Older Adult Prep U

An elderly male client presents to the health care clinic with reports of urinary frequency, nocturia, and difficulty starting his stream. A nurse knows that the most common cause of these symptoms is what condition?

Benign prostatic hypertrophy

What would be important to assess when detecting alcohol use disorders in older adults?

Blood sugar control problems

A sign of infection in the elder that is more common than fever is

Confusion

It is summer and an 82-year-old woman arrives at the emergency room from her home after seeing her primary care physician 2 days ago, when she had been started on an antibiotic. Today, she does not know where she is or what year it is. What could be a likely cause?

Delirium

A 70-year-old retired auto mechanic comes to the office because his neighbour is concerned about the client's memory. The client admits to misplacing his keys more often and forgetting what he is supposed to buy from the grocery store and where he has parked the car. He denies getting lost in familiar places. Upon further questioning, he states that his wife of 40 years died 8 months ago; his three children live in three different provinces; and he has limited his activities because the people he interacted with were "his wife's friends, not his." He drinks a six-pack of beer daily; he does not smoke or use illicit drugs. The nurse performs a mini-mental state examination and obtains a total score of 24 out of 28. Based on this information, what is the most likely diagnosis?

Depression

Mrs. Geller is somewhat quiet today. She has several bruises of different colours on the ulnar aspects of her forearms and on her abdomen. She otherwise has no complaints, and her diabetes and hypertension are well managed. Her son from out of state accompanies her today and has recently moved in to help her. What should the nurse suspect?

Elder abuse

Some symptoms are common in elderly clients. Which of the following is less likely to be a common problem in old age?

Fever

Routine screening reveals that the cup-to-disc ratio of the client's right eye is1:2. What ocular condition should be suspected?

Glaucoma

A nurse obtains an order to check an elderly client for orthostatic hypotension. Which finding alerts the nurse to a positive result for this test?

Heart rate increases 20 beats over the baseline rate

A client is brought to the clinic by his daughter, who tells the nurse that she is concerned because her father appears to be losing weight and she doesn't know why. What would the nurse know is a cause of undernutrition?

Poverty

The nurse notes that an older client has a systolic murmur. What should this finding suggest to the nurse?

calcification of the aortic cusps

An older client demonstrates mental status changes after being diagnosed with a urinary tract infection. Which finding suggests that this client is experiencing delirium?

experiencing visual hallucinations

On admission, the nurse explains the recommended immunizations to a 72-year-old. What immunizations are recommended for the older adult? Select all that apply.

influenza, pneumococcal, zoster

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

A key area to assess in older adults with chronic respiratory or cardiac problems and some constant degree of dyspnea is

the degree to which dyspnea affects daily function.

A nurse assesses the skin of an older adult's forearms and observes purpura. The nurse interprets this finding as indicative of which of the following?

vascular fragility