ATI Aging

A nurse is administering an antihistamine to an older adult client. Which of the following is an appropriate nursing statement? A) "Antihistamines should be used cautiously in clients who have glaucoma." B) "Older adult clients require increased doses of antihistamines." C) "Sustained-release preparations are contraindicated in older adult clients." D) "You may experience paradoxical hyperexcitability."

A) "Antihistamines should be used cautiously in clients who have glaucoma."

A nurse in a long-term care facility is caring for an older adult client who has dementia. Which of the following assessment findings should the nurse recognize is most likely to be seen in this client? A) Phobia B) Agnosia C) Obsessive thoughts D)Hallucinations

B) Agnosia

A nurse is conducting an admission health history and assessment with an older adult client. Which of the following is an appropriate action by the nurse? A) Leave the client a written questionnaire to fill out in private. B) Allow sufficient time for the client to respond to the questions. C) Use family members to obtain the client's health history. D) Obtain the health history from the client's medical record.

B) Allow sufficient time for the client to respond to the questions.

A nurse is caring for a client who has Alzheimer's disease. The client has been oriented to name and place and is able to perform ADLs with minimal supervision. When the client refuses to take morning anti hypertensive medications, the nurse's first action should be to do which of the following? A) Crush the pills, if not contraindicated, and feed them to the client in applesauce. B) Ask the client to express her reasons for refusing the morning medications and document the event. C) Try to convince the client to comply by telling her the possible implications of missing a dose. D) Notify the primary care provider of the need for further evaluation of the client's level of competence.

B) Ask the client to express her reasons for refusing the morning medications and document the event.

A nurse is obtaining a health history from a client admitted following a cerebrovascular accident (CVA). The nurse notes that the client has a history of GERD. The nurse should understand that this past medical history puts the client at increased risk of which of the following? A) Duodenal ulcer disease B) Aspiration pneumonia C) Viral Pneumonia D) Esophageal varices

B) Aspiration pneumonia

A nurse is admitting an older adult client who fell at home and was unable to get up. The client was not discovered until 3 days later by a family member. The client is admitted with a fractured hip, malnutrition, and dehydration. Which of the following lab values, noted on admission, should indicate to the nurse that the malnutrition is a long standing problem? A) Increased sodium B) Decreased albumin C) Increased blood urea nitrogen D) Decreased blood sugar

B) Decreased albumin

A nurse is asked to speak to a group of healthy, older adult clients about normal aging and sexual response. The nurse should include in the discussion techniques to help the clients adapt to which of the following? A) Decreased refractory time B) Decreased vaginal lubrication C) Loss of females' orgasm ability D) Premature ejaculation

B) Decreased vaginal lubrication

A nurse is orienting a newly hired home health assistant, and explaining the assistant's role in helping clients with their ADLs. The nurse should explain that the most common reason older adult clients have difficulty performing ADLs is which of the following? A) Social withdrawal B) Physical disability C) Emotional impairment D) Cognitive dysfunction

B) Physical disability

A nurse in a long term care facility is caring for an older adult client who has been given a cane to assist with ambulation. Which of the following nursing actions puts the client at risk? A) Inspecting the rubber tip of the cane often and replacing it if it appears worn B) Placing the cane on the side of the client's weak leg C) Having the client lead with the cane when walking down stairs D) Keeping the cane within easy reach when the client is sleeping or sitting

B) Placing the cane on the side of the client's weak leg

A nurse is educating a group of assistive personnel about the care of older adult clients. The nurse educator is including information about the developmental tasks of older adults. Which of the following should the nurse use as an example of a nursing action that best meets the psychosocial tasks of older adults, according to Erikson? A) Giving residents choices in their menus B) Providing clients opportunities to discuss their lives and losses C) Facilitating open visitation between clients and their families D) Allowing residents to wear their own clothing

B) Providing clients opportunities to discuss their lives and losses

A nurse is in charge of an assistive personnel (AP) who avoids working with older adult clients and asks to be assigned to care for young adult clients on the unit. Which of the following factors should the nurse recognize is most likely responsible for the AP's discomfort with older adult clients? A) The AP did not have a good relationship with his grandparents. B) The AP has fears and preconceived notions about aging. C) The AP dislikes physical contact with older adult clients. D) The AP prefers to socialize with clients of the same age.

