A nurse is providing teaching to an older adult client about factors that increase the risk of urinary tract infection. Which of the following information should the nurse include?
Bladder capacity decreases in older adults.
The urethral sphincter functions less efficiently.
Decreased bladder tone can cause urinary retention.
The ability to concentrate urine decreases.
The Correct Answer is C
A. "Bladder capacity decreases in older adults." While bladder capacity does decrease with age, this alone does not directly increase UTI risk.
B. "The urethral sphincter functions less efficiently." Although sphincter function may decline, this typically leads to incontinence rather than urinary retention, which is the main UTI risk factor.
C. "Decreased bladder tone can cause urinary retention." Urinary retention leads to stasis of urine, promoting bacterial growth and increasing UTI risk.
D. "The ability to concentrate urine decreases." Decreased ability to concentrate urine does not directly cause UTIs, though it may lead to dehydration, which could contribute to UTI risk indirectly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will hold my cane on my stronger side." The cane should be held on the stronger (unaffected) side to provide better support and stability while allowing the weaker leg to move more freely.
B. "I should hold my cane 12 inches from my side." The cane should be positioned about 6–10 inches to the side of the foot to ensure proper balance and support.
C. "I will keep my elbow flexed at a 90-degree angle while moving my cane." The elbow should be flexed at about 15–30 degrees, not 90 degrees, to maintain comfort and proper control of the cane.
D. "I should move my weaker leg before moving my cane." The correct sequence is to move the cane first, then move the weaker leg forward, followed by the stronger leg, which provides better stability and reduces fall risk.
Correct Answer is B
Explanation
A. "Place the bell of the stethoscope on the client's chest." The diaphragm of the stethoscope, not the bell, should be used to auscultate breath sounds because it is designed for high-pitched sounds like lung sounds.
B. "Follow a systematic pattern from side-to-side moving down the client's chest." To accurately compare breath sounds bilaterally, the nurse should use a side-to-side pattern, moving down the chest and back. This ensures a proper assessment of any asymmetry or abnormal sounds.
C. "Ask the client to breathe in deeply through his nose." The client should be instructed to breathe deeply through their mouth, not their nose, to enhance the clarity of breath sounds.
D. "Instruct the client to sit erect with their head tilted slightly backward." The ideal position for auscultating lung sounds is sitting upright with shoulders relaxed and slightly forward, allowing full lung expansion. Tilting the head backward is unnecessary.
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