The nurse suspects that an older adult client may have pneumonia. Older adult clients may react differently to infectious processes, so the nurse is alert to atypical signs and symptoms, such as which one of the following?
a. Hypotension
b. Confusion
c. Erythema
d. Chills
B
An infection in older adults may not demonstrate typical signs and symptoms. Atypical symp-toms such as confusion, incontinence, or agitation may be the only symptoms of an infectious illness. An unexplained increased heart rate, confusion, or generalized fatigue may be the only symptoms of pneumonia in the older adult client.
Hypotension is not one of the atypical symptoms of an older adult who is experiencing infection. It may be a symptom of a systemic infection related to an elevation in body temperature (regard-less of age).
Erythema is a typical symptom of a localized infection.
Chills are a typical symptom of a systemic infection.
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