Author Question: The nurse is caring for an older client who does not exhibit an elevated temperature but is ... (Read 43 times)

Evvie72 · **on:** Jun 25, 2018

The nurse is caring for an older client who does not exhibit an elevated temperature but is suspected of having a severe infection. The nurse should look for other manifestations of infection, such as:

1. hypertension.
2. change in mental function or delirium.
3. diarrhea.
4. nausea and vomiting.

Question 2

The physician has prescribed a cephalosporin for a client with an infection who is hospitalized. For what should the nurse monitor this client?

1. Peak and trough levels
2. Elevated heart rate
3. Decreased urinary output
4. Elevated blood pressure

amanda_14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Hypertension indicates a problem with blood pressure.
2. In the elderly, confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes.
3. Diarrhea indicates a gastrointestinal problem.
4. Nausea and vomiting can have many causes; however, it is not directly linked to an infection in an older client.

Answer to Question 2

Answer: 3

1. Peak and trough levels are not drawn on the cephalosporins.
2. The heart rate is not likely to be affected with administration of this drug unless the client is allergic to it.
3. Cephalosporins can cause kidney damage, and the nurse should monitor output and BUN in older clients.
4. Blood pressure is not usually affected by these drugs.