AH I Final- Older Adult

Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to which of the following after a rib fracture?

Pneumonia

A client has recently brought her elderly mother home to live with her family. The client states that her mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The nurse tells the client to

Ensure that the mother does not have access to car keys or drive an automobile.

A nurse is preparing to assess an older adult patient. Which approach would the nurse most likely use?

Functional assessment

A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school-aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can I do?" The nurse first responds:

"What precipitates the outbursts?"

A patient with Alzheimer's disease is prescribed donepezil (Aricept). When teaching the patient and family about this drug, which of the following would the nurse include?

"The drug helps to control the symptoms of the disease."

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother's back is turned. The best intervention of the nurse is to

Ask if the mother could come in for a hearing evaluation.

Family members report to the nurse that their elderly grandmother has had a sudden onset of confusion and that they are having difficulty providing care for her. The nurse

Assesses the grandmother for adventitious lung sounds

A nurse is obtaining the health history of a 72-year-old woman who has come to the ambulatory care center for an evaluation. When obtaining information about the woman's sleep patterns, which of the following would the nurse expect to assess?

Complaints about frequently waking up during the night

An elderly female client tells the nurse she has trouble holding her "water." A nursing intervention is informing the client to

Have adequate fluid intake.

An elderly client exhibits blood pressure of 110/76 while prone, 100/72 sitting, and 92/64 standing. The nurse instructs the client to

Ingest five or six small meals each day.

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse?

Neglect

An elderly client recovering from a hip repair becomes disoriented and tries to get out of bed frequently. The client states, "I forget I am in the hospital." The best nursing intervention is to

Post a sign stating "You are in the hospital" at the client's eye level.

Which of the following results in decreased gas exchange in older adults?

The alveolar walls contain fewer capillaries.

A nurse is providing care to a patient with delirium. Which interventions would be most appropriate to implement? Select all that apply.

• Providing a calm, quiet environment • Supervising nutritional intake • Using familiar cues about the environment

An older adult is is experiencing bowel changes. She used to have a bowel movement every day, but she is now having one every 3 to 4 days. She also states that the stools are hard. Which of the following assessments would the nurse make? Select all answers that apply.

• Quantity of daily fluid intake • Amount of dietary fiber • Activity level of the client • Use of laxatives