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

Answer and Explanation

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.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.

Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.

A. The client is alert and oriented. B. Indicates stable neurologic status C. The client needs total nursing care. D. The client is in a deep coma.

Correct Answer is C

Explanation

A. A score of 6 indicates a severe impairment in consciousness, not alertness and orientation.

B. A score of 6 does not indicate a stable neurologic status but rather severe brain injury or impairment.

C. Clients with a GCS of 6 typically need total care, as they are unable to perform self-care activities and may be unable to respond to commands.

D. While a GCS of 3 indicates deep coma, a score of 6 reflects severe impairment, though not necessarily a deep coma.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on a medical-surgical unit Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown as evidenced by the client's dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Á nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?

Correct Answer is C

Explanation

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