A frail, older, cognitively impaired client has developed a ...

[roselinechinyere27m]

A frail, older, cognitively impaired client has developed a urinary tract infection. Which signs and symptoms would the nurse expect to find?
 
  1. Hypertension
   2. Flank pain
   3. Increased confusion
   4. High fever

Question 2

A client who was raped one year ago tells the nurse that she finally is starting feel like her old self and can work and socialize without the fear of being attacked.
 
  The nurse realizes that which of the following is occurring with this client? 1. The client is returning to the precrisis level.
   2. The client is in denial.
   3. The client needs additional treatment.
   4. The client has been taking sedatives.

[jessofishing]

Answer to Question 1

3. Increased confusion

Rationale:
Increased confusion is a symptom that results from the infection and the cognitively impaired client's inability to state feelings correctly. Hypertension is not a sign or symptom of a urinary tract infection but of chronic renal failure, medication, arteriosclerosis, as well as other conditions. Flank pain occurs with pyelonephritis; pain with urinary tract infection occurs with urination. With a urinary tract infection, fever is usually low grade.

Answer to Question 2

1. The client is returning to the precrisis level.

Rationale:
Outcomes for a victim of rape are highly individualized. The client stating that she feels like her old self and is able to socialize without the fear of being attacked is approaching a precrisis level of functioning. The client is not in denial. The client may or may not need additional treatment. There is no evidence that the client has been taking sedatives.

[roselinechinyere27m]

Wow, this really help

[tranoy]

Thanks for the timely response, appreciate it