Author Question: An older adult sleeps in a recliner with cool, grayish-colored feet on the floor. Which should the ... (Read 23 times)

gbarreiro · **on:** Jul 11, 2018

An older adult sleeps in a recliner with cool, grayish-colored feet on the floor. Which should the nurse investigate to assess the vascular status of this older adult?

a. Ability to stand during activities of daily living
b. Lateral ulcerations with brownish discoloration
c. Complaints of dull aching and peripheral edema
d. History of hypercholesterolemi a and hypertension

Question 2

Which signs and symptoms are characteristic of a urinary tract infection (UTI) in an older adult? (Select all that apply.)

a. Fever
b. Uremia
c. Dysuria
d. Anorexia
e. Flank pain
f. Turbid urine

otokexnaru · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D

Feedback
A Incorrect. To assess an older adult with signs of arterial insufficiency, the nurse examines the distance the adult can walk without pain. The older adult with pe-ripheral arterial disease can stand without pain because dependent positioning of the feet helps to perfuse hypoxic tissues.
B Incorrect. Lateral ulcerations are clinical indicators of venous insufficiency.
C Incorrect. Dull aching and peripheral edema are clinical indicators of venous insufficiency.
D Correct. The nurse examines the older adult's history of a dyslipidemia and hypertension to help determine the vascular status because histories of these disorders are risk factors for peripheral arterial disease.

Answer to Question 2

D, F
Anorexia is a more reliable indicator of a UTI in an older adult. In addition, individuals, includ-ing older adults, are likely to void cloudy urine when a UTI is present. Fever, uremia, dysuria, and flank pain are all unreliable indicators of a UTI in the older adult.