A nurse is caring for a client who has a urinary tract infection. Which of the following actions should the nurse take?

Instruct the client to take a sitz bath three times a week.

Request a prescription for gabapentin.

Encourage the client to drink 2 oz of grapefruit juice each day.

Increase the client's fluid intake to 3 L each day.

Answer and Explanation

The Correct Answer is D

A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.

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Correct Answer is B

Explanation

A. Increased fremitus Fremitus is related to lung conditions, not urinary tract infections.
B. Suprapubic tenderness This is a common sign of a urinary tract infection.
C. Hypertension Hypertension is not a specific indicator of a urinary tract infection.
D. Abdominal distention Abdominal distention is not a common sign of a urinary tract infection and is more related to gastrointestinal issues.

A. Schedule a home visit in 3 weeks for weight and growth monitoring. B. Return to the primary health care provider in 3 days for a follow-up appointment. C. Cover the baby with a phototherapy blanket at home when sleeping. D. Return the baby for immunization in 1 month.

Correct Answer is B

Explanation

The correct answer is choiceB. Return to the primary health care provider in 3 days for a follow-up appointment.

Choice A rationale:

Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice.Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.

Choice B rationale:

Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action.This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.

Choice C rationale:

Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision.Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.

Choice D rationale:

Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment.Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.

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A nurse is caring for a client who has a urinary tract infection. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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