Which of the following patients is most at risk for developing a urinary tract infection?
A. 12-year-old comatose boy on a ventilator
B. 48-year-old woman after abdominal surgery
C. 67-year-old man with Alzheimer disease
D. 58-year-old man postcardiac catheterization
A
Because the peristaltic contractions of the ureters are not strong enough to overcome gravity when the patient is reclining, the renal pelvis fills before urine enters the ureters, which increases the patient's risk for urinary tract infection (UTI) and renal calculi. Renal calculi are calcium stones that lodge in the renal pelvis and pass through the ureters. Immobilized patients are at risk for calculi because of altered calcium metabolism and the resulting hypercalcemia.
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Ginger, a 26-year-old, is admitted to the burn unit with second- and third-degree burns on her trunk and neck. The nurse writes a nursing diagnosis of "Risk for Infection" based upon the knowledge that the patient has a/an
A) impaired mononuclear phagocyte system. B) interruption of physical barriers. C) impaired cell-mediated response. D) complement system deficiencies.
The first step in directing patient care is to assess staff capabilities
Indicate whether the statement is true or false
The nurse is admitting an older frail patient with dementia as a resident in a long-term care facility. Which problem is a priority when planning interventions for this patient's care?
1. Agitation 2. Dependency 3. Quality of life 4. Polypharmacy
The nurse would teach a 21-year-old patient, that the best time to perform a testicular self- examination is
a. early in the morning when relaxed. b. after ejaculation, when semen levels are depleted. c. after a warm shower when the hands and scrotum are warm. d. before exercising so that blood vessels are not enlarged.