The nurse is caring for an older client who does not exhibit an elevated temperature but is suspected of having a severe infection. The nurse should look for other manifestations of infection, such as:
1. hypertension.
2. change in mental function or delirium.
3. diarrhea.
4. nausea and vomiting.
Answer: 2
1. Hypertension indicates a problem with blood pressure.
2. In the elderly, confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes.
3. Diarrhea indicates a gastrointestinal problem.
4. Nausea and vomiting can have many causes; however, it is not directly linked to an infection in an older client.
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