Adult Health Mod 2

While assessing a client for hearing acuity, which questions asked by the nurse helps in assessing the personal history of the client? Select all that apply. "Are you diabetic?" "Do you work in a noisy environment?" "Do you have a history of ear infections?" "Do you have a history of diseases due to vitamin C deficiency?" "Do you have a habit of listening to loud music?"

"Are you diabetic?" "Do you work in a noisy environment?" "Do you have a history of ear infections?" "Do you have a habit of listening to loud music?"

A nurse is providing instructions to a client with glaucoma. Which statements made by the client indicate the nurse needs to intervene? Select all that apply. "I should take stool softeners." "I can wear loose collar shirts." "I should refrain from sneezing and coughing." "I can lift objects that weigh more than 10 lbs (4.5 kg)." "I should keep my head in a dependent position."

"I can lift objects that weigh more than 10 lbs (4.5 kg)." "I should keep my head in a dependent position."

The nurse is teaching a client about caring for a hearing aid. Which statements made by the client indicates the need for further learning? Select all that apply. "I should always keep my hearing aid on." "I can adjust the volume of my hearing aid." "I should check and replace the battery frequently." "I can use hair sprays and hair oil while wearing a hearing aid." "I can clean the ear mold with a soap and water with limited wetting."

"I should always keep my hearing aid on." "I can use hair sprays and hair oil while wearing a hearing aid."

The nurse is reviewing the laboratory reports of a group of elderly clients. Which client has an age-related impairment in thirst mechanism? Serum Sodium Concentration Client A 167 mEq / L Client B 143 mEq/L Client C 136 mEq/L Client D 140 mEq/L

Client A

An older adult client states, "I walk 2 miles [3.2 km] a day for exercise, but now that the weather is hot, I am worried about becoming dehydrated." What should the clinic nurse teach the client? "Drink fruit juices if you start to feel dehydrated." "Thirst is a good guide to use to determine fluid intake." "Fluids should be increased if the urine is getting darker." "Water should be consumed when the skin becomes dry."

Fluids should be increased if urine is getting darker

The nurse is assessing an older adult client with suspected hearing loss. Which observations made by the nurse in the client indicates a decrease in hearing acuity? Select all that apply. Frequent usage of words such as "what" Postural changes while listening to the speaker Bending towards the other person while talking Mismatch in the questions asked and the responses given Startled expression when there is any unexpected sound in the environment

Frequent usage of words such as "what" Postural changes while listening to the speaker Bending towards the other person while talking Mismatch in the questions asked and the responses given

A nurse is performing an eye assessment in an older adult. The older adult is unable to see near objects. Which conditions may be suspected in the older adult? Select all that apply. Cataract Glaucoma Hyperopia Presbyopia Macular degeneration

Hyperopia Presbyopia

A client is seen in the clinic with sickle cell anemia. A nurse teaches the client about sickle cell anemia. Which information from the client indicates a correct understanding of the condition? "I have abnormal platelets." "I have abnormal hemoglobin." "I have abnormal hematocrit." "I have abnormal white blood cells."

I have abnormal Hemoglobin

A client who has been taking spironolactone is admitted to the hospital with hypokalemia. The nurse will assess the client for which clinical findings? Select all that apply. Lethargy Thready, weak pulse Muscle weakness Hyperactive deep tendon reflexes Numbness and tingling of the hands and feet

Lethargy Thready, weak pulse Muscle weakness

A nurse identifies that a client may be dehydrated. Which clinical manifestations would the client exhibit? Select all that apply. Oliguria Dyspnea Hypotension Pulmonary crackles Tenting tissue turgor

Oliguria , Hypotension , Tenting Tissue Turgor

A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "Why do I have an increased tendency to develop blood clots?" Which effect of the polycythemia vera should the nurse include in the teaching session? Elevated blood pressure Increased blood viscosity Fragility of the blood cells Immaturity of red blood cells

increased blood viscosity