A nurse is gathering data from an older adult client.
Which finding should alert the nurse to a potential bladder infection?

Diminished reflexes

WBC count 900/mm^3 (normal range: 5000 to 16,000/mm^3)

Temperature 33.9°C

Altered mental status

Answer and Explanation

The Correct Answer is D

Choice D.

Choice A rationale

Diminished reflexes are a common finding in older adults due to the natural aging process of the nervous system and do not necessarily indicate a bladder infection.

Choice B rationale

A WBC count of 900/mm^3 is significantly lower than the normal range of 5000 to 16,000/mm^33. While this could indicate an issue with the immune system, it does not specifically point to a bladder infection.

Choice C rationale

A temperature of 33.9°C is lower than the average body temperature and does not suggest a bladder infection. Fever is a common symptom of infection, but hypothermia is not.

Choice D rationale

Altered mental status in an older adult client can be a sign of a urinary tract infection (UTI), including a bladder infection. UTIs in older adults can present with non-specific symptoms such as changes in mental status, making them harder to diagnose.

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Correct Answer is C

Explanation

Choice A rationale

Keeping unopened insulin vials in the freezer is not recommended. Freezing can disrupt the insulin molecule and affect its efficacy.

Choice B rationale

Planning to eat a snack 6 hours after insulin administration is not a standard recommendation. The timing of meals and snacks should be individualized based on the type of insulin, blood glucose levels, and lifestyle.

Choice C rationale

Storing opened insulin vials at room temperature for up to 4 weeks is a correct practice. Insulin stored at room temperature causes less discomfort on injection than cold insulin.

Choice D rationale

Warming the insulin vial to dissolve any crystals that develop is not a standard practice. Insulin should not be used if it appears cloudy or discolored.

A. I experience incontinence whenever I take a diuretic. B. I leak urine when I sneeze. C. My bladder seems to empty without warning. D. I frequently experience dribbling of urine.

Correct Answer is D

Explanation

Choice A rationale

Experiencing incontinence whenever taking a diuretic may suggest a type of functional incontinence, where the incontinence is linked to the inability to reach a restroom due to the sudden urge to urinate caused by the diuretic23.

Choice B rationale

Leaking urine when sneezing is typically a symptom of stress incontinence, which occurs when pressure is placed on the bladder during physical movement or activity23.

Choice C rationale

A bladder that seems to empty without warning may suggest urge incontinence, which is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine23.

Choice D rationale

Frequently experiencing dribbling of urine is a common symptom of overflow incontinence, which occurs when the bladder doesn’t empty properly, leading to frequent or constant dribbling23.

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A nurse is gathering data from an older adult client.Which finding should alert the nurse to a potential bladder infection?

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Naxlex Comprehensive Predictor Exams

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A nurse is gathering data from an older adult client.
Which finding should alert the nurse to a potential bladder infection?