A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?

Hypothermia

Referred pain in the right shoulder

Confusion

Orange-colored urine

Answer and Explanation

The Correct Answer is C

Choice c: Confusion is a finding that the nurse should anticipate in an older adult client who has cystitis, which is inflammation of the bladder caused by a bacterial infection. Confusion can be a sign of sepsis or delirium, which are common complications of urinary tract infections in older adults.

Choice a is not correct because hypothermia is not a finding that the nurse should anticipate in an older adult client who has cystitis. Hypothermia can occur in older adults due to impaired thermoregulation, but it is not related to cystitis.

Choice b is not correct because referred pain in the right shoulder is not a finding that the nurse should anticipate in an older adult client who has cystitis. Referred pain in the right shoulder can indicate gallbladder disease, but it is not related to cystitis.

Choice d is not correct because orange-colored urine is not a finding that the nurse should anticipate in an older adult client who has cystitis. Orange-colored urine can be caused by certain medications, foods, or dehydration, but it is not related to cystitis.

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Correct Answer is d,b,e,a,c

Explanation

The sequence the nurse should use to administer the medication using the Z-track technique is:

- Step 1: Put on gloves and cleanse the site with an antiseptic swab.

- Step 2: Use the nondominant hand to pull the skin and subcutaneous tissue 2.5 cm (1 in) laterally.

- Step 3: Insert the needle into the muscle.

- Step 4: Aspirate by pulling back on the plunger and inject the medication.

- Step 5: Remove the needle and release the tissue.

A. HbA1c 6.5% B. HbA1c 12.5% C. Fasting blood glucose 100 mg/dL D. Fasting blood glucose 70 mg/dL

Correct Answer is A

Explanation

Choice A reason: HbA1c or glycated hemoglobin is a measure of average blood glucose levels over the past 2 to 3 months. A lower HbA1c indicates better glycemic control and a lower risk of diabetes complications. The target HbA1c for most people with diabetes mellitus is less than 7%.

Choice B reason: HbA1c 12.5% is very high and indicates poor glycemic control and a high risk of diabetes complications, such as retinopathy, nephropathy, or neuropathy.

Choice C reason: Fasting blood glucose 100 mg/dL is within the normal range of 70 to 99 mg/dL and indicates normal glucose metabolism, but it does not reflect the long-term control of blood glucose levels over the past 3 months.

Choice D reason: Fasting blood glucose 70 mg/dL is at the lower end of the normal range and may indicate hypoglycemia or low blood glucose levels, which can cause symptoms such as sweating, trembling, hunger, or confusion.

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A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is d,b,e,a,c

Explanation

A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client has maintained control of his blood glucose levels for the past 3 months?

Correct Answer is A

Explanation

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