Which of the following health history and physical assessment findings

Which of the following health history and physical assessment findings place an elderly client admitted for abdominal pain at risk for infection? (Select all that apply.)

1. Redness at the IV site
2. Productive yellow cough
3. Foley catheter placement
4. History of bipolar disorder
5. Oral temperature of 98.8° F
6. Recent radiation for prostate cancer

ANSWER

ANS: 1, 2, 3, 6
Learn to group significant findings into clusters of data that reveal actual or “risk for” nursing diagnoses. A history of bipolar disorder and an oral temperature of 98.8° F do not indicate the client is at risk for an infection.