The nurse is assessing a client who reports flank pain, burning with urination and a fever of 104° F (40° C) and the following laboratory findings. Which provider order is the priority for the nurse to include in the discharge education?

Creatinine 1.8 mg/dL

Ref: 0.6-1.3 mg/dL

White blood cell (WBC) 16,000 mm3

Ref: 5,000-10,000 mm3

Platelet count 120,000

Ref: 140,000-400,000

C-Reactive Protein 5 mg/dL

Ref: <1 mg/dL

"You will need to finish the recommended course of antibiotic agents while at home."

Taking frequent baths will help decrease the chance of this happening again."

"You should increase your fluid intake to a least 4 liters per day."

"After using the bathroom, always wipe your perineal area from back to front."

Answer and Explanation

The Correct Answer is A

A. Completing the full course of antibiotics is the priority to eradicate infection and prevent recurrence, sepsis, or worsening renal impairment.

B. Frequent baths actually increase the risk of urinary tract infection (UTI).

C. Adequate fluids are encouraged, but 4 liters/day is excessive and could worsen renal impairment in a client with elevated creatinine.

D. Wiping back to front increases infection risk; the correct teaching is front to back.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.

B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.

C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.

D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.

E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.

A. Implement standard precautions and guidelines only. B. Place the child in a tepid bath to decrease pruritis. C. Strict airborne and contact isolation precautions. D. Allow unexposed friends of the child to come visit. E. Strict droplet precautions and enforce handwashing

Correct Answer is ["B","C"]

Explanation

A. Standard precautions alone are not sufficient, because varicella (chickenpox) is highly contagious and requires additional infection control measures.
B. Tepid baths and soothing topical applications such as calamine lotion can help relieve pruritus and discomfort from vesicular lesions.
C. Varicella is transmitted by airborne droplets and direct contact with lesions; therefore, strict airborne and contact isolation is required until all lesions have crusted over.
D. Unexposed friends should not visit, as the virus spreads easily to anyone who is not immune.
E. While hand hygiene is important, varicella is not controlled with droplet precautions alone; airborne and contact isolation is necessary.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has peripheral neuropathy who has developed a foot ulcer. The client's caregiver asks, "How could this have happened?" What is the nurse's best response(s)? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

The nurse is assessing a pediatric client and notes crop lesions that have spread to the face, trunk, and arms. Some appear as a pruritic macular rash and others have started to develop into vesicles. What intervention(s) will the nurse implement? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

The nurse is planning care for a child who has tinea pedis. Which action should the nurse include in the plan of care?

The nurse is planning discharge education for a client with multiple sclerosis (MS). What should the nurse include in the client's education?

The nurse is caring for a client with cellulitis on the leg. Which statement by the client indicates a need for additional education regarding cellulitis?

The nurse is caring for several clients with acute kidney injury. Which client is most at risk for developing post renal acute kidney injury?

The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?

The nurse is caring for a client who is ready to be discharged home after a cataract extraction with intraocular lens implant. The nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately. Which symptom is the priority for the nurse to teach the client?

The nurse is preparing discharge instructions for the family of a newborn. What will the nurse include in educating the parents about body temperature regulation? (Select all that apply)

The nurse is caring for a client with a headache, nuchal rigidity, petechial rash, and fever. What interventions are the priority for the nurse to implement? Select all that apply.