Deck 9: Infection

Question 1

The nurse is concerned that a client with bowel and bladder dysfunction is at risk for developing an infection.Which actions should the nurse take to help reduce this client's risk for developing an infection? Select all that apply.

A) Turn and reposition the client every 2 hours.
B) Monitor intake and output.
C) Provide hygienic care after episodes of incontinence.
D) Use standard precautions when handling linen after episodes of incontinence.
E) Cover wounds with antibiotic ointment and sterile gauze.

Answer 1

Monitor intake and output.
Provide hygienic care after episodes of incontinence.
Use standard precautions when handling linen after episodes of incontinence.

Question 2

The nurse is preparing discharge instructions for an older adult client with cellulitis of the leg.What should the nurse teach the client and family regarding ways to prevent this health problem from occurring in the future?

A) "Keep the client off her leg as much as possible."
B) "Bring the client to the doctor if there is a fall."
C) "Maintain a healthy diet."
D) "Do not allow the client to walk without assistance."

Answer 2

"Maintain a healthy diet."

Question 3

A pediatric client is receiving IV antibiotics for the treatment of a Staphylococcus aureus infection.Which nursing interventions are appropriate when providing care to this client? Select all that apply.

A) Encourage adequate fluid intake.
B) Monitor for allergic reaction.
C) Assess renal and liver function.
D) Obtain a baseline electrocardiogram.
E) Monitor vital signs.

Answer 3

Encourage adequate fluid intake.
Monitor for allergic reaction.
Assess renal and liver function.
Monitor vital signs.

Question 4

The nurse is assessing an older adult client who is recovering following a cholecystectomy.Which factor would increase this client's susceptibility to infection?

A) Intact mucous membranes
B) Surgical incision
C) Dry skin
D) Active bowel sounds

Question 5

A client is being treated for trachoma after returning from a safari trip to Africa.Which potential complication should the nurse consider when planning this client's care?

A) Scarring of the cornea
B) Eye muscle weakness
C) Damaged iris
D) Retinal detachment

Question 6

The nursing is caring for a client who is hospitalized for cellulitis of the foot.Which nursing diagnoses should the nurse use to plan this client's care? Select all that apply.

A) Social Isolation related to skin infection
B) Altered Skin Integrity related to skin infection
C) Acute Pain related to skin infection
D) Disturbed Sleep Pattern related to skin infection
E) Powerlessness related to inability to control the infection

Question 7

A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit.Which nursing intervention is most effective in reducing the risk of infections?

A) Raising the temperature in the client's room
B) Assessing vital signs once daily
C) Wearing a mask for client care
D) Performing hand hygiene

Question 8

The nurse is providing discharge instructions to a client recovering from cellulitis.Which client statement indicates that this teaching has been effective?

A) "I will monitor for signs of infection such as fever, chills, malaise, and redness or tenderness at the site."
B) "If the lesion looks healed, I will stop taking the antibiotics so that I will not develop resistance to antibiotics."
C) "If pustules develop, I will squeeze the lesion to remove the pus."
D) "Drainage from the site is an expected finding, and I should not be concerned."

Question 9

The nurse is teaching a group of adolescents at a local high school about skin infections.Which students does the nurse identify as at an increased risk for developing cellulitis? Select all that apply.

A) The female student who plucks her eyebrows.
B) The student with diabetes.
C) The student practicing hand hygiene.
D) The student who squeezes pimples.
E) The student who engages in contact sports.

Question 10

A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge.Which discharge order should the nurse anticipate for this client?

A) Low-sodium diet prescribed
B) Home healthcare aide for the client
C) Oral antibiotics to be continued at home
D) Orders for evaluation by physical therapy

Question 11

The nurse is teaching a child care class for mothers of young children.What should the nurse teach as being the most common mode of transmission of infectious disease?

A) Children who are playing board games
B) Children who are sitting together eating meals
C) Children who are playing with the same toy
D) Children who don't wash their hands after using the bathroom

Question 12

A home health nurse manager is instructing new staff regarding evidence-based practices of wound management.Which will the manager's teaching include? Select all that apply.

A) "Wounds should be kept dry and should not be covered until a scab forms."
B) "Allowing a wound to remain dry or applying a dry wound covering may slow the healing process."
C) "Wound covering helps maintain a dry environment, decreasing the chance of infection such as cellulitis."
D) "Proper wound moisture management can reduce pain and improve the cosmetic outcome."
E) "Three methods for proper wound management include cleansing techniques, proper wound covering, and ointment application."