B) The AP has fears and preconceived notions about aging.

A nurse in the emergency department is caring for an older adult client. Which of the following behaviors should indicate to the nurse neglect of an older adult client by a caregiving family member? A) The family member refuses to leave the client alone with the nurse for an examination. B) The client hasn't been taking necessary medications because the prescriptions have not been filled by the family member. C) The client is brought to the clinic by the family member for a 3-month checkup. D) The family member speaks to the client in an angry, berating manner.

B) The client hasn't been taking necessary medications because the prescriptions have not been filled by the family member.

An older adult client is admitted to the hospital after being on bed rest at home. The client has been incontinent and smells strongly of urine. His spouse, who has been caring for him at home, states that she is sorry and embarrassed about the unpleasant smell. Which of the following responses by the nurse is therapeutic? A) "A lot of clients who are cared for at home have the same problem." B) "Don't worry about it. He will get a bath, and that will take care of the odor." C) "It must be difficult to care for someone who is confined to bed." D) "When was the last time that he had a bath?"

C) "It must be difficult to care for someone who is confined to bed."

A nurse in a day care center is conducting an in-service for assistive personnel (AP) about the basic needs of older adult clients. Which of the following is an appropriate statement made by the nurse? A) "Caloric needs are increased." B) "Fluid needs are increased." C) "Sleep cycles are impaired." D) "Exercise needs are decreased."

C) "Sleep cycles are impaired."

A nurse in a long-term care facility is caring for a client. The client's children report to the charge nurse that their father reports another client wandering into his room during the night disrupting his sleep. The family requests that the nurse use restraints on the wandering client. Which of the following alternatives to using restraints should the nurse consider? A) Lock the client's room so that the wandering client cannot enter. B) Request a prescription for anti-anxiety medication for the wandering client. C) Assign the wandering client to a room closer to the nurse's station. D) Provide visual and auditory stimuli for the wandering client.

C) Assign the wandering client to a room closer to the nurse's station.

A nurse at a geriatric clinic is assessing a client who is at the clinic for the second time this week reporting a decreased energy level, insomnia, and anorexia. Diagnostic tests performed at the prior visit failed to reveal an organic reason for the client's reports. The nurse should assess the client for symptoms of which of the following? A) Dystonia B) Dementia C) Depression D) Diabetes

C) Depression

A nurse is evaluating the plan of care for an older adult client that will be discharged home with a home health aide. Currently, the client has a home health aide 4 hr a day to assist with meal preparation and hygiene care. Which of the following should be the nurse's primary consideration when making changes to the client's plan of care? A) Availability of appropriate caregivers to provide care B) Length of time the client has had the same care plan C) Effectiveness of the interventions for the client's care D) Changes in the client's medical care regimen

C) Effectiveness of the interventions for the client's care

A nurse is caring for a client who is postmenopausal and just had a bone scan that has confirmed osteopenia. The nurse is screening the client's chart to see if she is a candidate for treatment with alendronate sodium (Fosamax). Which of the following conditions in the client's history should the nurse recognize is a contraindication to alendronate sodium? A) Duodenal ulcer B) Paget's disease C) Esophageal achalasia D) Long-term corticosteroid use

C) Esophageal achalasia

A nurse is promoting reminiscence among the older adult residents at a long-term care facility. Which of the following actions should the nurse take to best assist residents to meet this goal? A) Establishing a weekly pet therapy visitation program B) Placing a calendar and clock in each resident's room C) Instituting a daily storytelling hour about "the good old days" D) Encouraging all clients to eat their meals in the dining room

C) Instituting a daily storytelling hour about "the good old days"

