Gerontology Dynamic quiz practice questions
A community health nurse is conducting an initial home visit for an older adult client. Which of the following client statements should the nurse identify as a health alteration? A. "I have not had a bowel movement in 5 days." "B. "I cannot seem to keep my eyes open after eating lunch.! C. "I sometimes have trouble remembering where I put something." D. "My skin gets really dry and itchy."
A. "I have not had a bowel movement in 5 days."
A nurse is monitoring a client who has Alzheimer's disease during the administration of intermittent IV antibiotic therapy. The client repeatedly attempts to remove the IV access line during the administration of the medication. which of the following actions should the nurse take? Assign an assistive personnel to remain with the client during the medication administration B. Call the provider to request a prescription for an oral antibiotic C. Give the client a PRN sedative 30 minutes before the IV medication is scheduled D. Place bilateral wrist restraints on the client during the antibiotic infusion
A. Assign an assistive personnel to remain with the client during the medication administration
A nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client? A. Avoid using a heating pad on the area with the patch B. To decrease the dose, cut the patch in half C. Dispose of the used patch by placing it in the trash can D. Assess the client for urinary retention every 8 hrs
A. Avoid using a heating pad on the area with the patch
A nurse is assisting with the care of an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take? A. Place the client's mattress on the floor B. Restrain the client during nighttime hours C. Provide continuous orientation for the client D. Turn off the lights in the client's room at night
A. Place the client's mattress on the floor
A nurse is assiting with planning care of a group of older adult clients in an assisted - living facility. Which of the follwoing health promoting behaviors should the nurse suggest to help these clients increase endurance and maintain muscle strength? A. Regular exercise program B. Frequent, small meals C. Adequate rest periods D. Vitamin supplements
A. Regular exercise program
A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse take prior to administration? A. Review the client's medical record for a history of glaucoma B. Plan to administer the medication 30 minutes before a meal C. Explain to the client that he will need to restrict his fluid intake once he takes the medication D. Remind the client that his appetite might increase when starting the medication
A. Review the client's medical record for a history of glaucoma
A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing oral care? A. Turn the client on his side before starting oral care B. Use the thumb and index finger to keep the client's mouth open C. Cleanse the client's oral mucosa with a toothbrush D. Perform oral care using sterile gloves
A. Turn the client on his side before starting oral care
A nurse is reinforcing teaching with an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching? A. "I should avoid using a heating pad on my back. B. "To relieve the pressure on my hip, I can use a cane while ambulating." C. "I have steroid injections for my joints as the first medication of choice to treat my pain." D. "I will exercise even if it causes pain."
B. "To relieve the pressure on my hip, I can use a cane while ambulating."
A nurse is collecting data from an older adult client. Which of the following actions should the nurse perform to collect subjective data? A. Leave the client a written questionnaire to fill out in private B. Allow sufficient time for the client to respond to the questions C. Talk to family members to obtain the client's health history D. Obtain the health history from the client's medical record
B. Allow sufficient time for the client to respond to the questions
A nurse is monitoring the blood pressure of an older adult client. Which of the following age-related changes can contribute to an increase in systolic blood pressure among older adults? A. Decreased cardiac output B. Decreased elasticity of the blood vessels C. Fewer nephrons in the kidneys D. Thickening of heart valves
B. Decreased elasticity of the blood vessels
A nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following physiological changes contributes to the development of type 2 diabetes? A. Increased production of insulin by the pancreas B. Decreased sensitivity to circulating insulin C. Increased rate of glucose metabolism D. Decreased release of glycogen by the liver
B. Decreased sensitivity to circulating insulin
A nurse is reinforcing teaching with a group of healthy older adult client about expected age related changes and sexual responses. Which of the following changes should the nurse include as an age related change? A. Decreased refractory time B. Decreased vaginal lubrication C. Loss of female orgasm ability D. Premature ejaculation
B. Decreased vaginal lubrication
A nurse is caring for an older adult who has aspiration pueumonia. Which of the following changes that might develop with aging contributes to the development of aspirtaion pneumonia? A. Decreased gastric secretions B. Diminished cough reflex C. Decreased sense of smell D. Degenerative joint changes
B. Diminished cough reflex
A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease (COPD) and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching? A. I will choose hot foods to decrease my sense of fullness when eating. B. I should add grated cheese to sauces and vegetables. C. I will eat my largest meal of the day in the evening. D. I should consume a high diet in carbohydrates.
