LUSL4084

What is the priority when working with a group of middle-aged adult clients? 1. Cessation of smoking 2. Prevention of infection 3. Abstinence from alcohol 4. Decreasing high-density lipoprotein levels

1 (Smoking is a major risk factor for cardiovascular disease and hypertension, major health problems of middle-aged adults)

A client who had several episodes of chest pain is scheduled for an exercise electrocardiogram. Which explanation should the nurse include when teaching the client about this procedure? 1. "This is a noninvasive test to check your heart's response to physical activity" 2. This test is the definitive method to identify the actual cause of your chest pain 3. The findings from this minimally invasive test will show how your body reacts to exercise

1 (measures the stress response ad oxygen demand on the heart)

A nurse is caring for an older adult with a hearing loss secondary to aging. What can the nurse expect to identify when assessing this client? (Select all that apply) 1. Dry cerumen 2. Tears in the tympanic membrane 3. Difficulty in hearing women's voices 4. Decrease of hair in the auditory canal 5. Overgrowth of the epithelial auditory lining

1, 3

A client is admitted with chest pain unrelieved by nitroglycerine, an elevated temperature, decreased blood pressure, and diaphoresis. A myocardial infarction is diagnosed. Which should the nurse consider a valid reason for one of this client's physiologic responses? 1. Parasympathetic reflexes from the infarcted myocardium cause diaphoresis 2. Inflammation in the myocardium causes a rise in the systemic body temperature 3. Catecholamines released at the site of infarction cause intermittent localized pain 4. Constriction of central and peripheral blood vessels causes a decrease in blood pressure

2

Which factor does the nurse consider most likely contributes to the increased incidence of hip fractures in older adults? 1. Carelessness 2. Fragility of bone 3. Sedentary existence 4. Rheumatoid disease

2 (Bones become more fragile becuase loss of bone density associated with the aging process)

A 78-year-old client who has hypertension is beginning treatment with furosemide (Lasix). Considering the client's age, what should the nurse teach the client to do? 1. Limit fluids at bedtime 2. Change positions slowly 3. Take the medication between meals 4. Assess the skin for breakdown daily

2 (blood vessels do not respond to changes as quickly and can cause orthostatic hypotension)

What principle of teaching specific to an older adult should the nurse consider when providing instruction to such a client recently discharged with DM? 1. Knowledge reduces general anxiety 2. Capacity to learn decreases with age 3. Continued reinforcement is advantageous 4. Readiness of the learner precedes instruction

3 (Neurological aging causes forgetfulness and a slower response time; repetition increases learning)

A 93-year-old client in a nursing home has been eating less food during mealtimes. What is the priority nursing intervention? 1. Substitute a supplemental drink for the meal 2. Spoon-feed the client until the food is completely eaten 3. Allow the client a longer period of time to complete the meal 4. Arrange a consultation for the placement of a gastrostomy tube

3 (aged clients may display psychomotor retardation and may need more time to complete their meals)

A client with a history of Dysrhythmias is to wear a Holter monitor for 24 hours on an outpatient basis. What should the nurse teach the client to do while wearing the monitor? 1. Discontinue medications 2. Avoid using the microwave oven 3. Keep a written account of activities 4. Record the blood pressure periodically

3 (should be recorded to be compared with Dysrhythmias)

When age-related change should the nurse consider when formulating a plan of care for an older adult? (Select all that apply) 1. Difficulty in swallowing 2. Increased sensitivity to heat 3. Increased sensitivity to glare 4. Diminished sensation of pain 5. Heightened response to stimuli

3, 4

When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan? 1. Kidney Dysfunction 2. Cardiovascular Diseases 3. Eye problems, such as glaucoma 4. Accidents, including their prevention

4 (Accidents are common during young adulthood because of immature judgement and impulsivity associated with this stage of development)

A 76-year old male client asks the nurse about the chances of getting osteoporosis like his wife. What is the best response by the nurse? 1. "This is only a problem for women." 2. "Exercise is a good way to prevent this problem" 3. "You are not at risk because of your small frame" 4. "You might think about having a bone density test"

4 (Osteoporosis is not restricted to women; it is a potential major health problem of all older adults)

Which client statement indicates an understanding of the nurse's instructions concerning a Holter monitor? 1. "The only time the monitor should be off is for showering and sleep" 2. "The monitor will record my activities and symptoms if an abnormal rhythm occurs" 3. The results from the monitor will be used to determine the size and shape of my heart" 4. "The monitor will record any abnormal heart rhythms while I go about my usual activities"

4 (cardiac rhythm is monitored and any abnormalities documented)

A client with a dysrhythmia is admitted to telemetry for observation. In the morning the client asks for a cup of coffee. What is the nurse's best response? 1. "Hot drinks such as coffee are not good for your heart" 2. "Coffee is not permitted on the diet that was ordered for you" 3. "You cannot have coffee. I can bring you a cup of tea if you like" 4. "Coffee has caffeine that can affect your heart. It should be avoided."

4 (coffee is a stimulant and causes vasoconstriction)