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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The combination of fever, tachycardia, decreased urine output, and erythema and warmth at the incision site suggests the possibility of a wound infection.
B. While a urinary tract infection could cause fever and decreased urine output, the presence of erythema and warmth at the incision site suggests a localized wound infection.
C. Respiratory infection may cause fever and tachycardia but would not typically present with erythema and warmth at the incision site.
D. Dehydration may cause decreased urine output but would not typically present with fever and erythema at the incision site.
Correct Answer is B
Explanation
A. The clinical illness phase refers to the stage when signs and symptoms of the disease are present and identifiable.
B. The incubation period is the time between exposure to a pathogen and the onset of symptoms or signs of illness. In this case, the nurse is awaiting the potential development of infection after exposure to the hepatitis B virus.
C. The prodromal period is the time when initial symptoms begin to appear but are not yet specific or fully developed.
D. The convalescent period occurs after the acute phase of illness when the patient is recovering, which does not apply to the nurse's situation immediately after needlestick exposure.
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