A nurse is caring for an older adult client who has an indwelling urinary catheter. Which of the following manifestations should indicate to the nurse that the client is developing a urinary tract infection?

Increased fremitus

Suprapubic tenderness

Hypertension

Abdominal distention

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is D

Explanation

To calculate the BMI:

Convert weight to kilograms: 90 kg (198 lb)
Convert height to meters: 160 cm = 1.6 m
Use the BMI formula: BMI = weight (kg) / height (m)^2

BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2

A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).

A. Keep the client's bed in its highest position with the side rails up. B. Provide adult diapers for the client to wear while in bed. C. Store the client's personal possessions in the closet in her room. D. Ask the client to give a return demonstration of how to use the call light.

Correct Answer is D

Explanation

A. Keep the client's bed in its highest position with the side rails up. Keeping the bed in its highest position increases the risk of falls, especially for a client with urinary incontinence who may attempt to get up quickly. This does not adhere to safety guidelines.
B. Provide adult diapers for the client to wear while in bed. While providing diapers may be necessary, it is not the primary safety intervention. It is more important to address the client's mobility and ensure they can safely access the bathroom.
C. Store the client's personal possessions in the closet in her room. Keeping the room tidy and ensuring personal items are stored safely can reduce clutter and fall risks but does not directly address incontinence management or safety goals.
D. Ask the client to give a return demonstration of how to use the call light. Ensuring the client knows how to use the call light is crucial for safety. It allows them to call for assistance when needed, reducing the risk of falls when they need to use the bathroom.

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A nurse is caring for an older adult client who has an indwelling urinary catheter. Which of the following manifestations should indicate to the nurse that the client is developing a urinary tract infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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