Older Adult DQ 2
A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements. Which of the following statements about the role of folic acid should the nurse make?
"Adequate folic acid intake is associated with a reduced risk of heart disease.'
A nurse is teaching an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching?
"Brisk walking will help prevent bone loss."
A nurse is conducting an in-service training session for a group of assistive personnel about the basic needs of older adult clients. Which of the following statements about this population should the nurse include in the teaching?
"Deep sleep is decreased."
A nurse is providing teaching to a client who is scheduled to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching?
"Discontinue the medication if you develop heartburn."
A nurse at a long-term care facility is teaching an older adult client about ambulating with a quad-cane. Which of the following statements should the nurse include in the teaching?
"Hold the cane in the hand on the stronger side of your body."
A community health nurse is conducting an initial home visit for an older adult client. Which of the following client statements should the nurse identify as indicative of a health alteration?
"I have not had a bowel movement in 5 days."
A nurse is teaching a client who has COPD and has been losing weight about ways to improve his nutritional intake. Which of the following statements by the client indicates an understanding of the teaching?
"I should add grated cheese to sauces and vegetables."
A nurse is providing teaching to a client who is scheduled to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching?
"I should see a decrease in my PSA levels."
A nurse at a long-term care facility hears an assistive personnel talking with an older adult client who has dementia with periods of confusion. Which of the following statements should indicate that the AP requires further teaching?
"It's almost time for your appointment. Let me do your hair for you and brush your teeth."
A nurse is providing teaching to an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching?
"To relieve the pressure on my hip, I can use a cane while ambulating."
A nurse is teaching the son of an older female client how to care for his mother, who is home-bound. Which of the following signs of possible acute illness should the nurse instruct the family member to report to the care provider?
Abrupt decrease in the ability to perform ADLs
A nurse in an assisted living facility is assessing an older adult client who moved in 3 months ago following the death of his partner. The client reports awakening early in the morning and admits feeling very sad. The nurse should identify that the client is experiencing which of the following types of grief?
Acute grief
A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse perform first?
Ask the client about any over-the-counter medications she is taking
A nurse is developing a plan of care for a client after a recent stroke who has a history of GERD. For which of the following disorders should the nurse plan to monitor this client?
Aspiration pneumonia
A nurse is administering intermittent IV antibiotic therapy for a client who has Alzheimer's disease. The client repeatedly attempts to remove the IV access line during the medication administration. Which of the following actions should the nurse take?
Assign an assistive personnel to remain with the client during the medication administration
A nurse is discussing medication administration for an older adult client with a newly licensed nurse. Due to physiological changes of aging, older adult clients may need dosage adjustments because of an increase in which of the following parameters?
Body fat
A nurse is assessing an older adult client for signs of dehydration. Which of the following findings is an expected part of the aging process?
Decreased creatinine clearance
A nurse is monitoring the blood pressure of an older adult client. The nurse should understand that which of the following age-related changes can contribute to an increase in systolic blood pressure among older adults?
Decreased elasticity of the blood vessels
A nurse is caring for an older adult client. Which of the following physiological changes associated with aging can affect medication dosing for this client?
Decreased gastric motility
A nurse is caring for an older adult client who has pneumonia. Which of the following physiological changes associated with aging places the client at risk of pneumonia?
Decreased number of cilia
A nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following physiological changes can contribute to the development of type 2 diabetes?
Decreased sensitivity to the circulating insulin
A nurse is assessing an older adult client. Which of the following findings should the nurse report to the provider?
Decreased spinal column movement
A nurse is assessing an older adult client who states he is homeless. Which of the following findings should the nurse document as comorbidities for this client?
Dementia & tuberculosis
A nurse is assessing an 85-year-old client. Which of the following findings should the nurse report to the provider?
Differences in pulse strength between lower extremities
A home health nurse is visiting an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the client's iron intake?
Dried fruit
A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the client's history should the nurse recognize is a contraindication to this medication?
Esophageal achalasia
A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse conduct a hearing assessment of the client?
Furosemide
A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract. Which of the following client reports is consistent with cataracts?
Halos when looking at lights
A nurse is part of a committee that is developing age-appropriate care standards for older adult clients. Which of Erikson's developmental tasks should the nurse recommend as the focus of this committee?
Integrity
A community health nurse is visiting the home of an older adult client and her caregiver. The client has excoriations to her wrists and ankles. Which of the following actions should the nurse take first?
Interview the client in private
A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has authorized the client's family to bring food from home. Which of the following foods should the nurse recommend that the client avoid?
Lentil soup
A nurse is caring for a client who is using a continuous passive motion (CPM) device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device?
Line up the frame joints of the CPM device with the client's knee
A nurse is performing skin assessments for a group of older adult clients. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in this population?
Liver spots
A nurse is assessing an older adult client for age-related changes. Which of the following should the nurse identify as an age-related physical change?
Loss of ventricular compliance
A nurse is reviewing the records of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process?
Obesity
A nurse is planning care for an older adult client following abdominal surgery for a bowel obstruction. Which of the following pieces of information about pain management should the nurse consider when planning care?
Older adult clients are sensitive to the analgesic effect of opiates
A nurse is assessing several clients. The nurse should understand that adjusting to free time and finding happiness is an important developmental task for which of the following age groups?
Older adults
A nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take?
Place the client's mattress on the floor
A nurse at a long-term care facility notes that a client with dementia is having problems with orientation. Which of the following actions should the nurse take to improve the client's level of orientation?
Post a large calendar on the bulletin board
A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take?
Present a single idea in a sentence
A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse plan to take prior to administration?
Review the medical record for a history of glaucoma
A nurse at a long-term care facility is providing teaching to a group of adolescents who are new volunteers. The nurse should explain that older adult clients are most likely to exhibit a decrease in which of the following?
Short-term memory
A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication?
Speak at a moderate rate
A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with a standard walker. Which of the following actions by the client indicates an understanding of the teaching?
The client moves the walker ahead about 6 in and then steps into the walker
A nurse is teaching a newly licensed nurse about the sleep cycles of an older adult client. Which of the following pieces of information should the nurse include?
The client spends more time in lighter stages of sleep
A nurse is assessing an older adult client who has right-sided heart failure. Which of the following findings is the nurse's priority?
The client's weight has increased by 2 lb in 24 hr
A nurse is assessing an older adult client for cardiovascular changes that develop with aging. Which of the following findings should the nurse expect?
Thickening of blood vessel walls
A nurse is developing an exercise program for an older adult client who lives alone and has become sedentary since his partner died. Which of the following outcomes is the priority of this program for the client?
To maintain functional ability
A nurse at a long-term car facility is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan?
Use photographs as memory triggers
A nurse is teaching a group of healthy older adult clients about health screenings after age 50 years. Which of the following health screenings should the nurse recommend for annual completion?
Visual acuity
