A nurse is responsible for the care of group of older adults on an acute medical unit. Which of the following clients should the nurse monitor closely at night for worsening symptomatology?
A) A client with a diagnosis of chronic obstructive pulmonary disease (COPD)
B) A client with diagnoses of osteoarthritis and failure to thrive
C) A client with a diagnosis of foot cellulitis secondary to diabetic neuropathy
D) A client with chronic anemia receiving transfusions of packed red blood cells
Ans: A
The symptoms of individuals with COPD are often exacerbated during sleep, because of both positioning and decreased oxygen saturation that occurs during sleep. Clients with osteoarthritis, cellulitis, or anemia would not be as likely to have increased symptoms at night.
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