A nurse is part of a committee that is developing age-appropriate care standards. Which of the following should the nurse know is the focus for older adult clients, based on Erikson's developmental tasks? A) Intimacy B) Identity C) Integrity D) Initiative

C) Integrity

A nurse is transferring an older adult client who has right sided weakness from the bed to a wheelchair. Which of the following nursing actions should the nurse perform to provide the safest client transfer? A) Keep the client at arm's length while performing the transfer. B) Bend at the waist to get down to the client's level. C) Maintain a straight back and bend at the knees. D) Attempt to transfer the client alone before determining that help is needed.

C) Maintain a straight back and bend at the knees.

A nurse in a long-term care facility recognizes that there is potential for physical and psychological abuse of older adult residents. Which of the following is the best nursing action? A) Teach residents to behave in ways that do not provoke staff members. B) Keep staff members who tend to have a temper away from clients who suffer from conditions that put them at risk for being abused. C) Provide staff with education about the abuse of older adult clients and stress management. D) Ensure staff members who work on the nurse's shift are closely monitored for any inappropriate behavior toward residents.

C) Provide staff with education about the abuse of older adult clients and stress management.

A nurse is caring for an older adult client. Which of the following interventions should the nurse recommend to maintain muscle function and bone integrity? A) Frequent rest periods B) Decreased dietary protein C) Regular exercise D) Low calcium diet

C) Regular exercise

A nurse is addressing a group of women who are postmenopausal on the subject of dietary requirements. A client asks what role, if any, folic acid (Folate) has in the health of older adult women. Which of the following is an appropriate response by the nurse? A) "Women who are postmenopausal need to limit their intake of folic acid to reduce their risk of stroke." B) "Dietary folic acid is not of significant importance after the childbearing years." C) "Healthy women who are postmenopausal require a daily folic acid supplement." D) "Adequate folic acid intake is associated with a reduced risk for heart disease."

D) "Adequate folic acid intake is associated with a reduced risk for heart disease."

A nurse is caring for an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following client statements should indicate to the nurse that further instruction is necessary? A) "A warm shower will help me to relieve morning stiffness when I first get up out of bed." B) "To relieve the pressure on my back and spine I can use a cane while ambulating." C) "I will take my NSAID every 6 hours, as prescribed, to help control my pain." D) "I will remain consistently active throughout the day to prevent stiffness in my joints."

D) "I will remain consistently active throughout the day to prevent stiffness in my joints."

A nurse is caring for an older adult client who is receiving multiple medications. Which of the following is an appropriate statement by the nurse? A) "Dosage intervals are often shorter when receiving multiple medications." B) "Higher doses are often needed when receiving multiple medications." C) "Only prescription medications need to be included in your medication list." D) "Receiving multiple medications can lead to drug interactions."

D) "Receiving multiple medications can lead to drug interactions."

A nurse volunteering at a health fair is approached by an older adult client who states, "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease?" Which of the following is a therapeutic response from the nurse? A) "Maybe. Perhaps you should discuss your concerns with your doctor." B) "I am forgetful too. I can't remember where I parked my car either!" C) "You're probably just having 'senior moments.' Everyone has memory lapses." D) "That must be very upsetting. Can you tell me about your forgetfulness?"

D) "That must be very upsetting. Can you tell me about your forgetfulness?"

A nurse is writing a plan of care for a client who had a cerebrovascular accident (CVA). Which of the following should the nurse identify as a priority goal for a client following a CVA? A) Client will maintain intact skin during hospitalization. B) Client will verbalize one new word per week. C) Mobility will improve when client begins to help turn self in bed. D) Airway will remain clear as evidenced by clear breath sounds.

D) Airway will remain clear as evidenced by clear breath sounds.

