NUR 103 chapter 33 evolve questions

When was the Social Security Act, which was the first major legislation providing financial security for older adults, passed?

1935

When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?

antibacterial soap

A female patient arrives at the clinic for the third time in 1 month. She reports insomnia, multiple health concerns, decreased appetite, and fatigue. She states, "I'm so sick. I can't even get out to my quilting group. I haven't been quilting since my kitten died." What is the most appropriate nursing action?

assess for depression

What is the best test to identify the risk of osteoporosis in postmenopausal women?

bone density scan

The nurse recognizes that a term referring to mechanical difficulty of swallowing is ___________.

dysphagia

When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved?

ego integrity

Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

every two hours

How often does a 76-year-old need a screening for preventive health?

every year

Which approaches should be included when teaching medication safety to an older, homebound adult?

-Keep medications in their original containers. -Always dispose of expired medications in the toilet or the sink; never throw them in the trash can. -Never share medications with others.

What should the nurse do to help the dysphagic patient?

-Reduce distraction during mealtime -Sit the patient upright -Thicken liquids -Cue the patient to swallow

A 76-year-old male patient has been active his whole life and exercises regularly. He is admitted to the hospital for a proximal femur fracture he got after tripping at the local gym. What are appropriate nursing actions during this patient's recovery from a surgical repair of the femur?

-monitor VS -monitor intake and output -pain management -deep breathing a coughing every two hours

Which statements are myths that have been disproved concerning aging?

-they're poor -they're disabled -they're senile

What is the most common cause of dementia?

alzheimers disease

The long-term care LPN/LVN has a new resident with glaucoma. Which would be an appropriate intervention for care of a patient with glaucoma?

Administer prescribed eye drops and gently apply pressure on the lacrimal duct for 1 minute to assist in rapid systemic absorption.

The LPN/LVN has just taken the health history of a frail elderly patient. Which finding best supports the admitting diagnosis of a stage 3 pressure injury area over the presacral region?

Fell 2 weeks ago and has been resting in bed because movement is painful; is having difficulty getting to the bathroom in time.

A 68-year-old Alzheimer's patient is wandering up and down the hospital hallway. What should be the nurse's initial response?

Offer assistance to the toilet. When reaching the bathroom, point to the toilet sign on the door to reinforce the concept of the toilet.

Constipation is problematic for the older adult patient. What is the most appropriate dietary intervention the nurse will institute to maintain a normal bowel pattern?

Offering two servings of whole-grain bread and two bran muffins per day

The nurse observes a skin tear and multiple bruises on a 72-year-old patient's arm during his weekly blood pressure check. When the patient is asked about the impaired skin, he begins crying and states, "I'm so clumsy; I fell into the door." The nurse notes this in the clinical record. The following month, the patient has a 4-cm bruise on his left cheek. He shares that his alcoholic son moved in with him 6 weeks ago, and he just tries to keep out of his way. What would be the nurse's next action after noting the subjective and objective data in the clinical record?

Report the findings to the Area on Aging in accordance with your state guidelines for elder abuse

A patient has had five children. She is now 70 years old and wears incontinence pads to protect from small amounts of urine loss when coughing. What type of incontinence is this?

Stress urinary incontinence

When discussing aging, to whom does the term older adulthood apply?

age 65 and above

An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?

chin down

Which areas are affected only minimally by age?

cognition

The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

decrease in bladder capacity

When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress?

exercise

For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?

falls related to posture changes

At mealtime, the older adult seems to be eating less food than would be adequate. Compared to the younger adult, what is a requirement for the older adult?

fewer calories

A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?

hypertension

When assessing the older adult, the nurse considers which aspect of the patient's routine as a possible contributor to constipation?

intake of antacids several times a day

What is one positive aspect of Parkinson disease?

intellectual function is not impaired

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

kyphosis

When bathing an 80-year-old woman who lives on a farm, the nurse assesses brown macules on the patient's hands and forearms. The nurse recognizes these as _________.

lentigo

What is the result of a slowing of the impulse transmission in the nervous system?

longer reaction time

The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?

loss of taste buds

When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?

lower tone of voice

When an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?

mucosal drying

The nurse is assisting an older adult patient out of bed when suddenly the patient begins to fall. What is the likely cause of the fall?

orthostatic hypotension

Which symptom of diabetes distorts tactile sensation?

peripheral neuropathy

The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections. For what is this patient at increased risk?

pneumonia

An 84-year-old female patient presents to the emergency department with symptoms of delirium: acute confusion and hallucinations. Her caregiver brought along her current medications. The nurse notes that the patient takes 21 different routine medications. What does the nurse suspect is the cause of the delirium?

polypharmacy

What is age-related vision change caused by the loss of elasticity of the lens called?

presbyopia

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?

pursed-lip breathing

What should be suggested to a patient to aid with the pain of claudication?

rest

What is a major difference between rheumatoid arthritis and osteoarthritis?

rheumatoid is inflammatory

The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces

shearing

The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?

stress incontinence

To help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient?

weight-bearing

When should family members of a stroke victim expect to see some of the neurologic involvement disappear?

within 3-6 months

The patient complains to the nurse about a newly developed intolerance to milk. What should the nurse suggest to fulfill calcium needs?

yogurt