In which of the following hospital patients would a nurse be most confident in ruling out the presence of an infection?
A) A 78-year-old man, post hip replacement, who has a temperature of 99.5°F and a loss of appetite.
B) A 70-year-old female patient who is newly incontinent of urine and confused.
C) A 90-year-old male patient, normally mobile, who is insisting on remaining in bed and has an unsteady gait when walking to the bathroom.
D) A 73-year-old woman whose blood pressure is increased and oxygen saturation levels are decreased.
D
Feedback:
Hypertension and decreased oxygen saturation are not noted signs of infection in the elderly. The signs and symptoms in answers A, B, and C are all associated with infection.
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