This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 97-year-old patient is admitted to the medical unit with a productive cough and bi-lateral ... (Read 85 times)

SAVANNAHHOOPER23

  • Hero Member
  • *****
  • Posts: 542
on: Jul 11, 2018
A 97-year-old patient is admitted to the medical unit with a productive cough and bi-lateral congestion and is reporting weakness. His vital signs are 106/78, 82, 24, and a temperature of 97 degrees F. (oral). When told that it is suspected that he has pn
 
  a. the temperature needs to be taken tympanically
  b. in a 97-year-old, a temperature of 97 degrees F. is considered febrile
  c. a lack of fever cannot be used to rule out an infection in older adults
  d. oral temperatures are always inaccurate in older adults

Question 2

During a pre-operative assessment, a 79-year-old female client describes that she has to urinate frequently but denies having any pain or discomfort with voiding. The nurse documents the data and:
 
  a. recognizes that this is normal for a client of this age
  b. is particularly interested in her temperature since she may have a urinary tract infection
  c. is concerned and checks the client's blood glucose levels since this is a sign of diabetes
  d. notifies the surgeon of the situation immediately


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

1_Step_At_ATime

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: C
An age-related change in older adults is temperature regulation. Because of this and a de-layed immune response, a lack of fever cannot be used to rule out infection in older adults. Although the old-old have lower body temperatures than younger adults, the range of normal temperature is from 95 to 97 degrees. Even though there may be some discrepancies between oral, tympanic, and basal temperatures in older adults, there is no evidence that oral temperatures are always inaccurate or in this case less preferred than the tympanic.

Answer to Question 2

ANS: A
One of the normal age-related changes is a reduction in bladder capacity. The capacity de-clines from 500 to 600 mL in a younger adult to 250 mL in an older adult. Given that this is her only symptom, it is unlikely the client has a urinary tract infection or diabetes. This is not a situation that requires immediate notification since it does not jeopardize the surgery.


SAVANNAHHOOPER23

  • Member
  • Posts: 542
Reply 2 on: Jul 11, 2018
:D TYSM

bimper21

  • Member
  • Posts: 309
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio Magnetic resonance imaging (MRI). The MRI lab includes the scanning instrument and a computer statio
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Treating the pregnant patient Treating the pregnant patient
On May 15, 1916, after deliberating for one hour, an all-white jury in Waco, Texas, found seventeen- On May 15, 1916, after deliberating for one hour, an all-white jury in Waco, Texas, found seventeen-
Surgical Asepsis and Medical Asepsis Surgical Asepsis and Medical Asepsis
Desertification damages formerly productive lands Desertification damages formerly productive lands
Video: Bone elongation - processes at the epiphyseal plate

For a complete list of videos, visit our video library