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ADULT II--CH. 66 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADULT II--CH. 66 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADULT II--CH. 66 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
The home health nurse reads in the patient's chart that the patient has asymptomatic bacterial urinary
tract infection. Which intervention will the nurse performed? - ANSWER Closely monitor for conditions
that cause progression to acute infection.
Which group has the highest prevalence of urinary tract infections? - ANSWER Older women.
Which patient has the highest risk for developing a complicated UTI? - ANSWER A 22-year-old man who
has a neurogenic bladder due to spinal cord injury.
The nurse is working in a long-term care facility. Which circumstance is cause for greatest concern,
because the facility has a large number of residents who are developing UTIs? - ANSWER A large
percentage of residents have indwelling urinary catheters.
The nurse is caring for a patient with an indwelling catheter. What intervention does the nurse used to
minimize catheter related infections? - ANSWER Assess the patient daily to determine need for the
catheter.
Which task related to care of patients who have indwelling catheters can be delegated to unlicensed
assistive personnel? - ANSWER Perform daily catheter care by washing the perineum and proximal
portion of the catheter with soap and water.
in which patient circumstance would the nurse question the order for the insertion of an indwelling
catheter? - ANSWER patient has functional incontinence related to Alzheimer's disease.
For a patient who needs an indwelling catheter for at least two weeks, which intervention would help
reduce the bacterial colonization along the catheter? - ANSWER Consider the use of a coated catheter.
The nurse hears a report that the patient is being treated for a fungal UTI. In addition to performing
routine care and assessments, the nurse is extra vigilant for signs and symptoms of which systemic
disorder that may underlie the fungal UTI? - ANSWER Immune system compromise.
, The nurse is caring for a patient who has an indwelling catheter and subsequently developed a UTI. The
patient has been receiving antibiotics for several days, but develops hypotension, a rapid pulse, and
confusion. The nurse suspects urosepsis and alerts the healthcare provider. Which diagnostic test is the
provider most likely to order to confirm urosepsis? - ANSWER Blood culture.
The nurse is teaching a woman how to prevent UTIs. What information does the nurse include? -
ANSWER Clean the perineal area from front to back.
The nurse is teaching a man about how to prevent UTIs. What information does the nurse include? -
ANSWER Gently wash the genital area before intercourse.
Patients who have central nervous system lesions from stroke, multiple sclerosis, or parasacral spinal
cord lesions may have which type of urinary incontinence? - ANSWER Detrusor hyperreflexia.
A patient reports intense urgency, frequency, and bladder pain. Urinalysis results show white blood cells
and red blood cells and urine culture results are negative for infection. How does the nurse interpret
these findings? - ANSWER Interstitial cystitis.
A patient has been started on oxybutynin, Ditropan, for urinary incontinence. What is the major action
of this medication? - ANSWER Relaxes bladder muscles.
A young female patient reports experiencing burning with urination what question does the nurse ask to
differentiate between a vaginal infection and a urinary infection? - ANSWER Have you noticed any
vaginal discharge?
A patient reports symptoms indicating a UTI. Results from which diagnostic test will verify a UTI? -
ANSWER Urinalysis to test for leukocyte esterase and nitrate.
A patient is diagnosed with a fungal UTI. Which drug does the nurse anticipate the patient will be treated
with? - ANSWER Fluconazole-Diflucan.
the nurse is teaching a patient about self-care measures to prevent UTIs. Which daily fluid intake does
the nurse recommend to the patient to prevent a bladder infection? - ANSWER 2 to 3 L of water.
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