An older resident of a long-term care facility diagnosed with dementia has in the last 48 hours become more confused than usual and while usually requiring help with toileting has been incontinent of urine. The client's health care provider orders a complete blood count and serum electrolytes. When the laboratory tests are all within normal limits, what action will the nurse initially take?

A. Speaking with the health care provider regarding the possibility of obtaining a urine culture: Atypical presentation of urinary tract infections (UTIs) in older adults can include acute confusion and new incontinence. A urine culture is a reasonable next step despite normal blood tests. B. Assuring the family that the changes in the resident's functioning is a result of advancing dementia: This would be premature and could miss a treatable condition like a UTI. C. Changing the plan of care to include bladder training and implement a 24-hour calorie count: This may be appropriate later, but it doesn’t address the acute change in condition. D. Suggesting that the resident be placed on broad-spectrum antibiotics to prevent infections: Empirical treatment without confirmation may lead to antibiotic resistance and is not best practice. Testing should be done first.