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Exam (elaborations)

NUR 111 TEST 6 PRACTICE QUESTIONS & ANSWERS

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NUR 111 TEST 6 PRACTICE QUESTIONS & ANSWERS

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NUR 111
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Institution
NUR 111
Course
NUR 111

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Uploaded on
March 10, 2025
Number of pages
11
Written in
2024/2025
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NUR 111 TEST 6 PRACTICE QUESTIONS & ANSWERS
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.) - Answers
:Vesicoureteral reflux
Structural deviations
Renal scarring

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.) - Answers :A. Flank tenderness
C. Vomiting
D. Urinary frequency
E. Diarrhea

The nurse is caring for a client diagnosed with a urinary tract infection (UTI). Which
assessment finding supports this diagnosis? (Select all that apply.) - Answers :Burning
Sensation on urination
Abdominal pain
flank pain

Wrong answers explained: Increasing the intake of cranberry juice, not avoiding it, can
help prevent UTIs because it acidifies the urine. Water is important to keep the client
hydrated and help the kidneys flush out excess waste.

Which topic is important to include in the home care teaching for a client with a urinary
tract infection (UTI)? (Select all that apply.) - Answers :- Proper nutrition
- Adequate fluid consumption
- Good hygiene methods

The nurse is teaching a female client about the prevention of urinary tract infections
(UTIs). Which information should the nurse include? - Answers :Avoid bubble baths.
Why? The information the nurse should include in the teaching about preventing UTIs is
to avoid bubble baths. Avoiding bubble baths helps to maintain the integrity of the
perineum.

Wrong answers explained: Clients should void and wash the perineum before and after
intercourse. The bladder should be emptied every 3-4 hours.

The nurse is caring for a postpartum client. Which intervention is the most important for
the nurse to integrate into the plan of care to prevent a urinary tract infection (UTI)? -
Answers :Empty the bladder completely
Why? The postpartum woman is at an increased risk of developing urinary tract
problems caused by normal postpartum diuresis, increased bladder capacity, and
decreased bladder sensitivity from stretching or trauma. These factors make it essential
for the mother to empty her bladder completely with each voiding.

, Wrong answers explained: Fluid intake is important, but it is not related to the main
cause of UTIs in the postpartum period. Peri pads should be changed every time the
client voids, followed by perineal cleansing before placement of a new pad. Antiseptic
solutions are not used on the perineum of a postpartum client.

The nurse is teaching parents of school-age children practices that should decrease the
risk of urinary tract infections (UTIs). Which information should the nurse include? -
Answers :Encourage the child to void five or six times a day

Why? The information the nurse can include in the teaching to prevent UTIs in children
is to encourage them to void five to six times a day. Infrequent voiding, which is
common in school-age children, results in incomplete emptying of the bladder and
urinary stasis, both of which are factors in the development of UTIs.

The nurse is caring for a client with pyelonephritis. Which clinical manifestation should
the nurse assess in the client? (Select all that apply.) - Answers :Fever
Flank Pain
Vomiting

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? - Answers :Cleanse the perineal area front to back

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.) - Answers
:-Citrus juices
-alcohol,
-coffee

Why? 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.
Wrong answers explained: Dairy is associated with an increased risk of UTIs, but it is
not the major contributing factor for UTIs in children. Juices and sugar substitutes in
drinks are associated with UTIs.

For which client should the nurse question the healthcare provider's order for a 7- to 10-
day course of antibiotics? - Answers :A female client with uncomplicated cystitis

Why? Most uncomplicated infections of the lower urinary tract can be treated with a
short course of antibiotic therapy, either a single antibiotic dose or a 3-day course of
treatment.

Wrong answers explained: Single-dose therapy is associated with a higher rate of
recurrent infection and continued vaginal colonization with Escherichia

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