The nurse is caring for an 86-year-old client who is reporting inability to concentrate, uneasiness, lightheadedness, weakness, and muscle and joint discomfort. The client also has an elevated pulse, elevated respirations, and a normal temperature. Which of the following statements would be accurate?
Without an elevated temperature, infection is not present.
The client's symptoms are typical of an older adult client.
An infection was present and has dissipated.
An older adult can have an infection without a fever.
The Correct Answer is D
A. It is possible for an infection to be present without an elevated temperature, especially in older adults.
B. While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C. The resolution of infection cannot be determined solely based on the absence of fever.
D. Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While a repeat titer could be considered, if the initial result is negative, administration of the rubella vaccine is typically the next step.
B. Administration of immune globulin is not indicated in this scenario.
C. A negative rubella titer indicates lack of immunity, so further action is needed to protect the individual.
D. Administration of the rubella vaccine is indicated for individuals with a negative rubella titer to provide protection against rubella infection.
Correct Answer is B
Explanation
A. Arterial blood gases are used to assess oxygenation and acid-base balance and are not specific to diagnosing gouty arthritis.
B. Gouty arthritis is characterized by elevated uric acid levels in the blood, leading to the deposition of urate crystals in the joints.
C. Culture and sensitivity tests are used to identify infectious organisms and determine their susceptibility to antibiotics, not for diagnosing gouty arthritis.
D. Potassium levels are not specific to diagnosing gouty arthritis and are typically measured as part of routine laboratory tests to assess electrolyte balance.
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