B. I should add grated cheese to sauces and vegetables.
A nurse is caring for a client who is using a continuous passive motion (CPM) device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device? A. Apply the CPM device in the flexed position B. Line up the frame joints of the CPM device with the client's knee C. Check the range - of - motion settings on the CPM device daily D. Place the head of the client's bed at 45 degrees during CPM use
B. Line up the frame joints of the CPM device with the client's knee
A nurse is collecting data from an older adult client regarding age related changes which of the following should the nurse identify as an age related physical change A. prolonged hypotension. B. Loss of ventricular compliance. C. Increase loose stools and diarrhea. D. Decrease response to diuretics.
B. Loss of ventricular compliance.
A nurse is caring for an older adult client who has a hip fracture and is rating his pain at 8 on a scale of 0 to 10 which of the following medication's should the nurse administer? A. Capsaicin topical gel B. Oxycodone/acetaminophen 7.5/325 C. Celecoxib 200mg capsule PO D. Aspirin 325 mg tablet PO
B. Oxycodone/acetaminophen 7.5/325
A home health nurse is caring for an older adult client who states he does not like to leave his home. Which of the following is the priority factor the nurse should identify? A. Bladder incontinence B. Potential for falling C. Memory loss D. Lack of transportation
B. Potential for falling
A nurse in a adult day care facility is contributing to the development of treatment plans for older adults clients. Which of the following therapeutic strategies should the nurse use to help the clients achieve Erikson's developmantal task for this age group? A. Music therapy B. Reminiscence therapy C. Meditation therapy D. Pet therapy
B. Reminiscence therapy
A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication? A. Speak with exaggerated lip movement B. Speak at a moderate rate C. Speak in a louder voice D. Speak using a higher pitch
B. Speak at a moderate rate
A nurse is reinforcing teaching with an older adult client who had a total hip arthroplasty about ambulating with a standard walker. Which of the following actions by the client indicates an understanding of the teaching? The client adjusts the height of the walker so the hand grips are at the level of her waist. B. The client moves the walker ahead about 15.24 cm (6 in) and then steps into the walker. C. The client uses the walker to pull herself up from sitting to standing. D. The client uses the walker to climb the stairs
B. The client moves the walker ahead about 15.24 cm (6 in) and then steps into the walker.
A nurse is collecting data from an older adult client about cardiovascular changes that develop with aging. Which of the following findings should the nurse report? A. Increased peripheral circulation B. Thickening of blood vessels resitance C. Decreased pulmonary vascular resistance D. Increased cardiac output
B. Thickening of blood vessels resistance
A nurse at a long - term care facility is contributing to the plan of care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan? A. Vary the staff members caring for the client B. Use photographs as memory triggers C. Provide a minimum of three activity choice to the client D. Break client task down to three or four steps at a time
B. Use photographs as memory triggers
A nurse at a long-term care facility is contributing to the plan of care for a client who has Alzheimer's disease and wanders at night. Which of the following interventions should the nurse include in the plan? A. Place the client in wrist restraints at night B. Request a prescription for a psychotropic medication C. Assign the client to a room closer to the nurse's station D. Keep the television on at night
C. Assign the client to a room closer to the nurse's station
A nurse is collecting data from an 85 - year - old client. Which of the following findings should the nurse report to the provider? A. Widened anterior - posterior chest diameter B. Presence of an S4 heart sound C. Difference in pulse strength between lower extremities D. Post - void residual volume of 75mL
C. Differences in pulse strength between lower extremities
A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the clients history is a contraindication to this medication? A. Glaucoma B. Paget's disease C. Esophageal stricture D. Long - term corticosteroid use
C. Esophageal stricture
A nurse is reinforcing, teaching with a client who is scheduled to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching? A. I will see improvement in my symptoms within a week. B. I can expect an increase libido with this medication C. I should see a decrease in my PSA levels. D. I must take this medication within 60 minutes of sexual activity.
