The nurse caring for an older patient is concerned when the patient begins experiencing mild confusion. The nurse notes that the vital signs are all within normal limits for this patient. To best assess related symptoms, the nurse initially
a. asks the patient to "Squeeze my hand as hard as you can."
b. reviews documentation about how the pa-tient has been eating.
c. reviews the patient's medication for poss-ible adverse reactions.
d. asks the patient's daughter if her mother has been confused before.
B
Anorexia is a symptom of urinary tract infection, which occurs frequently in older adults. Sub-clinical infection and inflammation can occur with presenting symptoms such as acute confusion, functional capacity deterioration, anorexia, or nausea rather than the classic symptoms of fever and dysuria. Although all actions are appropriate, the nurse suspecting a urinary tract infection (UTI) will assess eating patterns.
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