Gero Chapter 24
An 82-year-old resident of a long-term care facility has experienced a gradual decline in physical activity as dementia has progressed. How can the nurse who provides care for the resident best address activity needs of this resident?
Identify the resident's existing interests and integrate these into an activity regimen.
The nurse at the wellness center promotes activity by leading exercise programs. Which of the following is a benefit of such exercise?
Improvement of mood.
Which of the following arrays are important health changes that can result from physical activity in older adults?
Lowers blood pressure, maintains muscle strength, and sharpens mental acuity.
The nurse develops measures to facilitate independence in the resident who requires a wheelchair for mobility. Which of the following interventions should the nurse choose to promote independence?
Obtain a reacher-grabber tool.
An attentive nursing staff should provide for range-of-motion exercises with elderly patients. What is the most direct benefit of improving rang of motion in the older adult?
Reduces the person's risk of household accidents.
A nurse would recommend a balanced diet emphasizing which of the following foods to an older adult client who is eager to prevent musculoskeletal problems?
Dairy products and lean meat.
The nurse is assisting an aging client with osteoarthritis to ambulate. Which of the following instructions is most appropriate for the following instructions is most appropriate for the nurse to give the client?
"Stand straight and tall."
The 80-year-old patient has fallen. The fall impacted the right arm and hip. The patient describes the fall as painful, the skin is intact, and neither edema nor redness is noted. What is the emergency department care team's best course of action?
Assess the patient for fractures in spite of the absence of obvious signs or symptoms.
An 81-year-old resident of an assisted living facility has mentioned to the nurse about her problems with nighttime muscle cramping, a problem that causes her significant pain. Which of the following measures should the nurse suggest?
Passive stretching of the limbs; keeping the extremities warm at night.
Following several months of joint pain in her hands and knees, a 73-year-old client has been diagnosed with osteoarthritis. Which of the nurse's following teaching points is likely to be of the most use to the client?
"There are changes you can make in your diet to help control your osteoarthritis, and surgical options now exist if it worsens."
The nurse includes interventions to improve impaired physical activity in the plan of care for the older resident. Which of the following interventions should the nurse include? (Select all that apply)
1. Encourage family to assist in efforts to increase the patient's mobility. 2. Promote a nutritional intake of calcium and protein. 3.Provide diversional activities based on the patient's interests and level of function.
A nurse has admitted a 79-year-old female patient to the unit from the emergency department following a fall. The nurse notes that the patient displays kyphosis. A diagnosis of osteoporosis is confirmed in the patient's medical history. Which of the following medications should the nurse anticipate administering to the patient? (Select all that apply)
1.Calcium supplements 2.Calcitonin 3.Vitamin D supplements 4.Estrogen
A 75-year-old is staring an exercise program. After calculating the adjusted training heart rate for the client, the nurse should recommend reducing the intensity of the exercises as soon as the heart rate is greater than which of the following?
118 beats per minute.
Which of the following older adults is most likely to require surgery to correct his or her podiatric health problem?
A 66-year-old who developed bunions following many years of wearing high-heeled shoes.
Which of the following older adults is most likely to benefit from the administration of anti-inflammatory drugs?
A 71-year-old client with rheumatoid arthritis.
Which of the following active adults who implements an exercise regimen is likely to have the most beneficial effect on musculoskeletal function?
A 76-year-old who swims laps four times weekly and does light weight training on the other 3 days.
Which of the following statements best conveys the relationship between advanced age and musculoskeletal function?
A combination of age-related reduction in muscle mass and inactivity decreases musculoskeletal function.
A 75-year-old man has been a runner all his adult life and has just participated in another 5K road race. He does not have a history of hypertension, but his blood pressure at the finish line was 200/110 mm Hg. What is the most likely reason for the systolic blood pressure (SBP) over 200 mm Hg?
A consequence of an age-related change.
At 65 years of age, a client is starting to exercise again after 10 years of inactivity. Which of the following is most appropriate for this client to include in starting the program?
A physical exam, physical activities that match the client's interest and ability, and monitoring vital signs and symptoms at various activity levels.
An exercise physiologist approaches the nursing staff about beginning a program at the senior center. Which of the following characteristics of the program should the nursing staff require?
Addressing cardiovascular endurance, flexibility, and strength training.
The nurse is aware of the role that heat can play in treatment of pain and often recommends the use of heating pads or warm water soaks. For which of the following patients are these treatments most likely contraindicated?
An 80-year-old patient with painful bunions and a history of peripheral vascular disease.
One basic measure that nurses can take in elder health care is to educate caregivers about the importance of physical activity for older adults. Which of the following suggestions would be most likely to help families increase the physical activity of their older relatives?
Be creative in suggesting pastimes that can stimulate movement.
The client has been confined to bed for 3 months. Which of the following occurrences should the nurse anticipate secondary to this prolonged immobility?
Bone demineralization.
The nurse teaches exercises to a client who has had surgical repair of a fractured hip. Because the client's ability to exercise is limited, which of the following activities is most appropriate?
Circle arms and flex and extend feet.
The nurse incorporates exercise in daily interactions with the residents in the Alzheimer's wing of the care facility. Which of the following interventions is appropriate to meet this goal?
Encouraging the residents to wave their arms in greeting.
The nurse teaches the caregiver to assist the elderly patient with exercises. Which of the following points, if made by the caregiver, indicate that the caregiver needs more guidance?
Force the joint past the point of resistance.
Aging has a great effect on the ability to exercise. Which of the following is most important for gerontological nurses to remember in recommending individual exercise routines for older clients?
The stroke volume is reduced, but is usually adequate during mild exercise.
The nurse motivates to move and be active. Which of the following rationales is useful in stimulating opportunities for activity?
Those engaged in social events are more likely to perform self-cares.
A 75-year-old is a new attendee at strength training class. Which of the following schedules is most appropriate for this client?
Twelve repetitions with low-weight free weights at least twice weekly.
A 71-year-old man has been diagnosed with gout. Which of the nurse's following dietary recommendations is most likely to help control the man's symptoms?
You should avoid alcohol as well as many kinds of meat and seafood.
The nurse is teaching a moderately obese, older adult client who is otherwise healthy about the benefits of exercise. Which of the following teaching points is most accurate?
You'll need to monitor your heart rate when you're working out to make sure it doesn't go more than 10 beats over your target rate.