C. I should see a decrease in my PSA levels.
A nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. Which of the following statements should the nurse include in the teaching? A. Limit physical activity during the day B. Set a time limit of 10 minutes when attemping to defecate C. Increase the fiber content of you diet D. Increase you fluid intake to 5,000 milliters per day
C. Increase the fiber content of your diet
A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take? A. Establish a weekly pet therapy visitation program B. Place a calendar and a clock in each resident's room C. Institute a daily storytelling hour D. Encourage all clients to eat their meals in the dining room
C. Institute a daily storytelling hour
A nurse is part of a commitee that is developing age - appropriate care standards for older adults clients. Which of Erikson's development tasks should the nurse recommend as the focus? A. Intimacy B. Identity C. Integrity D. Initiative
C. Integrity
A nurse is caring for an older adult client who has a terminal illness. The client tells the nurse, "I just want to live for another month so I can see my grandchild get married." Which of the following Kübler-Ross stages of grief is the client is experiencing? A. Depression B. Acceptance C. Denial D. Bargaining
D. Bargaining
A nurse is reinforcing teaching with a group of unit nurses about cardiac function in older adult clients. Which of the following changes in cardiac function should the nurse include in the teaching as a result of the normal aging process? A. Increased elasticity of the heart valves B. Decreased thickness of the walls of blood vessels C. Decreased systolic blood pressure D. Decreased rate of blood filling the left ventricle
D. Decreased rate of blood filling the left ventricle
A nurse is reinforcing teaching with an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the client's iron intake? A. Greek yogurt B. Bran muffin C. Peanut butter sandwich D. Dried fruit
D. Dried fruit
A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse request a hearing assessment for the client? A. Omeprazole B. Ferrous sulfate C. Digoxin D. Furosemide
D. Furosemide
A nurse is reviewing the records of a group of older adult clients. Which of the following findings should the nurse idnetify as an unexpected manifestation of the aging process? A. Decreased absorption of nutrients B. Impaired excertion of medications C. High - pitched frequency hearing loss D. Obesity
D. Obesity
A nurse is assisting with planning care for an older adult client following abdominal surgery for a bowel obstruction. Which of the following pieces of information about pain management should the nurse include in the plan of care? A. Older adults have a diminished capacity to perceive pain. B. Older adults should not take narcotics for pain control. C. Older adult clients have increased pain as a normal part of aging. D. Older adult clients are sensitive to the analgesic effect of opiates.
D. Older adult clients are sensitive to the analgesic effect of opiates.
An older adult client tells a nurse at a health fair " I am always forgetting things. I can't even remember where i parked my car! Do you think I have alzhemier's disease?" Which of the following is a therapeutic response by the nurse? A. Maybe.Perhaps you should discuss your concerns with you doctor B. I am forgetful too. I can't remember where I parked my car either. C. Your probably just having senior moments. Everyone has memory lapses. D. must be upsetting tell me about your forgetfulness
D. That must be upsetting. Can you tell me about your forgetfulness?
A nurse is reinforcing teaching with a newly licensed nurse about the sleep cycle of an older adult client. Which of the following pieces of information should the nurse include? A. The client will be easily awakened during stage 4 of the sleep cycle. B. There are 4 stages of REM sleep. C. Each sleep cycles lasts for about 45 minutes. D. The client spends more time in lighter stages of sleep.
D. The client spends more time in lighter stages of sleep.
A nurse is contributing to the plan of care for a client who had a stroke. Which of the following goals should the nurse identify as the priority for this client? A. The client's skin will remain intact during hospitalization. B. The client will verbalize a new word each week. C. The client will begin to help turn himself in bed, indicating improved mobility. D. The client's airway will remain clear, as evidenced by clear breath sounds.
D. The client's airway will remain clear, as evidenced by clear breath sounds.
A nurse is caring for an older adult client who reports that she has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse make? A. "Do you know about the local senior citizen group?" B "Vou acedto take a vacation." C. "'Now you can finally relax and enjoy your life." D. "Why don't you visit your old workplace and see your friends?"
