The nurse is assessing a client suspected of having a lower urinary tract infection (UTI). Which of the following findings should the nurse expect?

Reports of malaise.

Chills.

Reports of dysuria.

High fever.

Reports of urinary frequency.

Answer and Explanation

Correct Answer : C,E

Choice A rationale

Malaise is more associated with systemic conditions, such as upper urinary tract infections or generalized illness, rather than isolated lower urinary tract infections. Lower UTIs tend to present with localized urinary symptoms rather than systemic effects.

Choice B rationale

Chills suggest systemic involvement and are characteristic of pyelonephritis or upper urinary tract infections. Lower UTIs typically do not produce systemic signs like chills, as the infection is confined to the bladder and urethra.

Choice C rationale

Dysuria is a classic symptom of lower UTIs. It results from inflammation of the bladder mucosa due to the presence of pathogenic organisms. The irritation of the urinary tract leads to painful or difficult urination, confirming the diagnosis of lower UTI.

Choice D rationale

High fever, like chills, is indicative of upper urinary tract infections, such as pyelonephritis. Lower UTIs are generally afebrile, presenting more with localized urinary symptoms rather than systemic manifestations.

Choice E rationale

Urinary frequency is another hallmark symptom of lower UTIs, caused by bladder irritation. The infection leads to an increased urge to urinate, even when little urine is produced. This symptom is specific to lower UTIs and supports the diagnosis when present.

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

Explanation

Choice A rationale

Clients with immune thrombocytopenic purpura (ITP) have a low platelet count, increasing the risk of bleeding. Avoiding rectal and injection medications minimizes the risk of mucosal damage and bleeding complications due to trauma caused by insertion or puncture. This precaution is especially critical as bleeding may not be easily controlled in these clients.

Choice B rationale

An electric razor prevents the risks associated with minor cuts or abrasions that could occur during shaving, which would be difficult to control due to low platelet levels. These injuries could lead to prolonged bleeding or bruising in ITP clients, compromising their safety further.

Choice C rationale

Blood transfusions are generally not indicated as routine interventions for ITP because platelet transfusions may not consistently improve platelet count due to antibody-mediated destruction. Treatment often focuses on medication and careful monitoring rather than transfusion.

Choice D rationale

Constipation should be avoided to reduce strain during bowel movements, which can result in rectal bleeding due to vascular damage in the area. The fragile nature of blood vessels in clients with ITP necessitates such preventive measures to avoid complications.

Choice E rationale

Sulfa-containing medications are known to exacerbate thrombocytopenia in some patients. Avoiding these medications minimizes further platelet depletion, which is vital for managing the condition and preventing severe bleeding episodes.

A. Teaching the client preventive measures. B. Preventing progression to complications. C. Educating the client about the treatment. D. Providing pain management.

Correct Answer is B

Explanation

Choice A rationale

Teaching preventive measures, like proper hydration and hygiene, is integral for long-term UTI management but not the immediate clinical priority. Effective prevention helps reduce recurrence rates but does not address acute infection or associated complications during the current episode.

Choice B rationale

Preventing progression to complications takes priority in lower UTIs. This includes early and appropriate antibiotic therapy to inhibit bacterial proliferation and monitoring for symptoms suggestive of an ascending infection. Left untreated, lower UTIs can progress to pyelonephritis, a serious condition that increases morbidity.

Choice C rationale

Educating about treatment ensures compliance with the prescribed antibiotics and symptom management strategies. While necessary, client education is more aligned with secondary interventions after addressing the urgent need to prevent complications from the infection itself.

Choice D rationale

Pain management is important to alleviate discomfort and improve the client’s quality of life. However, addressing pain without resolving the underlying infection risks further complications. Thus, pain control, while valuable, is not the critical first-line intervention for preventing clinical deterioration. .

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The nurse is assessing a client suspected of having a lower urinary tract infection (UTI). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client with immune thrombocytopenic purpura (ITP). Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.

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

Explanation

The nurse is planning care for a female client with a lower urinary tract infection (UTI). Which of the following interventions should be the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

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