Author Question: The nurse is teaching the family of an elderly client who is being discharged home to the family ... (Read 102 times)

Shelles · **on:** Jun 25, 2018

The nurse is teaching the family of an elderly client who is being discharged home to the family about risks the client has for infection that are different from risks for infection for the rest of the family.

The nurse should include which information during teaching?

1. The older client might not have the usual symptoms of infection.
2. The older client is better nourished because she has more free time to eat healthy foods.
3. The older client is not at high risk for dehydration.
4. The older client has increased bladder tone.

Question 2

The nurse is preparing to administer penicillin to the client who is experiencing an infection. The priority nursing intervention would be for the nurse to:

1. monitor for white patches in the mouth.
2. assess the client's allergy status regarding the antibiotic.
3. teach the client to take the medication on an empty stomach.
4. recommend that the client take a prophylactic antifungal medication.

aloop · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1

1. Altered mental status and confusion can be the presenting symptoms in the elderly client with an infection. Those taking nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain might not present with a fever. The nurse should teach the family the risks and possible symptoms of infection.
2. The older client does not necessarily eat a healthy diet, for various reasons.
3. The elderly are at high risk for dehydration.
4. The older client has decreased bladder tone.

Answer to Question 2

Answer: 2

1.The nurse watches for white patches when a client is on long-term antibiotics as an indication that the client has a fungal infection, but it is not the priority intervention.
2. Penicillin is one of the antibiotics that produce the most allergic reactions. It is the nurse's priority to check for the client's allergy status regarding penicillin.
3. Since the nurse is giving the medication, the nurse is aware of when the client ate last. The nurse would instruct the client who is being discharged to take the medication on an empty stomach. Allergy status is still the priority.
4. The physician prescribes an antifungal medication if the client develops a fungal infection.