A public health nurse is planning an immunization clinic for older adults. The nurse should instruct the clients attending the clinic to have an influenza vaccine during which of the following times? A) If they have never had influenza B) Every ten years C) Only if in a high-risk group D) Annually in the fall

D) Annually in the fall

A nurse is taking an older adult client's history. The client reports being depressed and having difficulty sleeping for several months. In evaluating the client's sleep disturbance, the nurse should be guided by the knowledge of which of the following? A) Older adults require much less sleep than young adults. B) Older adults seldom awake at night once they have fallen asleep. C) Older adults have an increase in deep sleep. D) Anxiety and depression frequently cause disturbed sleep patterns.

D) Anxiety and depression frequently cause disturbed sleep patterns.

A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just want to live one more month so I can see my grandchild get married." The nurse should recognize that, according to Kübler-Ross' stages of grief, the client is in the stage of which of the following? A) Depression B) Acceptance C) Denial D) Bargaining

D) Bargaining

A nurse is preparing to admit an older adult client to the postsurgical unit. The nurse anticipates that the client will most likely require supplemental oxygen. The nurse should understand that hypoxemia occurs in older adult clients as a result of which of the following physiologic change normally associated with aging? A) Decreased anterior-posterior diameter B) Increased diameter of the small airways C) Increased number of cilia D) Decreased alveolar surface area

D) Decreased alveolar surface area

A community health nurse is conducting an intake interview on an older adult client who lives alone in public housing. The nurse assesses that, although the client is able to answer all questions appropriately, the client has a decreased attention span, exhibits sadness, and has a low energy level. The nurse should conclude that the client is most likely showing manifestations associated with which of the following? A) Delusions B) Dementia C) Delirium D) Depression

D) Depression

A nurse at a community center is speaking to a group of healthy older adult clients about health promotion. Which of the following examinations should the nurse recommend that all clients over 50 years of age have performed annually? A) Electrocardiogram (EKG) B) Colonoscopy examination C) Chest x-ray D) Glaucoma examination

D) Glaucoma examination

A visiting nurse is asked to make a home visit to an older adult client who has anemia and was recently discharged from the hospital. The nurse should suggest that the client eat which of the following to optimize the client's diet for the creation of new red blood cells? A) Yogurt for bedtime snack B) Bran muffin with breakfast C) Peanut butter sandwich for lunch D) Green, leafy salad with dinner

D) Green, leafy salad with dinner

A nurse is caring for an older adult client who is being admitted to the hospital with abdominal pain. During the initial assessment, the nurse notes that the client just nods and smiles in response to the questions asked. Which of the following common developmental concerns is this client exhibiting? A) Inability to comprehend what the nurse is saying B) Confusion C) Too much pain to focus on the questions D) Hearing loss

D) Hearing loss

A nurse is caring for an older adult client who is on bed rest following a knee arthroplasty. Which of the following items should the nurse include on the client's breakfast tray to help the client avoid a common complication of immobility? A) A banana B) Hash brown potatoes C) An egg and cheese omelet D) Stewed prunes

D) Stewed prunes

A nurse is performing a physical examination on an older adult client. The nurse should identify the risk for which of the following manifestations during tympanometry? A) Disequilibrium B) Confusion C) Sensorineural hearing loss D) Transient vertigo

D) Transient vertigo

A nurse in an assisted living facility is assessing an older adult client who moved in 3 months ago following the death of a spouse. The nurse notes that the client has frequently forgotten to take prescribed medications and has been skipping meals. The client reports awakening early in the morning and admits to feeling very sad. Which of the following statements should guide the nurse in planning care for this client? A) The client may have financial difficulty and be unable to afford food and medication. B) Older adults may be noncompliant in taking medications as directed by the provider. C) Optimal living arrangements for forgetful older adult clients may include placement in long-term care facilities. D) Unresolved grief in response to loss is a major factor in depression and subsequent suicide in older adults.

D) Unresolved grief in response to loss is a major factor in depression and subsequent suicide in older adults.

A nurse is caring for an older adult client who came to the clinic reporting insomnia. Which of the following questions should the nurse ask to assess the quality of the client's sleep? A) "Do you feel rested in the morning?" B) "How long do you sleep?" C) "What time do you go to sleep?" D) "Do you dream while you are asleep?"

