AH I PrepU - Chapter 11: Older Adult

An older adult patient is experiencing presbycusis. When interviewing the patient, the nurse would be alert for problems associated with which consonants? Select all that apply.

F S P

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.

Nursing students are reviewing statistics related to the older adult population and leading causes of death in this age group. The students demonstrate understanding of this information when they rank the following conditions in the order from highest to lowest.

Heart disease Malignant neoplasms Cerebrovascular disease Chronic obstructive pulmonary disease Alzheimer's disease Diabetes

Which action is included in a nurse's role when providing home care for a client with Alzheimer disease?

Provide emotional and physical support

A client with Alzheimer's disease is being treated for malnutrition and dehydration. The nurse decides to place him closer to the nurses' station because of his tendency to:

wander.

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.

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

A nurse is preparing a presentation for a local senior center about the health status of older adults. Which of the following would the nurse include as the major causes of death in those older than 65 years? Select all that apply.

Cancer Heart disease

The nurse is teaching about preventing pneumonia and influenza to a group of clients in a senior citizens' wellness class. The nurse includes which of the following topics in the class? Select all options that apply.

Avoiding environmental smoke Participating in regular exercise Ensuring appropriate fluid intake

A family of a patient with Alzheimer's disease asks the nurse what causes this condition? Which response by the nurse would be most appropriate?

"Evidence shows that there are changes in nerve cells and brain chemicals."

After teaching an older adult about measures to relieve constipation, which statement by the client indicates a need for additional teaching?

"I should use a laxative every other day."

The nurse is assisting an older adult patient with dietary planning. The nurse emphasizes the importance of adequate intake of fruits, vegetables, and fish. What should the patient's daily carbohydrate intake be?

55% to 60%

Approximately what percentage of home care required by elderly people with Alzheimer disease is provided by informal caregivers?

80

The nurse is assessing a 78-year-old woman and suspects that the patient may have age-related macular degeneration. Which assessment finding would most likely support this suspicion?

Diminished color perception

Which assessment finding by the nurse and statement by an older adult would require the nurse to report suspected elder abuse?

Stage II decubitus ulcer on coccyx; "No one is able to turn or lift me anymore."

A clinic nurse is meeting with a group of older adults living in a community that has been experiencing extremely hot summer days. Which of the following measures would the nurse encourage the clients to practice to protect their health during the hot summer days? Select all answers that apply.

Wear lightweight shirts and shorts. Take cool showers. Increase fluid intake. Circulate air with a fan or air conditioner.

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

Pneumonia

An older adult develops sudden onset of confusion and is hospitalized. The family expresses concern that their loved one is developing Alzheimer disease. What response by the nurse is most appropriate?

"Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

A nurse is caring for a client with dementia. A family member of the client asks what the most common cause of dementia is. Which response by the nurse is most appropriate?

"The most common cause of dementia in the elderly is Alzheimer's disease."

Which is a true statement regarding pharmacologic aspects of aging?

Absorption may be affected by changes in gastric pH.

Which actions by the nurse will assist in promoting an older adult's adherence to medication therapy? Select all that apply.

Encourage the client to keep a list of medications and review it frequently for updates. Use easy-to-open lids. Provide a written medication schedule.

A nurse is teaching nursing assistants in an extended-care facility measures to protect the skin of elderly clients. Which of the following measures is the nurse likely to recommend?

Encouraging clients to avoid cigarette smoking

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.

After teaching a group of nursing students about living arrangements for older adults, the instructor determines that the teaching was successful when the group identifies which housing option as used by most older adults?

Home

A client in a nursing home is diagnosed with Alzheimer's disease. He exhibits the following symptoms: difficulty with recent and remote memory, irritability, depression, restlessness, difficulty swallowing, and occasional incontinence. This client is in what stage of Alzheimer's disease?

II

An elderly client reports that he feels like he voids frequently during the day and at night but cannot empty his bladder. The nurse instructs the client to

Limit ingestion of caffeinated beverages.

Students are reviewing information about visual changes and conditions associated with aging. The group demonstrates understanding of the information when they identify which condition as the major cause of vision loss in the elderly?

Macular degeneration

A nurse is completing the history and physical examination of an older adult patient. When assessing the pateint's eyes, which of the following would the nurse document as a normal finding?

Reports of being sensitive to glare

When assessing an older adult, the nurse anticipates an increase in which component of respiratory status?

Residual lung volume

A nurse is preparing a health promotion class for a group of seniors at a local community center. As one part of the presentation, the nurse is planning to address sexuality and sexual function. Which statement would be least appropriate to include?

Sexual desire typically becomes progressively less.

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 client is hospitalized. To maintain the client's mobility, the best nursing intervention is

Sit the client in a chair for meals.

The following information is documented on the assessment form for an older adult: Kyphosis Dry mucous membranes Decreased respiratory excursion Urinary incontinence The nurse is reviewing the information and reports which finding to the physician?

Urinary incontinence