The nurse is caring for an elderly client who does not exhibit an elevated temperature but is suspected of having a severe infection. The nurse should look for other signs and symptoms such as:

A)

diarrhea.
B)

nausea and vomiting.
C)

hypertension.
D)

change in mental function or delirium.


D
Explanation:

A)

In the elderly confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes. The other options would be indicative of GI and blood pressure problems.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)

In the elderly confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes. The other options would be indicative of GI and blood pressure problems.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)

In the elderly confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes. The other options would be indicative of GI and blood pressure problems.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)

In the elderly confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes. The other options would be indicative of GI and blood pressure problems.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation

Nursing

You might also like to view...

A nursing student is observing prenatal exams in the office setting. The health care provider informs the student that the fetal position is LSA. The student interprets this as a ____________________ presentation

ANS:

Nursing

A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

a. It can cause medication given at later stages to be ineffective. b. It will have no complications for the mother or infant. c. It may result in respiratory depression to the newborn. d. It will speed up labor and increase pain.

Nursing

An infant's dry diaper weighs 2.5 grams. The wet diaper weighs 47 grams. How would the nurse record the infant's urine output?

a. 47 mL b. 44.5 mL c. 43.5 mL d. 40.5 mL

Nursing

Mr. Thin is a 5 foot 8 inch, 79 year old male with a history of hyperlipidemia. Which of the following risk factors does not fit with his diagnosis?

a. he drinks four glasses of Jack Daniels per day b. history of hypertension c. smokes 1 pack of cigarettes per day d. weight of 125 pounds

Nursing