An older adult patient is hospitalized for after an automobile ...

[nummyann]

An older adult patient is hospitalized for after an automobile crash. The nurse recognizes symptoms suggestive of an upper urinary tract (UTI) infection when the patient
 
  a. voids 100 mL of urine over a 3-hour pe-riod of time.
  b. is not able to state where he is or what day it is.
  c. has an elevated red blood cell (RBC) count.
  d. reports burning when he urinates.

Question 2

The nurse is teaching a newly diagnosed diabetic patient about metformin. What information does the nurse include? (Select all that apply.)
 
  a. Alcohol intake should be limited and tak-en with food.
  b. Overweight patients sometimes poorly tolerate metformin.
  c. Oral hypoglycemic agents can increase the risk of hyperglycemia.
  d. Metformin has been the cause of anorexia in older patients.
  e. Oral hypoglycemic agents affect vitamin D absorption.

[sultana.d]

Answer to Question 1

B
For many older adults, the presentation of a UTI is confusion or another change in mental status. Burning on urination would signify a lower urinary tract infection. The other two assessments are unrelated.

Answer to Question 2

A, D
Studies indicate that metformin, classified as a biguanide, may be the drug of choice for over-weight patients. Side effects such as anorexia, nausea, and abdominal discomfort may, however, limit its use in older adults. Alcohol can decrease hypoglycemic awareness, so metformin should only be ingested with food. Alcohol use should also be limited.

[nummyann]

Excellent

[phuda]

TYSM