A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

Instruct the client to drink 1 liter of fluid each day.

Instruct the client to take antibiotics until dysuria is no longer present.

Instruct the client to avoid drinking carbonated beverages.

Instruct the client to drink 240 mL of tomato juice each day.

Answer and Explanation

The Correct Answer is C

Choice A reason: Instructing the client to drink 1 liter of fluid each day may not be sufficient for someone with cystitis. Increasing fluid intake helps ?ush out bacteria from the urinary tract, and the general recommendation is to drink about 2 liters of water per day.

Choice B reason: While taking antibiotics is a crucial part of treating bacterial cystitis, the client should complete the full course of antibiotics prescribed, not just until symptoms such as dysuria disappear. This ensures the infection is fully treated and reduces the risk of resistance.

Choice C reason: Advising the client to avoid carbonated beverages is appropriate because such drinks can irritate the bladder and exacerbate symptoms of cystitis. It is also recommended to avoid ca?eine, alcohol, and spicy foods until the infection clears.

Choice D reason: There is no specific recommendation for clients with cystitis to drink tomato juice each day. In fact, tomato juice is acidic and may irritate the bladder, similar to carbonated beverages.

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Correct Answer is A

Explanation

Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.

Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.

Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

A. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg B. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg C. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg D. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg

Correct Answer is C

Explanation

Choice A reason: pH 7.30 with elevated HCO3- and PaCO2 suggests compensated respiratory acidosis, not typical for chronic kidney disease.

Choice B reason: pH 7.55 with elevated HCO3- and low PaCO2 suggests metabolic alkalosis, which is not typical for chronic kidney disease.

Choice C reason: pH 7.25 with decreased HCO3- and PaCO2 suggests metabolic acidosis, which is expected in chronic kidney disease due to the accumulation of acids.

Choice D reason: pH 7.50 with low HCO3- and PaCO2 suggests compensated metabolic alkalosis, which is not typical for chronic kidney disease.

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A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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