Question 13

The nurse is teaching a client with cellulitis about ways to avoid future infections.Which client statements indicate that teaching has been effective? Select all that apply.

A) "I should use antibiotic soap to cleanse the wounds."
B) "I should eat a lot of rice to increase my intake of vitamin C."
C) "I will contact the doctor if I have a temperature of 99.5°F or higher."
D) "I will not swim in lakes."
E) "I can stop taking the antibiotics when the swelling subsides."

Question 14

An adolescent is diagnosed with cellulitis from picking the scabs on healing facial pimples.The mother scolds the child for eating too many oily foods that cause the acne.Based on this data,which topic is priority when providing education to the child and mother?

A) Antibiotics are the best way to prevent cellulitis.
B) Oily foods do not cause pimples or cellulitis.
C) Consumption of oily foods poses an increased risk for cellulitis.
D) Popping the pimples spreads the germs over the face.

Question 15

The nurse is caring for a client who is being discharged following an appendectomy.Which instruction is the most important for the nurse to teach this client regarding wound healing?

A) "Thoroughly irrigate the wound with hydrogen peroxide once a day."
B) "Apply a lubricating lotion to the edges of the wound twice a day."
C) "Add more fruits and vegetables to your diet."
D) "Notify the healthcare provider if you notice swelling, warmth, or tenderness at the wound site."

Question 16

The nurse is teaching a class on infection control.Which nursing measure is most appropriate in breaking a link in the chain of infection?

A) Place contaminated linens in a paper bag.
B) Use personal protective equipment (PPE).
C) Cover one's cough by placing the mouth in the hand.
D) Wear sterile gloves for client care.

Question 17

The nurse is caring for a client who is experiencing a systemic infection after a total knee replacement.Which diagnostic tests will be used to validate the presence of this infection? Select all that apply.

A) Serum electrolyte levels
B) Urinalysis
C) White blood cell differential
D) White blood cell count
E) Wound culture

Question 18

A nurse is caring for a client diagnosed with Erysipelas whose lower extremities are bright red and raised with well-defined borders.(See image.)Which is the most likely causative organism of this condition?

A) Group B streptococcus.
B) Group A streptococcus.
C) Staphylococcus aureus.
D) Candida albicans.

Question 19

The nurse is assessing a young adult college student who is experiencing red,swollen eyes that are oozing a yellowish drainage.The client is complaining of photophobia.Which is the most appropriate question for the nurse to ask the client?

A) "Have you had extra caffeine this week?"
B) "Did you get sand in your eye recently?"
C) "Have you been exposed to HIV?"
D) "Have any of your friends experienced these symptoms?"

Question 20

A nurse is assessing a client who recently returned from a camping trip.The client is experiencing edema in the right foot.When assessing the foot,the nurse notes a sore and suspects cellulitis.Which further data will the nurse assess to support the suspicion?

A) BUN and creatinine
B) Breath sounds
C) Blood cultures
D) Redness, pain, and drainage at the site

Question 21

The school nurse is planning a teaching session with the parents of students to reduce the spread of the flu virus throughout the school.What should the nurse include when teaching the parents of a diverse population about infection-control techniques? Select all that apply.

A) "Cover your cough" education
B) Appropriate hand hygiene
C) Safe food preparation and storage
D) Sanitizing high-touch items to kill pathogens
E) Withholding immunizations for children with compromised immune systems

Question 22

The nurse is teaching a mother to administer ophthalmic ointment to her infant with conjunctivitis.The nurse determines that learning goals have been met when the mother performs which action?

A) Places the ointment on a swab and spreads it across closed eyelids.
B) Instills the medication to the lacrimal duct.
C) Uses sterile gauze to apply the ointment.
D) Applies the ointment directly to the conjunctival sac.

Question 23

The nurse is planning care for a client diagnosed with influenza.Which interventions should the nurse include when planning this client's care? Select all that apply.

A) Placing droplet and contact precaution signs on the client room door
B) Placing the client in a negative air flow room
C) Placing a ventilator in the room
D) Notifying other departments of the diagnosis
E) Using appropriate PPE

Question 24

The nurse is reviewing diagnostic and laboratory studies performed for an older adult client with influenza.Which result should the nurse recognize as being consistent with influenza?