A. "Do you know about the local senior citizen group?"
A nurse is talking with a group of clients at a senior center about risk factors for osteoporosis. Which of the following statements should the nurse include? A. "Extended periods of immobility increase your risk of osteoporosis. B. "Prolonged periods of sun exposure increase your risk of osteoporosis." C. "Eating a diet high in protein can reduce your risk of osteoporosis." D. "Corticosteroid therapy will reduce your risk of osteoporosis
A. "Extended periods of immobility increase your risk of osteoporosis.!
A nurse is reinforcing teaching with an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching? A. "Go to bed at the same time every night.! B. "Watch television in bed until vou are sleepy. C. "Drink a glass of wine before going to bed." D. "Engage in physical activity in the evenings."
A. "Go to bed at the same time every night.!
A nurse is reinforcing discharge teaching about calcium supplements with an older adult female client who has osteoporosis and recently underwent a repair of a fracture in her right hip. Which of the following instructions should the nurse include? "You should take your calcium supplement with a large glass of water." B. "You should increase your intake of grain cereals while taking calcium supplements." C. "You should take at least 2600 milligrams of calcium supplements daily." D. "You will not need to take vitamin D with your calcium supplement because you are postmenopausal."
A. "You should take your calcium supplement with a large glass of water."
A nurse at an ophthalmology clinic is collecting data from a client who was referred by the provider for a potential cataract. Which of the following client reports is consistent with cataracts? A. Halos when looking at lights B. Loss of peripheral vision C. Bright flashes of light and floaters D. Eyestrain and headaches with close work
A. Halos when looking at lights
An older adult client in cardiac clinic ask the nurse how the cardiovascular system changes with aging. The nurse's explantion should include which of the following alterations? A. Hypotension when standing up B. Increased elasticity of blood vessel walls C. Decreased thickness of the valves of the heart D. Nonpalpable peripheral pulses
A. Hypotension when standing up
A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelleved pain should the nurse identify as a priority finding to report? A. Impaired mobility B. Decreased independence C. Decreased self-esteem D. Impaired socialization
A. Impaired mobility
A nurse is collecting data from an older adult client who had a right-sided stroke 2 days ago. For which of the following findings should the nurse notify the provider immediately? A. Increased restlessness B. Weak grip on the left side C. Decreased sensation in the lower left extremity D. Absent gag reflex
A. Increased restlessness
A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has approved the family to bring food from home. Which of the following foods should the client avoid? A. Lentil soup B. Cheese sandwich C. Yogurt D. Dried fruits
A. Lentil soup
A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take? A. Listen attentively and allow the client to talk about the past B. Change the topic of conversation C. Let the client know that this is a common issue for older adult clients D. Tell the client about some younger clients who are in worse circumstances
A. Listen attentively and allow the client to talk about the past
A nurse is reinforcing teaching about skin changes in older adult clients with a newly licensed nurse. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in older adult clients? A. Liver spots B. Nevi C. Atopic dermatitis D. Psoriasis
A. Liver spots
A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which of the following instructions should the nurse include regarding clients who are hearing impaired? A. Maintain eye contact with the clients B. Stand to the client's side and speak into his/her good ear C. Speak loudly with exaggerated enunciation D. Ask only questions with yes or no answers
A. Maintain eye contact with the clients
A nurse is reinforcing dietary teaching about methods to increase peristalsis with an older adult client who is on bedrest following the development of deep vein thrombosis (DVT). Which of the following high - fiber food choices should the nurse recommend? A. Navy bean soup B. Canned fruit juice C. White rice pudding D. Soy milk
A. Navy bean soup
A nurse is caring for a client who has aphasia following stroke which of the following action should the nurse take? A. Present a single idea in a sentence B. Avoid using nonverbal communication techniques C. Speak loudly D. Use simplified language
A. Present a single idea in a sentence
A nurse is caring for an older adult client with dementia who gets up frequently to pace during meals and eats sparingly. Which of the following actions should the nurse take? A. Provide finger foods for the client B. Offer food at fewertimes each day to promote hunger C. Administer a benzodiazepine medication to the client before meals D. Assist the client in sitting still during meals using soft restraints
A. Provide finger foods for the client
A nurse is collecting data from an older adult female client. Which of the following findings should the nurse identify as a priority? A. Rales heard in the bases of the lungs B. Constipation C. Urinary frequency D. Painful intercourse
A. Rales heard in the bases of the lungs
A nurse is reinforcing teaching with a group of older adults clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching? A. You should consume 1,200 milligrams of calcium daily B. Consume 4 percent of your diet as fat C. You should drink 1,500 milliliters of fluid daily D. Consume 40 percent of your diet as protein
A. You should consume 1,200 milligrams of calcium daily
A nurse at a long-term care facility is assisting with planning care for a group of older adult clients. When planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following? A.Short-term memory B. Creative ability C. Decision-making skills D. Cognitive capacity
A.Short-term memory
A nurse is reinforcing teaching with an older adult client who is scheduled to start taking warfarin. Which of the following statements indicates the client understands the teaching? A. "If I miss a dose, I will double it the next day."" B. "I can continue to eat green salads. C. "I will need to have laboratory blood testing every 6 months to monitor the effects of the warfarin." D. "I should expect my urine to be pink-tinged while I am taking this medication.
