The aging adult
Akinesia
an abnormal state of motor and psychic hypoactivity (seen in parkinson's disease)
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse should alter the care plan to include turning the bedfast patient how often?
every 2 hours
to deliver age-appropriate care, the nurse should know:
the differences between normal aging versus illness
The nurse is teaching the older client about measures to prevent constipation. Which statement made by the client indicates further teaching about bowel elimination is necessary?
"I will drink 4 glasses of water per day"
A nurse in a provider's office is reinforcing teaching with a female client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply):
-Sedentary lifestyle -Aging -Excessive caffeine
when an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?
-mucosal drying -Increased pain with intercourse is called dyspareunia
The nurse reassures the family of a stroke victim that some of the neurological involvement associated with a cerebrovascular accident (CVA) may disappear within:
3 to 6 months
Best way to identify risk of osteoporosis in post menopausal women
Bone density testing
the nurse recognizes that a term referring to mechanical difficulty of swallowing is
Dysphagia
the older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?
Loss of taste buds
The nurse is conducting an environmental assessment at a geriatric home care client. Assessment reveals vision impairment. Which of the following interventions is an appropriate environment modification?
Modify environment by removing all hazardous objects.
the nurse reminds the 80 year old patient that her respiratory system has decreased resistance to respiratory infections. what is this patient at increased risk for?
Pneumonia
Loss of visual acuity -
Presbyopia = with age Glaucoma = leading cause of blindness in the USA hemianopia (defective vision or blindness in half of the visual field) from a stroke
What is the method of breathing for helping a COPD patient?
Pursed lip breathing
Define Proprioception
The ability to maintain an upright position without falling, depends on the ability to use balance, posture, and movement. This declines with age.
The nurse is preparing patient teaching related to osteoarthritis and should include:
The goal of treatment is to increase joint protection and energy conservation.
an older adult is having difficulty swallowing. what position should the nurse recommend to aid in swallowing?
chin down
the older adult patient complains to the nurse about nocturia. this problem is most likely related to?
decrease in bladder capacity
Dysphasia
difficulty speaking
for what is the older adult patient at increased risk because of age related changes in the musculoskeletal system
falls related to posture changes
at mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult?
fewer calories
A change of aging related to the circulatory system includes decreased blood vessel elasticity. What should the nurse assess for?
hypertension
Ataxia
impaired ability to coordinate movement
Agnosia
inability to recognize familiar objects
Define Blepharitis
inflammation of the eyelid & is a common eye condition that makes your eyelids red, swollen, irritated, and itchy.
when assessing the older adult, the nurse considers which aspect of the patient's routine as possible contributor to constipation?
intake of antacids several times a day
The nurse assesses that an older client with COPD has developed which of the following age-related skeletal changes that will alter her ability to exchange air effectively?
kyphosis
When bathing an 80 year old woman who lives on a farm, the nurse assesses brown macules on the pt's hands and forearms. the nurse recognizes these as
lentigo
What are the results of slowing the impulse transmission in the nervous system over time?
longer reaction time
An older adult patient has difficulty hearing what is it called and what is the nursing intervention. SELECT ALL THAT APPLY
lower the tone of the voice Its called presbycusis providing good visual contact to allow lip reading avoided situations in which there is glare or shadows on the person's field of vision, reducing or eliminating background noise, and speaking at a normal rate and volume. Do not over articulate or shout. Use short sentences and pause at the end of each sentence. Use facial expressions or gestures to give clues. Ask listeners what assists them to hear better, and be patient.
which symptoms of diabetes distorts tactile sensation
peripheral neuropathy
what is age related vision change caused by the loss of elasticity of the lens called?
presbyopia
Peripheral neuropathy-
presence of abnormal sensation, numbness, and burning sensations in the extremities. This condition increases with age, particularly in people who have DM
apraxia
problems manipulating things
what is a major difference between rheumatoid arthritis and osteoarthritis
rheumatoid arthritis is inflammatory
What is a common fear and a myth in regards to the state of mental and physical deterioration associated with aging?
senility
to help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient
weight bearing exercises