The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

dysuria

Ammonia-smelling urine

frequency

amber urine

urgency

Answer and Explanation

Correct Answer : A,C,E

A.   Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B.   While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C.   Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D.   Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E.   Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

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Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

A. A patient with sinus bradycardia with a heart rate of 53 beats/minute B. A patient with premature atrial contractions who is asymptomatic C. A patient with atrial fibrillation reporting dyspnea D. A patient with sinus tachycardia with a heart rate of 108 beats/minute

Correct Answer is C

Explanation

A. Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B. Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C. Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D. Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

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The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

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