The nurse is assessing a new admission who is 90 years old and is diagnosed with tuberculosis. The nurse plans to assess this client realizing that the older client may present with symptoms in which of the following ways?
1. Hemoptysis and fever
2. Night sweats
3. Coughing
4. Complaints of joint and bone pain
4. Complaints of joint and bone pain
Rationale:
Tuberculosis in older adults occurs as a pulmonary disease but can also be extrapulmonary with dissemination to lymph nodes, bones, kidneys, gastrointestinal tract, and skin. Typical symptoms of tuberculosis are less common in the elderly, who may present with confusion and altered mental status. It most commonly occurs as a reactivation of a dormant infection that was not effectively treated in the past. The number of cases is highest in the age group of older adults (65 and older) except for clients with HIV/AIDS. The elderly client's response to tuberculosis would not include hemoptysis and fever, night sweats, or coughing.
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