The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon assessment the nurse finds the patient confused and agitated. How will the nurse interpret these assessment findings?
a. These are normal signs of aging.
b. These are early signs of dementia.
c. These are purely psychological in origin.
d. These are common manifestation with UTIs.
ANS: D
The primary symptom of compromised older patients with an acute urinary tract infection or fever is confusion. Acute confusion in older adults is not normal; a thorough nursing assessment is the priority. With the diagnosis of urinary tract infection, these are not early signs of dementia and they are not purely psychological.
You might also like to view...
A newly admitted acutely psychotic patient is a private patient of the chief of staff and a private-pay patient. To whom does the psychiatric nurse assigned to the patient owe the duty of care?
a. Health care provider b. Hospital c. Profession d. Patient
The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?
A) Palpate firmly in order to feel the thyroid gland. B) Palpate gently without repeated attempts. C) Continue to palpate the gland until it is felt for enlargement. D) Not palpate the thyroid and just listen for a bruit.
Crushing or dissolving sustained-release drugs
A. has no effect on the medication. B. prevents absorption of the medication. C. allows more medication to be absorbed than intended. D. delays the release of the medication.
The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery. Which of the following would be considered the priority nursing diagnosis for this client?
1. Ineffective Airway Clearance 2. Excess Fluid Volume 3. Decreased Cardiac Output 4. Ineffective Coping