Á nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?
Confusion
Incontinence
Low back pain
Urinary retention
The Correct Answer is A
A. Older adults often present with atypical symptoms of UTI, such as confusion or altered mental status, rather than the classic symptoms seen in younger clients.
B. Incontinence can occur in older adults but is not specific to UTI and may result from other conditions.
C. Low back pain is a common symptom of UTI but is not specifically unique to older adults.
D. Urinary retention can occur in various conditions but is not uniquely associated with UTI in older adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.
B. Increased calcium intake is not specifically recommended for fibromyalgia.
C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.
D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.
Correct Answer is ["A","C","E","F"]
Explanation
A. Heart rate: The increased heart rate (108/min) may indicate a developing complication such as hypovolemia or pain. This requires monitoring as it could signal deteriorating status.
B. Oxygen saturation: The SpO₂ level is stable at 96%, which is within an acceptable range and does not indicate an immediate concern.
C. Edema: The increase in sacral and iliac region edema (2+) from day 1 to day 2 suggests worsening swelling and possible fluid accumulation, which could be affecting blood flow and leading to circulatory issues.
D. Temperature: The temperature remains within a normal range, so it does not require immediate intervention.
E. Urine color: Dark, reddish-brown urine suggests possible bleeding or rhabdomyolysis, both of which require immediate follow-up to prevent further complications and assess kidney function.
F. Pedal pulses: The change to 1+ pedal pulses bilaterally and the delayed capillary refill time (6 seconds) indicate reduced perfusion to the lower extremities, which may suggest compromised circulation or increased edema affecting blood flow.
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