[Solved]: Ellie Matthews is a seventy-four-year-old female…

Ellie Matthews is a seventy-four-year-old female who was admitted to the hospital from the assisted living center. When she arrived, Ellie had a temperature of 38.3* C (101″F). She has a history of hypertension and high cholesterol and wears incontinence briefs. Medications include lisinopril and simvastatin. A urinalysis was completed which showed cloudy urine, elevated white blood cells and a specific gravity of 1.040. A urine culture and sensitivity was obtained and results are pending. The client received the first dose of levofloxacin (Levaquin) IV and acetaminophen (Tylenol). Last vital signs were temperature 38.8* C (100.8* F), blood pressure 122/82 mmHg, heart rate 98/ min, respiratory rate 20/ min, oxygen saturation 97% on room air. Upon assessment the nurse notes that Ellie’s brief is saturated with urine. The nurse asks Ellie if she always wears a brief and the client states that she just started having difficulty holding her urine “on and off for a while now”. Once she has the urge, she leaks urine on the way to the bathroom and must urinate frequently. The client reports she is embarrassed in public and is not going to social gatherings because she is concerned about “having an accident and the odor”. The client states, “I don’t have any control of my bladder anymore. I guess most women my age have the same problem.” Vital signs are blood pressure 128/78 mmHg, heart rate 100/ min, respirations 20/min, temperature 38.2°C (100.8° F), oxygen saturation 97% on room air. Which of the following concerns should the nurse plan to address? (Select all that apply.) Physiological: Elimination Physiological: Infection Psychosocial: Stress and Coping Health Promotion: Client Education Psychosocial: Cognition Physiological: Tissue Integrity Physiological: Fluid and Electrolyte Physiological: Mobility Safety: Injury prevention