The client asks the nurse, "how did I get this urinary tract infection?" the nurse should explain that in most instances, cystitis is caused by:

A descending infection from the urethra

An infection elsewhere in the body

Urinary stasis in the bladder

Congenital strictures in the urethra

Answer and Explanation

The Correct Answer is C

A. UTIs typically start as an ascending infection from the urethra into the bladder, not descending.
B. UTIs, especially cystitis, are generally localized infections that do not stem from infections elsewhere in the body.
C. Urinary stasis (incomplete emptying of the bladder) can lead to bacterial growth, which is a common cause of cystitis.
D. While congenital strictures can predispose to infections by causing urinary stasis, they are not the primary cause in most cases of cystitis.

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

Explanation

A. Monofilament testing is recommended to assess for peripheral neuropathy, a common complication in diabetes.
B. Hearing exams are not specifically indicated as part of annual diabetes care.
C. Serum creatinine is monitored to assess kidney function, as diabetes can lead to kidney disease.
D. Testing urine for microalbumin detects early signs of kidney damage.
E. HbA1c provides information about long-term glucose control and is a key indicator in managing diabetes complications.

A. Low back pain B. Incontinence C. Urinary retention D. Confusion

Correct Answer is D

Explanation

A. Low back pain is a symptom that may indicate pyelonephritis but is not specific to older adults.
B. Incontinence can occur in UTIs but is common in older adults for various reasons and is not specific to a UTI.
C. Urinary retention is not a distinguishing feature of UTI in older adults.
D. Confusion or altered mental status is a common sign of UTI in older adults, often the primary symptom due to age-related changes in cognition.

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The client asks the nurse, "how did I get this urinary tract infection?" the nurse should explain that in most instances, cystitis is caused by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To monitor for complications in a patient with type II diabetes, the healthcare provider will write a prescription for the client to schedule which of the following tests at least annually? Select all that apply.

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

Explanation

A 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?

Correct Answer is D

Explanation

The client received ten (12) units of regular insulin at 08:00. At 11:30 the unlicensed assistant personnel (UAP) tells the nurse the client has a headache and is really acting funny. Which intervention should the registered nurse implement first?

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 1L to infuse at 100 mL/hr. The nurse is using microtubing. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)

A nurse is caring for a client who has the following arterial blood gas results: HCO, 20 mEq, PaCO2 40 mm Hg and pH 7.32. The nurse recognizes the client is experiencing which of the following acid base imbalances?

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?

A nurse is caring for a client who is postoperative and whose respirations are shallow and 8/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?

A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?