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 ["2"]

Explanation

Step 1: The total amount of olanzapine required per dose is 20 mg.

Step 2: Each tablet contains 10 mg of olanzapine.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 20 mg ÷ 10 mg/tablet.

Step 4: The result is 2 tablets.

So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.

A. Elevated BUN B. Hypercalcemia C. Metabolic alkalosis D. Hypokalemia

Correct Answer is A

Explanation

Choice A reason: In acute kidney injury (AKI), the blood urea nitrogen (BUN) level is expected to be elevated due to the kidneys' impaired ability to excrete urea, which is a waste product of protein metabolism. Normal BUN levels range from approximately 7 to 20 mg/dL.

Choice B reason: Hypercalcemia is not commonly associated with AKI. Instead, patients with AKI may experience hypocalcemia due to the kidneys' reduced ability to convert vitamin D to its active form, which is necessary for calcium absorption.

Choice C reason: Metabolic alkalosis is not a typical finding in AKI. More commonly, patients with AKI experience metabolic acidosis because the kidneys are unable to excrete acid effectively, leading to an accumulation of acid in the body.

Choice D reason: Hypokalemia is generally not expected in AKI. The condition is more often associated with hyperkalemia, as the impaired kidney function leads to a reduced excretion of potassium, which can accumulate to dangerous levels.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer olanzapine 20 mg PO daily. Available are olanzapine 10 mg orally-disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

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A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

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