Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
24. Older adults often present with atypical assessment findings. Which symptom will an older adult with a urinary tract infection (UTI) most often develop first?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
24. Older adults often present with atypical assessment findings. Which symptom will an older adult with a urinary tract infection (UTI) most often develop first?
Test-Taking Tip
Look for an atypical finding (confusion), something not usually seen with an infection in a younger client.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the older adult frequently has a poor appetite, so that anorexia would not be a change. Answer 2 is correct because confusion is often the first indication of infection, which progresses rapidly to urosepsis. Answer 3 is incorrect because the temperature may only be 99°F. Answer 4 is incorrect because restlessness is a more characteristic finding with hypoxia.
