Author Question: An older adult client is experiencing confusion, a temperature of 101.5 F, bruising to the arms and ... (Read 305 times)

Melani1276 · **on:** Jun 25, 2018

An older adult client is experiencing confusion, a temperature of 101.5 F, bruising to the arms and legs, and decreased urine output.

The medical diagnosis is a urinary tract infection. Which is the most appropriate nursing diagnosis for this client?
A) Risk for Injury
B) Ineffective Breathing Pattern
C) Activity Intolerance
D) Impaired Memory

Question 2

A nurse manager who is employed by a community hospital is asked to implement critical pathways on the medical-surgical unit.

When educating the staff nurses about critical pathways, which primary reason for their use with the nurse manager include in the teaching session?
A) Critical pathways are used to evaluate care provided to clients with certain medical conditions.
B) Critical pathways direct care provided to clients with certain medical conditions.
C) Critical pathways track care provided to clients with certain medical conditions.
D) Critical pathways direct, track, and evaluate care provided to clients with certain medical conditions.

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

Answer to Question 1

Answer: A

The client has bruising and is confused. A priority nursing diagnosis would focus on client safety. The bruising and confusion place the client at risk for injury related to falls. There is no evidence that the client is having difficulty breathing. Activity intolerance could be a problem; however, the nurse cannot assume that the client has intolerance to activity due to age. Because the client is exhibiting confusion, which is a typical symptom of urinary infection in the elderly, the nurse would choose risk for injury as a priority over memory because it is not possible to assess the client's memory during confusion.

Answer to Question 2

Answer: D

Critical pathways are a disease-specific or diagnosis-specific tool used by case managers to direct, track, and evaluate expected client outcomes and care strategies.