Chapter 8-Health Assessment of Older Adults

When the LPN is collecting data from the older adult, which findings should be considered normal physiological changes? Select all that apply.

-Decline in visual acuity -Decreased chest expansion -Decline in short term memory -Increased susceptibility to UTI

An older client has been prescribed digoxin. The nurse determines that which age-related change would place the client at risk for digoxin toxicity?

Decreased lean body mass and glomerular filtration rate

Identify critical problems: FANCAPES

F-Fluid A-Aeration N-Nutrition C-Cognition/communication P-Pain E-Elimination S-Skin / Socialization

Subjective data

Info gathered point of view; patients own words

Objective data

Info that can be gathered using the senses of vision, hearing, touch, smell; collected by means of observation, physical examination, and lab/diagnostic tests

Identify conditions for potential health problems: SPICES

S-Sleeping problems P-Problems with eating/feeding I-Incontinence C-Confusion E-Evidence of Falls S-Skin breakdown

When do I call the Provider?

a patient status changes; there is an abnormal finding that needs further investigation

Prioritize: ABC

airway, breathing, circulation

The nurse employed in an emergency department is assigned to assist with the triage of clients arriving to the emergency department. The nurse should assign priority to which client?

client complaining of chest pain after eating pizza with a very spicy sauce

The nurse is assigned to care for four clients. When planning client rounds, which client should the nurse check first?

client who is dependent on a ventilator

Physical Assessment: Techniques

inspection, palpation, auscultation, percussion