A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Clients who have vaginas have more alkalotic urine which promotes the growth of bacteria.

Clients who have vaginas have a shorter urethra allowing bacteria to invade the bladder more easily.

Clients who have vaginas have decreased strength of the detrusor muscle.

Clients who have vaginas have a decreased bladder capacity.

Answer and Explanation

The Correct Answer is B

Choice A reason: The pH of urine can vary, but having a more alkalotic urine does not necessarily promote the growth of bacteria. Urine is typically slightly acidic, which helps to prevent bacterial growth.

Choice B reason: The primary anatomical reason for the higher rates of UTIs in clients who have vaginas is the shorter length of the urethra compared to those who do not have vaginas. This shorter distance makes it easier for bacteria from the skin or rectal area to enter the bladder.

Choice C reason: The strength of the detrusor muscle, which controls the emptying of the bladder, does not have a direct correlation with the frequency of UTIs. UTIs are more related to bacterial invasion rather than muscle strength.

Choice D reason: Bladder capacity is generally not a factor in the frequency of UTIs. While residual urine can increase the risk of UTIs, this is not typically related to overall bladder capacity.

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Correct Answer is B

Explanation

Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.

Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.

Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.

Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.

Correct Answer is ["0.5"]

Explanation

Step 1: The total amount of digoxin required per dose is 125 mcg. We need to convert this to mg because the available tablets are in mg. We know that 1 mg = 1000 mcg, so 125 mcg = 125 ÷ 1000 mg = 0.125 mg.

Step 2: Each tablet contains 0.25 mg of digoxin.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, (0.125 mg ÷ 0.25 mg/tablet).

Step 4: The result is 0.5 tablets.

So, the nurse should administer 0.5 tablets per dose. This is already rounded to the nearest tenth.

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A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

Correct Answer is B

Explanation

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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