During a nursing assessment, a frail older patient with cognitive impairment has a higher level of confusion than normal. What symptoms indicative of a urinary tract infection should the nurse further assess?
1. Flank pain
2. Fall risk
3. Blood pressure
4. Increased appetite
2. Fall risk
Explanation: 1. A person with a mild cognitive impairment who develops a urinary tract infection might become more confused as a result of the infection. Flank pain is not an expected manifestation of a urinary tract infection.
2. A person with a mild cognitive impairment who develops a urinary tract infection might become more confused as a result of the infection. Common atypical presentations of this illness in frail older adults include a higher risk for falls.
3. A person with a mild cognitive impairment who develops a urinary tract infection might become more confused as a result of the infection. Hypertension is not a typical manifestation of a urinary tract infection.
4. A person with a mild cognitive impairment who develops a urinary tract infection might become more confused as a result of the infection. Common atypical presentations of illness in frail older adults include loss of appetite.
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