A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

Promote perineal care that includes wiping the perineum from the front to the back.

Obtain orders from the health care provider to discontinue catheters as soon as possible.

Continue prescribed antibiotics even if the client's symptoms have subsided.

Remind clients to urinate right away when they have an urge and to completely empty their bladder.

Encourage adequate fluid intake every day.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.

Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.

Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.

Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.

Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.

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Correct Answer is D

Explanation

Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially

in clients with pre-existing kidney problems.

A. Water moves from areas where the concentration of sodium is higher to areas where the concentration is lower. B. Water moves from areas where the concentration of sodium is lower to areas where the concentration is higher. C. Sodium moves from areas where the concentration of solute is lower to areas where the concentration is higher. D. Water and sodium particles move together to areas where sodium particles are higher.

Correct Answer is B

Explanation

Choice A reason: This statement is incorrect because, during dehydration, water does not move towards areas of lower sodium concentration.

Choice B reason: This is correct because, during dehydration, the body retains sodium, and water follows by osmosis to areas where sodium concentration is higher, which can result in elevated sodium levels.

Choice C reason: Sodium does not typically move across membranes in response to solute concentration gradients; water does.

Choice D reason: Water moves independently of sodium particles, not necessarily together, and it moves towards areas of higher solute concentration.

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A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Correct Answer is D

Explanation

A charge nurse is teaching a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

Correct Answer is B

Explanation

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the followingfindings should the nurse identify as an indication the client is experiencing fluid overload?

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