Exam 3 Older Adult

In order to let an older adult client establish his or her cultural identity, which statement would be most appropriate for the nurse to make first?

"Tell me your beliefs about the illness you are experiencing."

When assessing the thorax and lungs of an elderly client, which of the following would be of concern to the nurse? Select all that apply.

- Respiratory rate over 25 breaths per minute - Dyspnea with exertion - Decreased aerobic capacity

When assessing the skin, hair, and nails of the older adult, the nurse needs to know the normal effects of aging on these structures. Which of the following are normal effects of aging on the integumentary system? Select all that apply.

- The epidermis thins - Nails become thick and brittle with slow growth - Wound healing slows as a result of decreased mitotic activity

In the older adult, which changes in the peripheral vascular system can increase blood pressure?

Arterial walls are less elastic and stiffen

Which of the following represents an age-related change in the lungs?

Decreased chest wall compliance

A nurse is working with an 88-year-old client who has developed stress incontinence. In this case, as in all cases, the nurse should understand that which of the following is the key to recognizing pathology and illness in the very old?

Knowing the person's baseline functional status and recognizing deviations from it

The nurse is preparing to conduct an admission assessment on an older adult client. What would be important to do before interviewing this client?

Reduce or eliminate background noise

The nurse is caring for an older adult client whose steps are uneven and shorter than most adults. How would the nurse explain this phenomenon?

The client's age makes this a normal characteristic.

A nurse has assessed an elderly client and is preparing to analyze the assessment data. What would the nurse need in order to accurately perform data comparison?

Usual daily pattern

The nurse is conducting a functional assessment of an older adult client. The nurse should focus questions on which area?

activities of daily living

When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?

aspiration pneumonia

After teaching a group of students about geriatric syndromes, the instructor determines that the teaching was successful when the students identify what as an example?

confusion

What is the most common reason for admission of the older adult to the emergency department (ED)?

falls

The nurse is assessing an older adult. Which assessment finding would the nurse recognize as a finding associated with aging?

kyphosis

A nurse is preparing a class for a group of older adult clients at a local senior center. The nurse is focusing on health promotion and disease prevention. Which condition would the nurse most likely include as a common cause of infection-related deaths in the elderly?

pneumonia