A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?

Obtain a prescription for an indwelling urinary catheter.

Offer the client the bedpan every 2 hr.

Cleanse the perineum from back to front.

Encourage fluid intake at and between meals.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.

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Correct Answer is A

Explanation

Choice A rationale:
An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process. Normal range for WBC is 4,500-11,000/mm².
Choice B rationale:
A resolving inflammatory process would typically show a decreasing WBC count.
Choice C rationale:
An allergic reaction would typically show an increase in eosinophils, not neutrophils.
Choice D rationale:
Neutropenia is a decrease in neutrophils, not an increase.

A. Place the client back in bed. B. Place the client on his side. C. Hold the client's arms and legs from moving. D. Insert a tongue blade in the client's mouth.

Correct Answer is B

Explanation

Choice A rationale:
Placing the client back in bed during a seizure could lead to injury.
Choice B rationale:
Placing the client on his side, specifically the left side, allows for the tongue to fall forward, preventing aspiration.
Choice C rationale:
Holding the client’s arms and legs from moving could cause harm to the client or nurse.
Choice D rationale:
Inserting a tongue blade in the client’s mouth could cause injury to the client’s oral cavity.

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A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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