The nurse understands that certain patients are more susceptible to pressure ulcer development. Which clients should the nurse identify as being at an increased risk for this health problem? Select all that apply.

Client with restricted activity

Client who can ambulate

Client with a cast

Client with good nutrition

Client with urinary and fecal incontinence

Answer and Explanation

Correct Answer : A,C,E

A. Client with restricted activity - Patients with limited mobility are at a higher risk for pressure ulcers because they are unable to change positions easily, leading to prolonged pressure on certain body parts.

B. Client who can ambulate - Patients who can ambulate have the ability to shift their body weight and change positions, reducing the risk of prolonged pressure on specific areas. Ambulation can improve circulation and reduce the risk of pressure ulcers

C. Client with a cast - Clients with casts are often limited in their ability to move or change positions, making them susceptible to pressure ulcers in areas where the cast creates pressure points on the skin.

D. Client with good nutrition - Proper nutrition is essential for overall health, including skin health. Adequate nutrition promotes wound healing and tissue repair. Good nutrition is not a risk factor for pressure ulcers; in fact, it can contribute to preventing them by maintaining healthy skin.
E. Client with urinary and fecal incontinence - Incontinence can lead to moisture on the skin, making it more susceptible to breakdown. Prolonged exposure to moisture, especially in the presence of urine or feces, can increase the risk of pressure ulcer development.

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

Explanation

A. "UTI’s can be caused by urethrovesical reflux which is the backward flow of urine from the urethra to the bladder after coughing, sneezing, or straining":

This statement is correct. Urethrovesical reflux can contribute to UTIs, especially in women, as it can introduce bacteria from the urethra back into the bladder.
B. "UTI’s are more common in women due to their longer urethras":

This statement is correct. Women have shorter urethras than men, which makes it easier for bacteria to travel into the bladder, increasing the risk of UTIs.
C. "Glycosaminoglycan (GAG) is a protein in the urinary tract that exerts a nonadherent protective effect against various bacteria":

This statement is correct. Glycosaminoglycan is a substance that lines the urinary tract and helps prevent bacterial adherence, thereby protecting against UTIs.
D. "The organism most often responsible for UTI's in older adults is staphylococcus":

This statement is incorrect. The most common bacteria responsible for UTIs are Escherichia coli (E. coli), not staphylococcus.
E. "The normal urinary tract is sterile above the urethra":

This statement is correct. Normally, the urinary tract above the urethra is sterile, devoid of bacteria. UTIs occur when bacteria enter and multiply in the urinary system, leading to infection.

A. Provide the client with antipyretic therapy. B. Administer antibiotics to the client. C. Teach relaxation breathing to reduce the client's pain. D. Increase the client's protein intake.

Correct Answer is B

Explanation

A. Provide the client with antipyretic therapy. - Antipyretic therapy can help reduce fever, but addressing the underlying infection with antibiotics is crucial.

B. Administer antibiotics to the client. -The priority intervention for a client with acute osteomyelitis is to administer antibiotics promptly. Osteomyelitis is a severe bacterial infection of the bone, which requires aggressive antibiotic therapy to eradicate the infection. Delaying antibiotic treatment can lead to further complications and the spread of the infection.

C. Teach relaxation breathing to reduce the client's pain. - Pain management is important, but in the case of acute osteomyelitis, the priority is to eliminate the infection through antibiotics.

D. Increase the client's protein intake. - Adequate nutrition, including protein, is important for overall healing and immune function, but it is not the priority when dealing with an acute infection that requires immediate antibiotic treatment.

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The nurse understands that certain patients are more susceptible to pressure ulcer development. Which clients should the nurse identify as being at an increased risk for this health problem? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse educator is providing an in-service to nursing staff about urinary tract infections (UTP). Which statements made by the staff validate they understand the etiology and pathophysiology of UTIs? Select all that apply.

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

Explanation

A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

Correct Answer is B

Explanation

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