A) Decreased white blood cell count
B) Increased BUN
C) Decreased sodium level
D) Fluid-filled lungs on chest x-ray

Question 25

The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus.Which should the nurse include when teaching this client? Select all that apply.

A) "It is ok to rub your eyes with a clean, soft cloth for itching."
B) "Do not share towels, make-up, or contact lenses with anyone else, as this can spread the infection."
C) "You can soak your eyelids with warm saline to soften crusts and exudates that may form."
D) "Wash your hands before cleansing the eye and administering eye drops."
E) "You may go back to sharing towels when the infection is gone."

Question 26

An adolescent with otitis media is experiencing extreme pain.Which should the nurse emphasize to address the diagnosis of Acute Pain for this client?

A) Apply a cold compress to the affected ear.
B) Report abrupt relief of pain immediately.
C) Continue plans for air travel.
D) Report increased pain when moving the outer ear.

Question 27

The nurse makes a home visit to a client recovering from complications related to influenza.Which client statements indicate that desired outcomes have been met? Select all that apply.

A) "I'm eating healthy foods now."
B) "I went back to work."
C) "I haven't had chills since I left the hospital."
D) "I slept the whole night without coughing."
E) "I was able to take a walk today."

Question 28

A client has completed the full course of antibiotics prescribed to treat otitis media.Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective?

A) Impaired hearing
B) Dizziness
C) Pain
D) Nausea and vomiting

Question 29

During a home visit,the nurse instructs a young mother to bottle-feed the baby in the upright position.Which infectious health problem will this position help to prevent this child from developing?

A) Choking
B) Aspiration
C) Sinus infection
D) Otitis media

Question 30

The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis.Which statement made by the mother indicates teaching has been effective?

A) "I will drop the medication onto the eyeball."
B) "I will wait 10 seconds between drops."
C) "I will wash my hands before instilling the medication."
D) "I will rub the eye with a cotton ball after I administer the medication."

Question 31

A client with the flu is experiencing tachypnea.What interventions should the nurse use to address the diagnosis of Ineffective Breathing Pattern related to the flu? Select all that apply.

A) Maintain adequate hydration.
B) Teach the client coughing, deep breathing, and hydration.
C) Prepare the client for the possibility of a tracheostomy tube.
D) Keep the head of the bed elevated.

Question 32

The nurse is providing care for a pediatric client with bacterial conjunctivitis.Which interventions should the nurse use as part of the collaborative management of the client? Select all that apply.

A) Recommending dark sunglasses
B) Placing cold eye compresses
C) Contacting the client's school nurse
D) Performing careful hand hygiene
E) Administering antiviral therapy

Question 33

A client with newly diagnosed otitis media tells the nurse that the left ear has been aching for weeks.Since this health problem has been untreated for so long,which additional problem is this client at risk for developing?

A) External otitis
B) Meningitis
C) Pneumonia
D) Influenza

Question 34

The nurse is preparing an educational session on the importance of high-risk populations receiving an annual influenza vaccination.Which clients are considered high-risk for developing complications from the flu? Select all that apply.

A) A 25-year-old pregnant woman at 20 weeks' gestation
B) A 65-year-old woman
C) A 3-year-old with cystic fibrosis
D) A 35-year-old man with a severe allergy to eggs
E) A 20-year-old healthcare worker

Question 35

The nurse is assessing clients in the eye clinic who have eye infections.For which client with conjunctivitis should the nurse be most concerned?

A) The client from Iran
B) The client from Brazil
C) The client from New York City
D) The client from Florida

Question 36

A new mother is distraught because her infant has a fever of 102ºF and is diagnosed with otitis media.What should the nurse instruct the mother to help the child's fever and pain?

A) Swaddle the baby in blankets.
B) Feed the baby solid foods.
C) Administer acetaminophen.
D) Bathe the baby with cool water.

Question 37

The nurse is planning care for a client with conjunctivitis.Which client statement supports the nursing diagnosis of Risk for Altered Vision?

A) "I have had this infection for 3 days."
B) "My mother is blind from retinopathy."
C) "This is the fourth eye infection I have had in the last 6 months."
D) "I think I caught the infection from my child."

Question 38

A nurse is caring for a client diagnosed with trachoma.When providing client education regarding this condition,the nurse will include which statements? Select all that apply.

A) "This condition is caused by Chlamydia trachomatis."
B) "It is common in the United States."
C) "It is the primary cause of preventable blindness worldwide."
D) "Early symptoms include inflammation of the cornea."
E) "The causative organism is usually Staphylococcus aureus."