B. "I can continue to eat green salads.
A nurse is contributing to the plan of care for a client with a history of gastrosophageal reflux disease (GERD) who had a recent stroke. For which of the following disorders should the nurse plan to monitor this client? A. Duodenal ulcer disease B. Aspiration pneumonia C. Viral pneumonia D. Esophageal varices
B. Aspiration pneumonia
A nurse is reinforcing teaching with a newly hired assistive personnel about her role in helping older adult clients with activities of daily living (ADLs). Which of the following is the most common factor that affects a client's ability to perform ADLs? A. Social withdrawal B. Chronic physical disability C. Emotional imbairment D. Cognitive dysfunction
B. Chronic physical disability
A nurse is assisting with the admission of an older adult client who fell at home 3 days ago. The client has a fractured hip and shows signs of malnutrition and dehydration. Which of the following laboratory values noted on admission should indicate prolonged malnutrition? A. Increased sodium B. Decreased albumin C. Increased BUN D. Decreased blood glucose
B. Decreased albumin
A nurse is collecting data an older adult client to monitor signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process? A. Elevation of urine specific gravity B. Decreased creatinine clearance C. Dry oral mucous membranes D. Poor skin turgor over the sternum
B. Decreased creatinine clearance
A nurse is collecting data from an older adult client during an annual physical. Which of the following findings should the nurse report to the provider? A. BP 118/76 mmHg B. Fasting blood glucose level 160 mg/dL C. Report of waking to void 2-3 times per night D. Report of a bowel movement every other day
B. Fasting blood glucose level 160 mg/dL
A nurse at a long-term care facility is reinforcing, teaching with an older adult client about ambulating with a quad cane which of the following statements should the nurse include in the teaching? A. Adjust the height of the cane so that you can flex your elbow at a 45°. B. Hold the cane in the hand on the stronger side of your body. C. Place the flat side of the cane away from your foot. D. Move the cane and your stronger leg at the same time.
B. Hold the cane in the hand on the stronger side of your body.
A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Cottage cheese is a good source of calcium." B. "Increase your caffeine intake." C. "Brisk walking will help prevent bone loss." D. "Hormone replacement therapy with estrogen will increase your risk of osteoporosis.
C. "Brisk walking will help prevent bone loss."
A nurse is reviewing the basic needs of older adult clients with a group of assistive personnel. Which of the following statements about this population should the nurse include? A. "Caloric needs are increased." B. "Renal function is increased." C. "Deep sleep is decreased." D. "Exercise needs are decreased."
C. "Deep sleep is decreased."
A nurse is reviewing exercise safety with a group of older adult clients. Which of the following pieces of information should the nurse include? A. "Wait 30 min after a large meal to engage in heavy exercise." B. "You should expect your muscles to tighten and cramp with heavy exercise C. "Drink water prior to, during, and after each exercise session." D. "Wearing a plastic suit during exercise can assist with weight loss
C. "Drink water prior to, during, and after each exercise session."
A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The client's partner, who has been caring for her at home, apologizes and expresses embarrassment about the unpleasant smell. Which of the following responses should the nurse make? "A lot of clients who are cared for at home have the same problem." B. "Don't worry about it. She will get a bath, and that will take care of the odor. C. "It must be difficult to care for someone who has incontinence. D. "When did she last have a bath?"
