Difficulty: Medium
Average Score: 94%
Simulated
The nurse is evaluating a client's symptoms, and formulates the nursing problem, "High risk for injury due to potential urinary tract infection." Which symptoms indicate the need for this nursing problem?
Correct answer
C
Rationale
The nursing problem identifies a risk for injury from a potential infection. The symptoms must therefore be early, common indicators of a UTI that signal the risk is present. Fever and dysuria (painful urination) are classic signs of an active urinary tract infection. Azotemia and anorexia (A) are signs of renal impairment or systemic illness, which are more indicative of advanced kidney disease rather than an acute UTI. Hematuria and proteinuria (B) suggest glomerular damage or kidney stones, not primarily infection. Straining on urination and nocturia (D) are symptoms of lower urinary tract obstruction, such as in benign prostatic hyperplasia, rather than infection.