Question 39

The nurse walks into an examination room and sees a young child demonstrate a specific behavior.(See image).Which health problem should the nurse suspect the child is experiencing?

A) Sore throat
B) Hunger
C) Otitis media
D) Head cold

Question 40

The nurse is assessing a client with acute malaise and muscle aches.Which questions should the nurse ask to determine whether the client is experiencing influenza? Select all that apply.

A) "Have you had a flu shot this year?"
B) "Is your cough productive?"
C) "Have you been exposed to anyone with the flu?"
D) "Are you having any trouble urinating?"
E) "Do you have dizziness?"

Question 41

An older adult client with sepsis has been admitted to the nursing unit.The nurse is planning care and determines that one goal for this client is to maintain normal mental status.Which outcome evaluation implies that the goal has been met?

A) The client is agitated.
B) The client has a Glasgow coma score of 4.
C) The client responds to questions appropriately.
D) The client's pupils are fixed and dilated.

Question 42

A 1-month-old infant is admitted to the hospital with a temperature of 102°F.For which reason will this infant receive a septic work-up?

A) Absence of sweat glands
B) Immature immune system
C) Inadequate red blood cells
D) Poor lung elasticity

Question 43

The nurse is preparing an educational session on sepsis.Which should the nurse include as a major risk factor for the development of this health problem?

A) Pneumococcal bacteria
B) Leukocytosis on the complete blood count
C) Undiagnosed urinary tract infection
D) Elevated temperature

Question 44

The nurse is caring for a client who develops a fever and productive cough after having an appendectomy.Which prescriptions should the nurse expect from the healthcare provider for this health problem? Select all that apply.

A) Sputum cultures
B) Antibiotics
C) Chest physiotherapy
D) Bronchial washing for culture
E) Isolation precautions

Question 45

The healthcare provider prescribes a client to have peak and trough blood levels drawn to evaluate the therapeutic effect of an IV antibiotic.When should the nurse schedule the blood samples to be drawn? Select all that apply.

A) Prior to the discontinuing the antibiotic
B) A few minutes before the next scheduled dose of medication
C) During the infusion of the antibiotic
D) 30 minutes after the IV administration
E) 1-2 hours after the oral administration of the medication

Question 46

The nurse identifies the diagnosis of Ineffective Peripheral Tissue Perfusion as being appropriate for a client with septicemia.Which intervention will address this client's health problem?

A) Monitor heart rate every hour.
B) Assess temperature every 4 hours.
C) Monitor pupil reactions every 8 hours.
D) Monitor for cyanosis.

Question 47

An older adult client is admitted with pneumonia.Which manifestations would the nurse expect to find when assessing this client? Select all that apply.

A) Hemoptysis
B) Increased appetite
C) Change in level of consciousness
D) Respiration of 24
E) Lethargy

Question 48

A toddler-age child with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days.Which should the nurse teach the mother about this medication?

A) "It is ok to stop the antibiotic if the child begins to have side effects."
B) "Give the antibiotic for the full ten days as prescribed."
C) "It is important to measure the prescribed dose in a household teaspoon."
D) "Be sure to administer a loading dose of the medication when you get home."

Question 49

List the pathophysiology concepts related to the onset of sepsis in sequential order.

A) Macrophage-producing cytokines are released.
B) Endotoxin released by microorganisms sets off an out-of-control inflammatory process.
C) Neutrophils arrive and multiply, occluding capillaries.
D) Vasodilation with increased capillary permeability and fluid leak.

Question 50

The nurse is providing care to a client with pneumonia is has a fever.Which interventions should the nurse use to attain the goal of normal body temperature? Select all that apply.

A) Increase the temperature of the room environment to prevent shivering.
B) Administer antipyretic medications.
C) Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance.
D) Use ice packs and a tepid bath every 2 hours.
E) Promote frequent rest periods to increase energy reserve.

Question 51

An older adult client is recovering in the intensive care unit (ICU)from septicemia.Which intervention will help prevent further infection for this client?

A) Foley drainage on the bed at the client's feet
B) Oral and skin care
C) Turn, cough, and deep breathe q shift.
D) Sterile wound care

Question 52

A nurse is caring for an older adult client admitted to the hospital with pneumonia.The client asks the nurse what can be done to decrease the risk for developing pneumonia in the future.Which responses by the nurse are the most appropriate? Select all that apply.