C. "It must be difficult to care for someone who has incontinence.
A nurse is reinforcing teaching with the caregiver of an older adult client who is homebound. Which of the following signs of possible acute illness should the nurse instruct the caregiver to report to the provider? A. Difficulty staying asleep each night B. Increased social isolation C. Abrupt decrease in ability to perform ADLs D. Unnary urgency
C. Abrupt decrease in ability to perform ADLs
A nurse in an assisted living facility is supporting the care of an older adult client who moved in 3 months ago, following the death of his partner. The client reports awakening early in the morning and admits feeling very sad. The nurse should identify that the client is experiencing which of the following types of grief A. Anticipatory grief B. Delayed grief C. Acute grief D. Disenfranchised grief
C. Acute grief
A nurse is caring for an older adult client. Which of the following physiological changes associated with aging can affect medication dosage in this client? A. increased glomerular filtration rate B. Decreased body fat C. Decreased gastric motility D. Decreased gastric pH
C. Decreased gastric motility
A nurse is caring for an older adult client who has pneumonia. Which of the following physiological changes associated with aging places the client at a greater risk of pneumonia? A. Decreased anterior-posterior diameter B. Increased diameter of the small airways C. Decreased number of cilia D. Increased alveolar surface area
C. Decreased number of cilia
A nurse is collecting data from an older adult client who states he is homeless. Which of the following findings should the nurse document as comorbidities for this client? A. Inadequate shelter and clothing for the weather B. Malnutrition and poverty C. Dementia and tuberculosis D. Lack of preventive health care and immunizations
C. Dementia and tuberculosis
A nurse in the clinic is assessing an older adult client for the second time this week. The client reports a decreased energy level, insomina, and anorexia. Diagnostic test are within the expected reference ranges. For which pf the following conditions should the nurse screen the client? A. Sarcopenia B. Dementia C. Depression D. Diabetes
C. Depression
A nurse is transferring an older adult client who has right-sided weakness from the bed to a wheelchair. Which of the following actions should the nurse take to provide a safe transfer? A. Keep the client at arm's length while performing the transfer B. Bend at the waist to get down to the client's level C. Maintain a straight back and bend at the knees D. Place the wheelchair at the head of the bed on the client's right side
C. Maintain a straight back and bend at the knees
A nurse at a long-term care facility notes that a client with dementia is having problems with orientation. Which of the following actions should the nurse take to improve the client's level of orientation? A. Encourage the client to make choices about meals and activities B. Use written signs to label specific rooms C. Post a large calendar on the bulletin board D. Place a wander alert electronic alarm bracelet on the client's wrist
C. Post a large calendar on the bulletin board
A nurse is collecting data from an older adult client who has right-sided heart failure. Which of the following findings is the nurse's priority to report? A. Oxygen saturation 92% on room air B. 20% consumption of meals C. Weight increase of 0.91 kg (2lb) in 24 hours D. 1+ edema in the lower extremities
C. Weight increase of 0.91 kg (2lb) in 24 hours
A nurse is reinforcing teaching with a client who is scheduled to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching? A. "The medication may be crushed if you have difficulty swallowing it." B. "Drink a full glass of milk when you take the medication." C. "Take the medication at bedtime D. "Discontinue the medication if you develop heartburn
D. "Discontinue the medication if you develop heartburn
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements indicates that the A requires further instructions? A. "We will be serving breakfast in 10 min. I will stay here while you get ready." B. "It's Monday morning. I know that your favorite television shows are on this evening." C.I see that you have a new photo on the wall. Can you tell me who that girl Is D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."
A nurse is reinforcing teaching about nutrition with an older adult client. The client asks, "Do I need the same amount of nutrients that I did when I was younger?" Which of the following responses should the nurse provide? A."Older adults need less protein. B. "Older adults need an increased amount of carbohydrates.! C. "Older adults need an increased amount of iron." D. "Older adults need an increased amount of calcium.
D. "Older adults need an increased amount of calcium.
During a team meeting, a staff nurse recommends that a client, who is confused and wanders during the night, be placed in restraints. Which of the following responses about the use of restraints should the nurse manager offer? A."Restraints can be used if a family member requests them. B. "Restraints are a safe method to use to prevent clients from falling. C. "Restraints are considered a part of routine care." D. "Restraints are used to prevent harm to clients and others."
