generally localized infections that do not stem from infections elsewhere in the body.
C. Urinary stasis (incomplete emptying of the bladder) can lead to bacterial growth, which is a common cause of cystitis.
D. While congenital strictures can predispose to infections by causing urinary stasis, they are not the primary cause in most cases of cystitis.

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Correct Answer is []

Explanation

Condition Most Likely Experiencing:

Type 1 diabetes

Actions to Take:

Teach the client about the signs of hyperglycemia.
Assess the client’s feet for sensation.

Parameters to Monitor:

Fingerstick blood glucose
Blood pressure

Rationale: The client has a high HbA1c (8.4%) and elevated blood glucose level (235 mg/dL), indicating poor blood glucose control. Symptoms such as fatigue, blurred vision, and dizziness suggest hyperglycemia, which can occur in clients with diabetes who have not been able to maintain regular glucose monitoring or insulin administration due to financial constraints. Teaching the client about hyperglycemia symptoms and checking feet for sensation is important due to the risk of complications like neuropathy. Monitoring blood glucose and blood pressure is essential for evaluating diabetes management and preventing complications.

A. Hepatitis B. Pancreatitis C. Renal stages D. Hip fracture

Correct Answer is C

Explanation

A. Hepatitis does not involve costovertebral pain and is unrelated to calcium supplementation.
B. Pancreatitis typically presents with abdominal pain, not costovertebral pain.
C. Renal stones (kidney stones) are a possible adverse effect of excess calcium intake and can cause costovertebral pain due to their location.
D. A hip fracture is associated with osteoporosis, but it does not present as costovertebral pain.

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The client asks the nurse, "how did I get this urinary tract infection?" the nurse should explain that in most instances, cystitis is caused by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having costovertebral pain?

Correct Answer is C

Explanation

A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.

The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

A nurse is caring for a client who is 6hrs postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

A client who has Type 2 diabetes mellitus asks the nurse, "why did I develop diabetes?" Which of the following responses should the nurse make?