A) "You should drink a yogurt drink once a day that is supplemented with L. casei immunitas cultures."
B) "You can start by not smoking."
C) "You can get the pneumonia vaccination, which may help to decrease your risk in the future."
D) "Avoiding alcohol will help."
E) "There is nothing that you can do to decrease your risk of pneumonia in the future."

Question 53

An older adult client who resides in a long-term care facility is admitted to the hospital with sepsis.The family is tearful and does not understand how their family member got so sick from a bed sore.What should the nurse teach the family to help in the care of the client?

A) Alert the staff when the IV runs dry.
B) Help the nurse with dressing changes.
C) Assist the client to the bathroom so there is not a fall.
D) Assist the client with meals to obtain optimal nourishment.

Question 54

The nurse is preparing to assess an older adult client admitted with tuberculosis.Which manifestations does the nurse anticipate for this client?

A) Night sweats
B) Swollen lymph nodes
C) Cough
D) Hemoptysis

Question 55

A nurse working in the intensive care unit (ICU)is receiving a client diagnosed with early septic shock from the emergency department (ED).The nurse will recognize which symptoms associated with this condition? Select all that apply.

A) Normal blood pressure
B) Rapid and deep respirations
C) Shallow respirations
D) Warm and flushed skin
E) Lethargic mental status F) Decreased urine output

Question 56

An adolescent client is brought to the emergency department (ED)with fatigue,weight loss,a dry cough,and night sweats.The family just recently immigrated to the United States.Based on this data,for which potential risk should the nurse include when planning care for this client?

A) Pneumothorax
B) Pneumonia
C) Renal failure
D) Septicemia

Question 57

The nurse determines that the diagnosis of Ineffective Airway Clearance is appropriate for a client with pneumonia who is experiencing copious amounts of respiratory secretions.Which intervention should the nurse include in this client's plan of care?

A) Perform chest percussion every 4 hours and prn.
B) Administer the pneumococcal vaccine prior to discharge.
C) Limit fluid intake to 1,000 mL per day.
D) Provide the client with smoking cessation education.

Question 58

The nurse is teaching the parents of an infant who is diagnosed with acute otitis media.Which is the priority teaching point for these parents?

A) Administer a decongestant for nasal congestion.
B) Keep the baby in a flat position during sleep.
C) Administer acetaminophen to relieve pain and decrease fever.
D) Place the baby to sleep with a pacifier.

Question 59

The nurse is caring for an older adult client who is hospitalized with a second episode of pneumonia in the past 18 months.The client has expressed frustration to the nurse and states,"I never got sick when I was younger.Why is this happening?" Which response by the nurse is most appropriate?

A) "As you grow older, your immune system just quits working."
B) "As you grow older, there is a decrease in the immune response, which puts you at greater risk for developing an infection."
C) "As you grow older, there in an overall increase in the speed and strength of your immune response."
D) "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response."

Question 60

A client is admitted to the intensive care unit with a systemic infection.Which manifestations will the nurse most likely assess in this client? Select all that apply.

A) Tachycardia
B) Pain
C) Edema
D) Anorexia
E) Fever

Question 61

The healthcare provider prescribes an indwelling urinary catheter for a client with urinary retention.Which intervention,along with strict aseptic technique,will decrease the risk of infection for this procedure?

A) Irrigating the catheter with sterile saline on a daily basis
B) Instructing the client to void around the catheter
C) Using an anesthetic lubricating gel during insertion
D) Inflating the balloon while the catheter is in the urethra

Question 62

An adult client is admitted to the hospital with a diagnosis of kidney stones.The healthcare provider prescribes IV fluids,x-rays,blood work,and a Foley catheter for the client.The nurse is caring for the client 3 days after admission and documents morning vital signs of 101°F,heart rate 92,respirations 25,and blood pressure 120/80.The urinary output has decreased,and the urine is cloudy and dark amber.Based on this data,which conclusion by the nurse is the most appropriate?

A) The client has passed the kidney stones.
B) The client is in acute renal failure.
C) The client has developed a respiratory infection.
D) The client has a probable urinary tract infection.

Question 63

The nurse has been invited to present a program at the local parent-teacher association (PTA)meeting on recognizing and preventing illness in children.Which symptoms of urinary tract infections in preschool age children should the nurse include? Select all that apply.

A) Urinary urgency
B) Elevated blood pressure
C) Dysuria
D) Fever
E) Headache

Question 64

The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses.Which should the nurse include in the presentation?