A) "Do you feel rested in the morning?"

A nurse is caring for an older adult client who is widowed and has come to the clinic for an annual physical examination. The client reports that she has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses by the nurse is most therapeutic? A) "Do you know about the local senior citizen group?" B) "You need to take a vacation." C) "But now you can finally relax and enjoy your life." D) "Why don't you go into work and visit with your old friends?"

A) "Do you know about the local senior citizen group?"

A nurse is caring for an older adult client who was admitted to a long term care facility and requires total care. Which of the following is an appropriate nursing action while providing mouth care? A) Turn the client on his side before starting mouth care. B) Use the thumb and index finger to keep the client's mouth open. C) Use a stiff toothbrush to clean the client's teeth. D) Place the client on his back with a pillow under his head.

A) Turn the client on his side before starting mouth care.

A nurse is caring for an older adult client. Which of the following should the nurse recognize as a physiologic change normally associated with aging that could affect drug dosage in this client? A) increased glomerular filtration rate B) decreased body fat C) decreased gastric motility D) decreased gastric pH

C) decreased gastric motility

A nurse is working in a gerontology clinic. Which of the following should the nurse recognize as an unexpected manifestation of the aging process? A) Decreased colonic motility B) Impaired excretion of medications C) High-pitched frequency hearing loss D) Obesity

D) Obesity

A nurse is caring for an older adult client who is on bedrest following development of deep vein thrombosis (DVT). Which of the following food choices should the nurse recommend to the client to help meet the goal of increased peristalsis? A) Bran muffin B) Hash brown potatoes C) Egg and cheese omelet D) Banana

A) Bran muffin

A nurse at an ophthalmology clinic is caring for a client. The nurse is interviewing a client who was referred by her primary care provider for suspicion of cataract. Which of the following client reports should the nurse recognize is consistent with the primary care provider's suspicion? A) Halos and rainbows when looking at lights B) Loss of peripheral vision C) Bright flashes of light and floaters D) Eyestrain and headache with close work

A) Halos and rainbows when looking at lights

A nurse is educating a group of older adult clients regarding their diet choices. Which of the following diet modifications should the nurse recommend to the older adult clients? A) Increased calcium B) Increased calories C) Decreased fluids D) Decreased spices

A) Increased calcium

A nurse at an assisted living center is conducting an orientation session for newly hired assistive personnel (AP). Because several of the older adult residents are hearing impaired, the nurse includes instruction for promoting communication. Which of the following instructions should the nurse include? A) Maintain eye contact with the clients and speak slowly. B) Stand to one side of the clients and speak into their good ears. C) Stand close to the clients and speak loudly with exaggerated enunciation. D) Maintain a position in front of the clients and ask only questions with yes or no answers.

A) Maintain eye contact with the clients and speak slowly.

A nurse runs a day care treatment group for older adult clients. Which of the following intervention strategies should the nurse recognize is most appropriate to help the clients achieve their developmental task, according to Erikson? A) Music therapy B) Reminiscence therapy C) Group therapy D) Pet therapy

B) Reminiscence therapy

A nurse on a surgical unit reports that an older adult client is having periods of agitation at night that include screaming out loudly for help. The nurse manager suggests several interventions to decrease this behavior. Which of the following interventions should the nurse recognize is least appropriate for an older adult client? A) Remaining calm and encouraging the client to express any fears B) Requesting that the client's primary care provider prescribe a sedative medication C) Keeping a night-light on in the client's room D) Assessing the client's level of pain or the presence of other physical discomfort

B) Requesting that the client's primary care provider prescribe a sedative medication

A nurse is assessing an older adult client for signs of dehydration. Which of the following findings should the nurse consider a normal part of the aging process? A) Elevation of urine specific gravity B) Thin skin and spidery veins of the hands C) Dry oral mucous membranes D) Poor turgor over the sternum

