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 B

Explanation

A. A high-purine diet can worsen gout symptoms, so the client should avoid high-purine foods.

B. Limiting alcohol intake can help reduce gout attacks, as alcohol can increase uric acid levels.

C. Limiting fluid intake is not recommended; instead, increased hydration is beneficial for flushing uric acid from the system.

D. Aspirin is generally avoided in gout, as it can increase uric acid levels and worsen symptoms.

A. Increased hemoglobin B. Absence of ketones in urine C. Increased band neutrophils D. Negative leukocyte esterase in urine E. Elevated erythrocyte sedimentation rate

Correct Answer is ["C","E"]

Explanation

A. An increase in hemoglobin does not indicate infection; it may indicate dehydration or improved oxygenation.

B. The absence of ketones in urine is not related to infection status.

C. An increase in band neutrophils, known as a "left shift," is a sign of infection as the body releases immature neutrophils in response to infection.

D. A negative leukocyte esterase in urine indicates no presence of white blood cells in the urine, suggesting no urinary infection.

E. An elevated erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and can indicate infection or other inflammatory processes.

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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 completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

Correct Answer is B

Explanation

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Correct Answer is ["C","E"]

Explanation

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