EAQ 2: Older Adults and Pediatric Considerations

Which statement by a student nurse assessing a 70 y/o client receiving aminoglycoside therapy would be questioned by the supervising RN? - "The client may have deterioration of the cochlea" - "The client may have thinning of the tympanic membrane" - "The client may have an inability to hear high frequency sounds" - "The client may have an inability to differentiate between consonants"

"The client may have thinning of the tympanic membrane" An older adult who is on aminoglycoside is at a high risk for developing ototoxicity, which may cause thickening of the tympanic membrane, deterioration of the cochlea, and the inability to hear high frequency sounds and differentiate between consonants

Which nursing action has a specific gerontological implication the nurse must consider when caring for an older adult receiving chemotherapy for cancer whose severe nausea and vomiting causes dehydration requiring hospital admission for rehydration therapy? Select all that apply. - assessment of skin turgor - documentation of vital signs - administration of antiemetic medications - replacement of fluid and electrolytes

- assessment of skin turgor - administration of antiemetic medications - replacement of fluid and electrolytes

Which health care factor creates barriers that prevent older adults from participating in health care promotion and disease prevention? Select all that apply. - finance - activity level - transportation - personal motivation - previous health care experience

- personal motivation - previous health care experience

Which teaching method would be adopted for an adolescent? Select all that apply - using teaching as a collaborative activity - encouraging questions and offering explanations - teaching psychomotor skills needed to maintain health - using role play, imitation, and play to make learning fun - allowing adolescents to make decisions about health and health promotion

- using teaching as a collaborative activity - allowing adolescents to make decisions about health and health promotion

Which vaginal infection would a nurse suspect in a client who is prescribed clotrimazole? - chlamidyia - candidiasis - trichomoniasis - bacterial vaginosis

candidiasis candidiasis is a vaginal infection caused by a fungus called candida albicans. Antifungal preparations such as miconazole and clotrimazole are used o treat it. azithromycin is prescribed to clients with chlamydia. metronidazole and tinidazole are used to treat trichomoniasis. Oral metronidazole is the most effective treatment of bacterial vaginosis

Which teaching would be given by a nurse when considering the age of a 78 y/o client who has hypertension and is beginning treatment with furosemide? - limit fluids at bedtime - change positions slowly - take the medication between meals - assess the skin for breakdown daily

change positions slowly with aging there is a decreased vasomotor response and diminished elasticity of blood vessels, which fo not respond quickly to changes from horizontal to vertical; orthostatic hypotension may occur

Which medication used to treat bacterial vaginosis may be responsible for a client's report of an unpleasant metallic taste, nausea, and vomiting? - tinidazole - miconazole - clotrimazole - metronidazole

metronidazole metronidazole is used to treat bacterial vaginosis. side effects include unpleasant metallic taste, nausea, vomiting, furry tongue, CNS reactions, and urinary tract disturbances. tinidazole is used to treat trichomoniasis. clotrimazole and metronidazole are used to treat candidiasis

Which consideration would factor into the nurse's plan to discuss the importance of following the prescribed course of treatment with a group of adolescent clients? - they are in touch with their feelings and concerns - their thinking is both concrete and reality oriented - they are involved more with the present than with the future - their developmental goal is striving for industry vs inferiority

they are involved more with the present than with the future immediate gratification takes priority

Which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients? - sensory deprivation - urinary tract infection - frequent use of diuretics - inaccessibility of a bathroom

urinary tract infection Urinary incontinence in older adults can be a sign of of urinary tract infections, which affect the genitourinary tract and interfere with voluntary control of micturition. sensory deprivation is a neurological factor, frequent use of diuretics is an iatrogenic factor, and inaccessibility of a bathroom is an environmental factor