B) Thin skin and spidery veins of the hands

A nurse is caring for an 85 year old client. Which of the following assessment findings should the nurse report to the provider immediately? A) Responds to questions asked by the nurse with inappropriate answers B) Walks into furniture that is in her room C) Cannot discriminate between hot and cold sensations below the knee of the left extremity D) Is unable to remember recent events

C) Cannot discriminate between hot and cold sensations below the knee of the left extremity

A nurse at a community outreach clinic should recognize which of the following as an example of co morbidity in an older adult client who is homeless? A) Inadequate shelter and clothing for the weather B) Malnutrition and poverty C) Dementia and tuberculosis D) Lack of preventative health care and immunizations

C) Dementia and tuberculosis

A nurse in an emergency department is caring for an older adult female client who is of Asian descent and appears thin. The client came to the emergency department following a fall and was found to have a simple fracture of her right wrist. The client states that she has never had a broken bone before and denies any history of osteoporosis. However, the client does report that in the last year she had to fix the hems on some of her clothes because they were getting too long, and she has had some back pain. The client says she eats "well enough" and takes an "oyster shell pill" every day with breakfast. She asks if this is okay. Which of the following is an appropriate response by the nurse? A) "Natural supplements can vary considerably as to strength and purity. You should discuss the one you are taking with your doctor." B) "Your current regimen is adequate for someone your age. You should continue with your current diet and oyster shell pill." C) "You should take calcium three times a day, so take the oyster shell pill two more times in addition to the one you take with breakfast." D) "At your age, you are already postmenopausal, so the additional calcium in your oyster shell pills is not going to be of any benefit."

A) "Natural supplements can vary considerably as to strength and purity. You should discuss the one you are taking with your doctor."

A nurse is evaluating morning laboratory test results obtained for several clients. The nurse should understand that which of the following explanations accounts for fasting blood glucose test values being elevated in older adult clients? A) Decreased production of insulin by the aging pancreas B) Consumption of a high-carbohydrate diet C) Increased rate of glucose metabolism D) Decreased release of glycogen by the aging liver

A) Decreased production of insulin by the aging pancreas

A nurse is caring for a client who is in pain and is receiving a transdermal patch. The nurse should understand that transdermal medication should be applied to which of the following places on older adult clients? A) Hairless area of the torso B) Periumbilical area of the abdomen C) Deltoid area of the arms D) Anterior area of the thigh

A) Hairless area of the torso

A nurse is performing an assessment on an older adult client. Which of the following effects of the aging process should the nurse expect to see? A) Increased urinary frequency B) Decreased need for sleep C) Barrel chest D) Absence of sexual activity

A) Increased urinary frequency

A nurse is caring for an overweight, older adult resident who has gout. The client has been refusing to eat stating, "I can't stand the food." The client's primary care provider has approved the family to bring food from home if they maintain a purine restricted diet. Which of the following foods, if brought by the client's family, should the nurse realize is unsafe for the client to eat? A) Lentil soup B) Cheese sandwich C) Yogurt D) Dried fruits

A) Lentil soup

A nurse is caring for an older adult client who is expressing feelings of grief and longing for earlier life. Which of the following nursing actions is most appropriate for helping the client cope with these feelings of loss? A) Listen attentively, and allow the client to talk about the past. B) Give the client some activities to perform so the client won't have time to dwell on the past. C) Let the client know that this is a common issue of older adult clients. D) Tell the client about some younger clients who are in worse shape than the client.

A) Listen attentively, and allow the client to talk about the past.

A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse recognize as a benign, age related skin change commonly seen in older adult clients? A) Liver spots B) Nevi C) Eczema D) Psoriasis

A) Liver spots

A nurse working in a medical unit is caring for a male client who has dementia. The nurse notes that the client becomes agitated and confused in his room at night. The client, who has an unsteady gait, removes all of his clothes and wanders about naked in his room and the hallway. Which of the following actions should the nurse take first? A) Move the client to a room closer to the nurse's station. B) Play soft, soothing music or leave the television on. C) Dress the client and return him to his bed. D) Check on the client frequently throughout the night.

