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

The correct answer is choicea. Family history.

Choice A rationale:

Family history is a well-known risk factor for urolithiasis.If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.

Choice B rationale:

A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis.In fact, obesity is more commonly linked to a higher risk of kidney stones.

Choice C rationale:

Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis.High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.

Choice D rationale:

Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic.Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.

A. Difficulty reading. B. Aphasia. C. Inability to recognize his family members. D. Right hemiparesis.

Correct Answer is B

Explanation

Choice A rationale:
Difficulty reading is not typically associated with right hemisphere strokes.
Choice B rationale:
Aphasia, or difficulty with language, is a common symptom of right hemisphere strokes.
Choice C rationale:
Inability to recognize family members is not typically a symptom of right hemisphere strokes.
Choice D rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes, not right.

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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

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is A

Explanation

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Correct Answer is B

Explanation

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