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Older adult urinary infection

  • NCLEX-RN
  • NCLEX-PN
  • Health Promotion and Maintenance
  • Bow-tie
  • Difficulty 3 of 5

Question

Complete the diagram by choosing the condition the client is most likely experiencing, 2 actions to take and 2 parameters to monitor.

Actions to takeSelect 2

  • Report the change in condition promptly✓ Correct
  • Encourage oral fluids✓ Correct
  • Ignore the change as normal aging✗ Incorrect
  • Discourage frequent toileting✗ Incorrect

Condition most likely experiencingSelect 1

  • Urinary tract infection✓ Correct
  • Chronic dementia alone✗ Incorrect
  • Postpartum mastitis✗ Incorrect
  • Preeclampsia✗ Incorrect

Parameters to monitorSelect 2

  • Level of confusion✓ Correct
  • Urinary symptoms✓ Correct
  • Uterine tone✗ Incorrect
  • Breast redness✗ Incorrect

Answer

Actions to take: Report the change in condition promptly; Encourage oral fluids · Condition most likely experiencing: Urinary tract infection · Parameters to monitor: Level of confusion; Urinary symptoms

Rationale

A sudden change in thinking and strength can accompany urinary infection in an older adult, particularly alongside urinary symptoms. Prompt reporting and fluids are appropriate while the client is evaluated.

RememberA sudden mental change in an older adult deserves prompt follow-up.

Sources

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