UTI NCLEX PEARSON QUESTIONS with ANSWERS GRADED A++ TESTED 2023
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Course
NUR 113
Institution
NUR 113
UTI NCLEX PEARSON QUESTIONS with ANSWERS
A client is admitted to the emergency department for possible acute pyelonephritis. Which manifestation should the nurse consider to be consistent with this disorder? (Select all that apply.)
A.
Vomiting
B.
Urinary frequency
C.
Diarrhea
...
A client is admitted to the emergency department for possible acute pyelonephritis. Which manifestation should the
nurse consider to be consistent with this disorder? (Select all that apply.)
A.
Vomiting
B.
Urinary frequency
C.
Diarrhea
D.
Flank tenderness
E.
Nocturia
Rationale: The nurse should monitor a client with suspected acute pyelonephritis for flank tenderness, vomiting,
diarrhea, and urinary frequency. Other manifestations the client may present with are high fever, chills, costovertebral
angle tenderness, and moderate to severe dehydration. Nocturia is a manifestation of cystitis, not acute pyelonephritis.
The nurse is caring for a client diagnosed with a urinary tract infection (UTI). Which assessment finding supports this
diagnosis? (Select all that apply.)
A.
Burning sensation on urination
B.
Clear urine
C.
Flank pain
D.
Hypothermia
E.
Abdominal pain
Rationale: Assessment findings that support the diagnosis of a UTI include abdominal pain, flank pain, and a burning
sensation when urinating. Cloudy, dark, foul-smelling urine is also expected with a UTI. Hyperthermia (fever), not
hypothermia, supports the diagnosis of a UTI.
The nurse is caring for a client with a urinary tract infection (UTI). Which condition should the nurse determine as a
possible cause? (Select all that apply.)
A.
Use of antibiotics
B.
Vesicoureteral reflux
C.
Structural deviations
D.
Excessive oral fluid intake
E.
Renal scarring
Rationale: The causes of UTIs include structural deviations, renal scarring, and vesicoureteral reflux. Excessive oral fluid
intake or use of antibiotics does not cause UTIs.
The nurse is caring for a client with pyelonephritis. Which clinical manifestation should the nurse assess in the client?
,(Select all that apply.)
A.
Fever
B.
Enuresis
C.
Flank pain
, D.
Vomiting
E.
Dysuria
Rationale: Clinical manifestations that occur with pyelonephritis include fever, vomiting, and flank pain. Enuresis and
dysuria occur with cystitis.
The nurse is teaching the parents of an 18-month-old female toddler with a urinary tract infection (UTI). Which should be
included in the teaching to prevent the future risk of a UTI?
A.
Increase the child's fluid intake.
B.
Increase the child's intake of vitamin C.
C.
Cleanse the perineal area front to back.
D.
Provide the child with a daily cup of low-sugar cranberry juice.
Rationale: The incidence of UTIs in toddlers and children is higher among girls than boys because the shorter female
urethra has a closer proximity to the anus and vagina, increasing the risk of contamination by fecal bacteria. When
cleansing the perineal area, it is important to wipe from front to back to prevent the transfer of gastrointestinal bacteria to
the urethra. Adequate fluids should be provided to prevent dehydration. Two daily cups of low-sugar cranberry juice and
increased vitamin C is recommended to prevent UTIs in adults.
A client asks which fluids to avoid in light of repeated urinary tract infections (UTIs). Which food should the nurse teach
the client to avoid? (Select all that apply.)
A.
Citrus juices
B.
Cranberry juice
C.
Coffee
D.
Alcoholic beverages
E.
Milk
Rationale: Avoiding citrus juices, alcoholic beverages, and coffee can help prevent UTIs. Caffeine, citrus juices, alcohol,
and artificial sweeteners irritate bladder mucosa and the detrusor muscle and can increase urgency and bladder spasms.
Increasing the intake of cranberry juice, not avoiding it, can help prevent UTIs because it acidifies the urine. Milk intake
has no known effect in preventing UTIs.
Which topic is important to include in the home care teaching for a client with a urinary tract infection (UTI)? (Select all
that apply.)
A.
Adequate fluid consumption
B.
Proper nutrition
C.
Voiding every 5 to 6 hours
D.
Good hygiene methods
E.
Wearing polyester underwear
Rationale: Home care teaching for a client with a UTI includes information about good hygiene methods, proper
nutrition, and adequate fluid consumption. Increased fluids dilute the urine, reducing irritation of the inflamed bladder
and urethral mucosa. Instruct women to cleanse the perineal area from front to back after voiding and defecating, to
prevent the transfer of gastrointestinal bacteria to the urethra. Teach clients to void and wash the perineal area before
and after sexual intercourse to flush out bacteria introduced into the urethra
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