Health Assessment - Prepu Cha. 24
An older client asks why the leg muscles have become flabby over the last few years. What should the nurse respond to this client?
"It occurs with aging but is encouraged by sitting too much."
An older female client who is hospitalized requires frequent linen changes due to incontinence when they cough or sneeze. How should the nurse document the client's incontinence?
"The client requires frequent linen changes due to stress incontinence." Chapter 24: Assessing Older Adults - Page 999
The nurse notes that it takes an older client 45 seconds to complete the "get up and go" test. Which activities of daily living should the nurse plan to assist the client with completing? Select all that apply.
Bathing Climbing stairs Getting in and out of bed
What would be important to assess when detecting alcohol use disorders in older adults?
Blood sugar control problems Chapter 24: Assessing Older Adults - Page 1000
A 76-year-old female client's blood pressure is 132/76 in a supine position, 128/71 when dangling at the side of her bed, and 105/58 when she is standing. These assessment findings constitute a risk for which of the following health problems?
Falls Chapter 24: Assessing Older Adults - Page 1001-1002
A nurse is working with an 88-year-old client who has developed stress incontinence. In this case, as in all cases, the nurse should understand that which of the following is the key to recognizing pathology and illness in the very old?
Knowing the person's baseline functional status and recognizing deviations from it
The nurse is doing a shift assessment on an older adult client with diabetes who has had a 2 pack/day smoking habit for 22 years. The nurse cannot palpate a dorsalis pedis pulse even with a Doppler. When reviewing previous assessment findings, they show that pulses were weakly palpable. What would be the first nursing action?
Notify the primary provider
A nurse is preparing a class for a group of older adult clients at a local senior center. The nurse is focusing on health promotion and disease prevention. Which condition would the nurse most likely include as a common cause of infection-related deaths in the elderly?
Pneumonia Chapter 24: Assessing Older Adults - Page 975
The nurse is preparing to conduct an admission assessment on an older adult client. What would be important to do before interviewing this client?
Reduce or eliminate background noise Chapter 24: Assessing Older Adults - Page 990
In an interview with an elderly female client, the nurse learns that the client often has involuntary loss of urine when coughing, sneezing, or laughing. What type of incontinence should the nurse document in the client's record?
Stress
