A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Low back pain

Incontinence

Urinary retention

Confusion

Answer and Explanation

The Correct Answer is D

A. Low back pain is a symptom that may indicate pyelonephritis but is not specific to older adults.
B. Incontinence can occur in UTIs but is common in older adults for various reasons and is not specific to a UTI.
C. Urinary retention is not a distinguishing feature of UTI in older adults.
D. Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.

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Correct Answer is D

Explanation

A. Furosemide, a diuretic, is more likely to cause hypotension, not hypertension, due to fluid loss.
B. Furosemide is used to treat hypervolemia, so it does not cause hypervolemia.
C. Hypoglycemia is not a common adverse effect of furosemide; it primarily affects electrolytes.
D. Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.

A. Start IV 0.9% Sodium Chloride B. Assess for bowel sounds C. Start 02 at 2L/min D. Assess lab value for potassium

Correct Answer is B

Explanation

A. Starting IV 0.9% sodium chloride may be necessary for hydration but is not a priority action before administering Kayexalate.
B. Assessing for bowel sounds is essential because Kayexalate works by exchanging potassium for sodium in the intestine, and bowel motility must be adequate to ensure the medication is effective and to prevent complications such as bowel obstruction.
C. Starting oxygen is unnecessary unless the patient exhibits signs of respiratory distress, which is not indicated here.
D. While checking potassium levels is important, it is often done as part of the initial assessment and does not need to be repeated immediately before administering Kayexalate if levels were already assessed and are high.

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A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

Correct Answer is D

Explanation

A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?

Correct Answer is B

Explanation

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