A charge nurse is teaching a group of newly licensed nurses about manifestations of urinary tract infections in older adult clients. Which of the following manifestations should the nurse include in the teaching?

Elevated blood pressure

Decreased heart rate

Report of epigastric pain

Mental confusion

Answer and Explanation

The Correct Answer is D

A. Elevated blood pressure This is not a common manifestation of a UTI in older adults.
B. Decreased heart rate This is not associated with UTIs.
C. Report of epigastric pain Epigastric pain is more related to gastrointestinal issues.
D. Mental confusion Older adults with UTIs often present with mental confusion or altered mental status, rather than the classic symptoms seen in younger individuals.

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Correct Answer is C

Explanation

A. "Self-examinations should be completed every 3 months." Self-examinations should be performed monthly, not every 3 months.
B. "I should squeeze the testicles firmly to determine the presence of lumps." Squeezing firmly can cause pain and is not necessary. The testicles should be examined gently.
C. "I should perform a self-examination after a warm shower." The warmth of the shower relaxes the scrotal skin, making it easier to feel any abnormalities.
D. "I should examine both of my testicles at the same time." Each testicle should be examined separately to ensure a thorough examination.

A. Instruct the client to use the hallway grab bars when walking. B. Assist the client to the bathroom every 4 hr. C. Administer an antianxiety medication at bedtime. D. Monitor the client's activity every 2 hr.

Correct Answer is A

Explanation

A. Instruct the client to use the hallway grab bars when walking. This is correct. Using hallway grab bars provides support and stability, helping to prevent falls in clients with osteoporosis.
B. Assist the client to the bathroom every 4 hr. Assisting the client to the bathroom regularly is important, but every 4 hours might not be frequent enough and doesn't directly address fall prevention throughout all activities.
C. Administer an antianxiety medication at bedtime. Antianxiety medications can cause sedation and increase the risk of falls, especially in older adults.
D. Monitor the client's activity every 2 hr. Monitoring the client’s activity is important, but this does not provide specific fall prevention strategies or interventions.

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A charge nurse is teaching a group of newly licensed nurses about manifestations of urinary tract infections in older adult clients. Which of the following manifestations should the nurse include in the teaching?

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