A frail older patient with diabetes is diagnosed with a urinary tract infection. Which statement from the patient would concern the nurse to further assess for complications?
1. "My stomach is aching."
2. "I feel nauseated."
3. "I have a headache."
4. "My vaginal area is itching."
4. "My vaginal area is itching."
Explanation: 1. When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism. Clients can potentially have stomach discomfort, but likely it is not directly caused from the diabetes and UTI antibiotic complications.
2. When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism. Clients may feel nauseated from medication, but likely it is not directly related to diabetes and UTI antibiotic complications.
3. When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism. Clients may have a headache for various reasons, but likely not directly related to diabetes and UTI antibiotic complications.
4. When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism. These higher doses place the person at risk for medication side effects and drug interactions, including development of antibiotic-associated diarrhea, fungal infections, decreases in renal excretion of all prescribed medications, and development of hypo- or hyperglycemia.
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