A frail, older, cognitively impaired client has developed a urinary tract infection. Which signs and symptoms would the nurse expect to find?
1. Hypertension
2. Flank pain
3. Increased confusion
4. High fever
3. Increased confusion
Rationale:
Increased confusion is a symptom that results from the infection and the cognitively impaired client's inability to state feelings correctly. Hypertension is not a sign or symptom of a urinary tract infection but of chronic renal failure, medication, arteriosclerosis, as well as other conditions. Flank pain occurs with pyelonephritis; pain with urinary tract infection occurs with urination. With a urinary tract infection, fever is usually low grade.
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