A) Move the client to a room closer to the nurse's station.

A nurse working in a community health center is completing an assessment of an older adult female client. To which of the following findings should the nurse give immediate attention? A) Rales in the bases B) Hypoactive bowel sounds C) Urinary frequency D) Painful intercourse

A) Rales in the bases

A nurse at a long-term care facility is conducting an instructional session with a group of adolescent volunteers. The nurse should explain to the adolescents that older adult clients are most likely to exhibit a decrease in which of the following? A) Short-term memory B) Creative ability C) Decision-making skills D) Cognitive capacity

A) Short-term memory

A nurse is caring for an older adult client who is recovering from a left sided cerebrovascular accident (CVA) and who has hemiparesis of the right arm and leg. Which of the following is the best place for the nurse to arrange the items used for hygiene when setting up the client's morning hygiene care supplies? A) Within the client's reach on the left side. B) Within the client's reach on the right side. C) Just beyond the clients reach on the left side. D) Just beyond the client's reach on the right side.

A) Within the client's reach on the left side.

A nurse is caring for an older adult client. The nurse should be guided by Erikson's observation that older adults need to resolve conflicts between A) integrity and despair. B) intimacy and isolation. C) generativity and stagnation. D) identity and isolation.

A) integrity and despair.

A nurse is caring for an older adult client who had a total hip arthroplasty and is learning how to ambulate with a standard walker. Which of the following actions, witnessed by the nurse, indicates that the client is using the walker correctly? A) The client advances one side of the walker while simultaneously advancing his unaffected leg; he then repeats the process on the other side. B) The client lifts the walker in front while balancing on both feet, then walks into the walker, supporting his body weight on his hands while advancing his affected side. C) Each time the client steps on the unaffected side, he advances the walker; when moving the affected side, he steps into the walker and lifts the unaffected foot. D) The client balances on both feet with most of his weight on the unaffected side and lifts the walker forward; he then balances on the walker and swings both feet forward into the walker.

B) The client lifts the walker in front while balancing on both feet, then walks into the walker, supporting his body weight on his hands while advancing his affected side.

A nurse is assessing an older adult client who states, "I haven't seen a doctor in years. I walk 5 miles a day and I'm as healthy as a horse." Which of the following findings, obtained while taking the client's history and performing a physical examination, should the nurse explain to the client requires further evaluation? A) The client's blood pressure (BP) is 128/76 mm Hg. B) The client's fingerstick blood glucose is 160 mg/dL. C) The client wakes to void two to three times per night. D) The client has a bowel movement every 3 days.

B) The client's fingerstick blood glucose is 160 mg/dL.

An older adult client with a moderate hearing loss seeks medical attention in the clinic. The nurse can best meet the needs of the hearing impaired client by doing which of the following? A) Over-enunciating words to make lip reading easier B) Understanding that not all hearing impaired clients communicate the same way C) Speaking louder since this increases the chances of hearing D) Realizing that most hearing-impaired individuals are unable to speak

B) Understanding that not all hearing impaired clients

A nurse in a post-surgical unit is admitting an older adult client from the recovery department following abdominal surgery for a bowel obstruction. Of which of the following information regarding pain management should the nurse be aware? Older adult clients A) have a diminished capacity to perceive pain. B) are sensitive to the analgesic effect of opiates. C) require higher doses of opiates for analgesia. D) possess an increased tolerance for pain.

B) are sensitive to the analgesic effect of opiates.

A nurse is caring for a healthy older adult client who has chronic constipation. Which of the following is an important teaching point the nurse should include when establishing a bowel training program with this client? A) "Avoid any strenuous exercise." B) "Use an over-the-counter laxative daily." C) "Increase the fiber content of your diet." D) "Increase your fluid intake to 5,000 mL per day"

C) "Increase the fiber content of your diet."