D. "Restraints are used to prevent harm to clients and others."
A nurse is caring for an older adult client who asks the nurse why she has more difficulty sleeping as she gets older. Which of the following responses should the nurse make? A. "Perhaps you are spending more time in deep sleep." B. "Maybe you need less sleep now than when you were younger." C. "It's normal to fall asleep easily but wake up later." D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
D. "The body rhythms that control the sleep-wake cycle weaken a bit with aging."
A nurse is reinforcing teaching with a group of older adults. Which of the following behaviors should the nurse identify as relating to Erikson's expected developmental task for this age group? A. Starting to plan for aging parents B. Discussing weekend plans for a date C. Initiating plans to purchase a first home D. Accepting the possibility of the need for long-term care
D. Accepting the possibility of the need for long-term care
A nurse is reinforcing teaching about dietary requirements with a group of older adult female clients, who are postmenopausal. Which of the following statements about the role of folic acid should the nurse provide? A. Clients who are postmenopausal needs to limit their intake of folic acid to reduce the risk of stroke. B. Dietary Folic acid is not really important after the childbearing years. C. Healthy clients who are postmenopausal require a daily Folic acid supplement. D. Adequate folic
D. Adequate folic acid intake is associated with a reduce risk of heart disease.
A nurse is assisting with the planning of an immunization clinic for older adults. At which of the following times should an older adult client receive the influenza vaccine? A. Once during the client's lifetime B. Every 10 years C. Every 5 years D. Annually in the fall
D. Annually in the fall
A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse take first? A. Clarify the client's list of medications with the pharmacist B. Compare the current list against the new medication precriptions C. Investigate and discrepancies on the list D. Ask the client about over-the-counter medications she is taking
D. Ask the client about over-the-counter medications she is taking
A nurse is caring for a client who has Alzheimer's disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to perform ADs with minimal supervision. Which of the following actions should the nurse take? Crush the pills and feed them to the client in applesauce B. Insist the client comply by informing her of the possible implications of missing a dose C. Notify the provider of the need for further evaluation of the client's level of competence D. Ask the client to share her reasons for refusing the medication and document the event
D. Ask the client to share her reasons for refusing the medication and document the event
A nurse is collecting data from an older adult client. Which of the following findings should the nurse report to the provider? A. Decreased cough reflex B. Decreased urinary bladder capacity C. Decreased sebum production D. Decreased spinal column movement
D. Decreased spinal column movement
A nurse is collecting data from an older adult client who lives alone. Although the clients able to answer all questions appropriately, the nurse notes that the client has a decreased attention span, expresses feelings of overwhelming sadness, and has a low energy level. This client is exhibiting manifestations of which of the following disorders? A Delusions B Dementia C. Deliname D. Depression
D. Depression
A nurse is collecting data from an older adult client who reports feeling anxious about financial concerns and has had difficulty sleeping for several months. Which of the following actions should the nurse take? A. Encourage exercise 1 hour prior to the client's bedtime B. Inquire about the client's financial concerns C. Refer the client to the facility's chief financial officer D. Determine the client's usual sleep habits
D. Determine the client's usual sleep habits
A nurse is collecting data from serval client's. The nurse should understand that adjusting to free time and findings happiness are important development task for which of the following age group? A. Adolescents B. Young adults C. Midlle adults D. Older adults
D. Older adults
A nurse is caring for an older adult client who is on bed rest. Which of the following foods should the nurse plan to include on the client's breakfast tray to prevent constipation? A. Banana B. Hash brown potatoes C. Egg and cheese omelet D. Stewed prunes
D. Stewed prunes
A nurse is assisting with developing an exercise program for an older adult client who lives alone and has become sedentary since his parnter died. Which of the following outcomes is the priority goal of this program for the client? A. To maintain skin integrity B. To increase opportunities for socialization C. To increase physical strength D. To maintain functional ability
D. To maintain functional ability
A nurse is reinforcing teaching with agroup of healthy older adult clients about screenings after age 50 years. Which of the following health screenings should the nurse recommend the clients complete annually? A. Cholesterol B. Colonoscopy C. Diabetes mellitus D. Visual acuity
D. Visual acuity
