A nurse is reinforcing teaching with an adolescent female client who has recurrent urinary tract infections. Which of the following statements by the adolescent indicates an understanding of the teaching?

"I will need to urinate frequently throughout the day."

"I should wipe myself from back to front."

"I should wear nylon underwear."

"I will test my urine for ketones daily."

Answer and Explanation

The Correct Answer is A

Choice A reason:

Frequent urination is a common symptom of urinary tract infections. It helps to flush out bacteria from the urinary tract.

Choice B reason:

Wiping from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of urinary tract infections. The correct technique is to wipe from front to back

Choice C reason:

Nylon underwear can trap moisture, creating an environment conducive to bacterial growth. Cotton underwear is recommended for better air circulation.

Choice D reason:

Testing urine for ketones is not directly related to preventing urinary tract infections. Ketone testing is more relevant for individuals with diabetes to monitor for ketoacidosis.

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Correct Answer is C

Explanation

Choice A reason:

Determining the child's heart rate is important for assessing overall cardiovascular health, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice B reason:

Weighing the child daily is important for monitoring overall nutritional status and fluid balance, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice C reason:

Dornase alfa is a medication used to help clear mucus from the airways in individuals with cystic fibrosis. Therefore, auscultating the child's breath sounds for improved air exchange and reduced adventitious lung sounds is a direct way to evaluate the effectiveness of the medication.

Choice D reason:

Monitoring the child's 180 (assuming this is a typo and referring to heart rate) is important, but it is not specific to evaluating the effectiveness of dornase alfa.

A. Client's current blood glucose is 220 mg/dL B. Client is exhibiting Kussmaul respirations C. Client reports vomiting once that day D. Client reports frequent urination

Correct Answer is B

Explanation

Choice A reason:

A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.

Choice B reason.

Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.

Choice C reason:

Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.

Choice D reason:

Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.

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A nurse is reinforcing teaching with an adolescent female client who has recurrent urinary tract infections. Which of the following statements by the adolescent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?

Correct Answer is C

Explanation

A nurse in a clinic is collecting data from an adolescent who has type 1 diabetes mellitus.Which of the following findings is the priority for the nurse to report?

Correct Answer is B

Explanation

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