14:20: 87-year-old client admitted to the ED from the independent living apartment with a new report of episodic acute confusion. urinary frequency and incontinence, and severe fatigue. The child states that the client is independent in ADCs and has no history of dementia.
15:30: Normal BMP and CBC results, except for WBCs of 16,000/mm3 (16 x 109 /L) with bands greater than 10%.
Based on the assessment findings presented which condition would the nurse suspect?
Diabetic ketoacidosis
Dehydration
Urinary tract infection
Hepatitis
The Correct Answer is C
Based on the assessment findings presented, the nurse would suspect a urinary tract infection (UTI). The client's symptoms of acute confusion, urinary frequency and incontinence, and elevated WBC count with bands suggest a possible infection. Dehydration or diabetic ketoacidosis could also cause confusion and fatigue, but these conditions are less likely given the normal BMP and CBC results.
Hepatitis would not typically present with these specific symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Demeclocycline is a tetracycline antibiotic that can be used to treat SIADH, a condition characterized by excessive water retention and a decrease in urinary output. Demeclocycline blocks the action of antidiuretic hormone (ADH), which can help increase urinary output and decrease water retention in patients with SIADH. Therefore, an increase in urinary output would indicate that demeclocycline is effective in treating the patient's SIADH. Options a, b, and c are incorrect because they do not directly relate to the mechanism of action of demeclocycline in treating SIADH.
Correct Answer is ["A","C","D"]
Explanation
Option b is not entirely correct because while bulk-forming laxatives contain fiber, they may not always be the best source of fiber, and their use should be individualized according to the patient's needs.
Option e is incorrect because while stimulants and saline laxatives can be effective for occasional constipation, they should not be used regularly or for an extended period without medical supervision as they can lead to dependence and other complications.
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