A frail older patient with cognitive impairment develops a ...

[deesands]

A frail older patient with cognitive impairment develops a urinary tract infection. Which manifestation should the nurse expect when assessing this patient?
 
  1. Flank pain
  2. High fever
  3. Hypertension
  4. Increased confusion

Question 2

A client with moderate stage dementia, who resides in a long-term care facility, has been demonstrating an increasing amount of difficulty determining which bed in the room is his. What interventions should the nursing staff take?
 
  A) Place the client in restraints to limit ambulation.
  B) Establish landmarks at the client's bedside.
  C) Investigate placing the client in a private room.
  D) Recognize the client is not responsible for the confusion and simply reorient him when it happens again.

[swimkari]

Answer to Question 1

4
Rationale: A person with a mild cognitive impairment who develops a urinary tract infection might become more confused as a result of the infection. This confusion may limit the older person's ability to recognize or communicate the urinary symptoms. As a result, the urinary tract infection may go undiagnosed or untreated. Flank pain is not an expected manifestation of a urinary tract infection.

Answer to Question 2

B

[deesands]

Thank you

[swimkari]

No problemo