A) Men are most likely to experience descending urinary tract infections.
B) Straight catheterization is the only way to evaluate for the presence of a urinary tract infection.
C) Women require a shorter course of antibiotic therapy to manage a urinary tract infection than men.
D) The rate of urinary tract infections is similar between men and women.

Question 65

The nurse in an urgent care center assesses an adult client who presents with a fever of 10 1.2°F and complaints of painful urination.What should the nurse ask to elicit further data that indicates cystitis?

A) "Do you have any symptoms of menopause?"
B) "How long have you had a fever, and have you had chills with this?"
C) "Do you have any upper abdominal pain or cramping?"
D) "What color is your urine?"

Question 66

The nurse is caring for a client who is admitted to the unit with tuberculosis (TB).The client is placed in isolation.To protect the caregivers and other clients on the unit,which type of isolation room is most appropriate?

A) Single-door room with positive air flow (Air flows out of the room.)
B) Isolation room with an anteroom and negative air flow (Air flows into the room.)
C) Isolation room with an anteroom and normal airflow
D) Single-door room with normal airflow

Question 67

The nurse is caring for a client who is receiving multiple drugs for treatment of tuberculosis.The nurse teaches the client the rationale for the multiple-drug treatment and evaluates learning as effective when the client makes which statement?

A) "Multiple drugs are necessary to develop immunity to tuberculosis."
B) "Multiple drugs are necessary because I became infected from an immigrant."
C) "Multiple drugs will be required as long as I am contagious."
D) "Multiple drugs are necessary because of the risk of resistance."

Question 68

The nurse in an inner city clinic is providing a health screening for a homeless client with a history of drug abuse.The client has a chronic non-productive cough.For which should the nurse expect to screen this client?

A) Herpes zoster
B) Sickle cell disease
C) Sick sinus syndrome
D) Tuberculosis

Question 69

The nurse caring for a homeless client at risk for tuberculosis (TB)will include which symptoms of the disease when educating the client? Select all that apply.

A) Fatigue
B) Low-grade morning fever
C) Productive cough that later turns to a dry, hacking cough
D) Weight loss
E) Night sweats

Question 70

A nurse is caring for a client with tuberculosis (RB)who is taking Rifampin for treatment of the disease.Which nursing interventions for this client? Select all that apply.

A) Administer the medication with meals to reduce gastrointestinal side effects.
B) Record a baseline visual examination before initiating therapy.
C) Administer the medication on an empty stomach.
D) Administer the medication by deep intramuscular injection into a large muscle mass.
E) Monitor CBC, liver function studies, and renal function studies for evidence of toxicity.

Question 71

The nurse is planning care for an older adult client recently diagnosed with tuberculosis (TB).The client lives alone in an apartment and will continue treatment at home.Which nursing diagnosis is a priority for this client?

A) Ineffective Therapeutic Regimen Management
B) Deficient Knowledge
C) Ineffective Breathing Pattern
D) Risk for Injury

Question 72

The nurse is providing discharge instructions to the family of an older adult client with a history of urinary tract infection (UTI).The family asks what the early symptoms of a urinary tract infection are so that they can monitor the client.Which early symptom of a UTI should the nurse teach the family?

A) Urinary urgency
B) Blood in the urine
C) Urinary frequency
D) Alteration in cognition

Question 73

The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection (UTI).The client is prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ).Which client statement indicates that teaching has been effective?

A) "I will return within 10 days for a follow-up urine culture."
B) "I will practices Kegel exercises on daily basis."
C) "I will increase my intake of fluids, especially citrus juice."
D) "I will only wear 100% cotton underwear."

Question 74

The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB)is being transported to the unit.Which actions for infection prevention are the most appropriate in this circumstance? Select all that apply.

A) Stock the client's supply cart at the beginning of each shift.
B) Wear a mask and gown when caring for the client.
C) Have the client wear a mask when coming from admissions.
D) Perform hand hygiene only after leaving the room.
E) Test all staff members for TB immediately

Question 75

A preadolescent student asks the school nurse to explain why the student keeps getting urinary tract infections.The school nurse determines that the diagnosis of Deficient Knowledge is appropriate based upon the student's response to which question?

A) "When was your last UTI?"
B) "How often do you shower?"
C) "Do you have a family history of urinary problems?"
D) "In what direction do you wipe after a bowel movement?"