Author Question: The nurse in an urgent care center assesses an adult client who presents with a fever of 101.2 F and ... (Read 129 times)

rmenurse · **on:** Jun 25, 2018

The nurse in an urgent care center assesses an adult client who presents with a fever of 101.2 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 2

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?

Benayers · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

The classic symptoms of cystitis include dysuria or painful urination, urinary frequency and urgency, and bloody urine or hematuria. A 40-year-old client who presents with a fever and painful urination is not experiencing symptoms of menopause. Asking about fever and chills is not specific to suspected cystitis and does not elicit information related to urinary symptoms. Pain from cystitis is typically suprapubic, not upper abdominal.

Answer to Question 2

Answer: D

The most important teaching to provide females is always to wipe the peri-anal/genital area from front to back. E-coli are the most common micro-organisms responsible for urinary tract infections and can easily be dragged into the urethral orifice by wiping from the anus to the urethra after defecation. Females do have a shorter urethra compared with males and are more susceptible to urinary tract infections for this reason. Personal hygiene practices, such as cleansing after a bowel movement, are a priority teaching instruction to include for this client. Urinary tract infections are not associated with families or genetics.