UPDATED RN ATI FUNDAMENTALS EXAM

I nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for three days. Eight hours ago the patient's temperature was 37.1°C. This your reports her recent assessment to the registered nurse the patient's temperature is 37.2 degrees Celsius the Foley catheter is still in place draining dark urine in the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms and order adults what should he recommend first? 1. Tell the student that temporary confusion is normal and simply requires re-orientation 2. Tell the student to increase the patient's fluid intake since the urine is concentrated 3. Tell the student that her assessment findings are normal for an older adult 4. Tell the student that he will notify the patient healthcare provider of the findings and recommend a urine culture