Ch. 4 & 7 Med Surg
An 85-year old client has just been admitted in a nursing home. When designing a plan of care for this older adult, the nurse recalls what expected sensory losses associated with aging?
- Diminished sensation of pain - A decreased ability to physically adjust to extremes in environmental temperatures - Impaired hearing of high frequency sounds
The nurse is supporting cognitive ability in clients with Alzheimer disease. Which actions will the nurse take?
- Encouraging caregivers to support safe independence - Using calendars, clocks, and pictures to support memory - Providing a limited number of choices to support decision-making
An older client is diagnosed with Alzheimer disease. For which clinical manifestations should the nurse assess the client.
- Loss of recent memory - Perceptual disturbances - Difficulty learning something new
A 93-year old client in a nursing home has been eating less food during mealtimes. What is the priority nursing intervention?
Allow the client a longer period of time to complete the meal
When planning for an older client, the nurse remembers that aging has little effect on what process?
Capacity to handle life's stresses Short-term memory often diminished
What age-related changes are associated with the female genitalia?
Dry vagina Graying/thinning of pubic hair Decreased size of labia
A staff member tells a nurse that an older client becomes irritable when asked to assist with activities of daily living. On what general information about older adults should the nurse base a response?
Decreased ability to cope
An older adult tells the nurse, "I regret so many of the choices I've made during my life." Which of Erikson's developmental conflicts has the client probably failed to accomplish?
Ego integrity versus despair
A client who retired a year ago tells the nurse in the community health center, "I don't have any hobbies or interests, and since I retired I feel useless and unneeded." According to Erikson's developmental theory, with which developmental conflict is the client faced?
Integrity versus despair
When meeting the unique preoperative teaching needs of an older adult, the nurse plans a teaching program based on which principle about learning?
It requires continued reinforcement
A client comes to the emergency department reporting symptoms of the flu. When health history reveals intravenous drug use & multiple sex partners, acute retroviral syndrome is suspected. A test for the HIV virus is performed and acute retroviral syndrome is diagnosed. Which clinical responses are associated most commonly with this syndrome?
Malaise Swollen lymph glands Fever Sore throat Headache Nausea/Diarrhea Muscle/joint pain Diffuse rash
A public health nurse routinely performs health screenings in the local senior citizen center. What concepts about older adults is essential for the nurse to remember when working with these clients?
Staying healthy promotes a quality retirement
The nurse is caring for an elderly client who has kyphotic posture with a widened gait. Which nursing interventions help reduce the severity of the client's condition?
Teaching proper body mechanics Instructing the client to sit in supportive chairs with arms
A client with dementia is admitted with a fractured hip after a fall at home. The client's family member witnessed the fall. Four hours after admission, the client's blood pressure increases to a moderately severe hypertensive level. The client pulls on the bedclothes continuously. the client's family member asks for pain medication for the client. What does the nurse concludes?
The client may be in pain and unable to respond appropriately
On which principle should the nurse's role be based in the maintenance or promotion of the health of older adults?
There is a strong correlation between successful retirement and good health
The nurse's role in maintaining or promoting the health of the older adult should be based on which principle?
There is a strong correlation between successful retirement and maintaining health
