Which nursing diagnosis related to alternations in urinary ...

[penza]

Which nursing diagnosis related to alternations in urinary function in an older adult should be a nurse's first priority?
 
  a. Self-care deficit related to decreased mobility
  b. Risk of infection
  c. Anxiety related to urinary frequency
  d. Impaired self-esteem related to lack of independence

Question 2

The client recently became febrile and stated he felt hot. The nurse takes the client's tempera-ture and finds it to be 38.2C. In addition, the client's pulse rate is 88 beats per minute, and his blood pressure is 168/80 .
 
  Which of the following is an example of subjective data? a. Pulse rate of 88 beats per minute
  b. Blood pressure of 168/80
  c. The statement regarding his feeling hot
  d. The fact that he became febrile

[emilymalinowski12]

Answer to Question 1

B
Older adults often experience poor muscle tone, which leads to an inability of the bladder to fully empty. Residual urine greatly increases the risk of infection. Following Maslow's hierarchy of needs, physical health risks should be addressed before emotional/cognitive risks such as anxiety and self-esteem. Decreased mobility can lead to self-care deficit; the nurse's priority concern for this diagnosis would be infection, because the elderly person must rely on others for basic hygiene.

Answer to Question 2

C
Subjective data are the client's perceptions about his or her health problems. The statement by the client regarding his feeling hot is an example of subjective data.
A pulse rate of 88 beats per minute is an example of objective data. Objective data are observa-tions or measurements made by the data collector.
A blood pressure of 168/80 is something that can be measured and therefore is an example of objective data.
Becoming febrile can be determined by measurement and therefore is an example of objective data.

[penza]

Excellent

[tranoy]

Gracias!