prepu cpt 22
A client with rheumatoid arthritis asks if there are any dietary changes that might help the condition. Which nutrition information will the nurse include in client teaching? a. Avoid "nightshade" foods. b. Eat more dairy products. c. Include fruits high in vitamin C. d. Avoid foods high in cholesterol.
a
An 81-year-old client of an assisted living facility has reported problems with nighttime muscle cramping that causes significant pain. Which intervention would be most appropriate to include in the client's plan of care? a. Performing passive stretching of the limbs b. Applying transdermal medication to provide overnight relief from the cramps c. Using a cane or walker to reduce demand on muscles during the day d. Scheduling exercise and activity during the early evening
a
An older adult client comes to the clinic for a routine follow-up visit. During the visit, the client asks the nurse, "What foods would be best to eat so that I can stay as healthy and active as possible and prevent any muscle or bone problems?" The nurse would encourage a balanced diet, emphasizing the intake of which foods? a. Dairy products and lean meats b. Fruits and leafy green vegetables c. Whole grains and starchy vegetables d. Organic and genetically-unmodified (non-GMO) foods
a
An older adult client has been diagnosed with low bone density. Which intervention will the nurse implement to support this client? a. Assess the need for assistive devices. b. Transport the client by wheelchair. c. Request a soft mattress for the bed. d. Apply ice to painful areas.
a
At 65 years of age, a client is starting to exercise again after 10 years of relative inactivity. When discussing the exercise program with the nurse, which aspect would the nurse encourage the client to do first? a. Have a physical exam performed. b. Engage in strength training rather than aerobic activity. c. Have vital signs checked at various activity levels d. Select activities that match the client's interest and abilities.
a
The nurse provides diet teaching to an older adult client with gout. Which client statement indicates that additional instruction is required? a. "I can eat bacon with my eggs for breakfast." b. "I will avoid salmon although I enjoy it." c. "I will not miss eating sardines." d. "I can skip the turkey."
a
The nurse, visiting a client living in an adult child's home, finds the client in a hospital bed that has bilateral full-length side rails. Which action by the nurse would be most appropriate? a. Present alternatives to the family b. Commend the family on the use of this type of bed c. Discuss additional preventive measures d. Recommend frequent repositioning
a
Which assessment finding is most significant when determining care for the older adult client with sarcopenia? a. Decrease in muscle mass as a result of a reduction in protein synthesis b. Decrease in joint cartilage formation as result of a reduction in protein synthesis c. Decrease in muscle protein degradation as a result of a reduction in protein synthesis d. Decrease in bone density as a result of a reduction in protein synthesis
a
An older adult client experiences impairment in physical mobility. Which intervention(s) will the nurse include in the client's plan of care? Select all that apply. a. Remind to maintain good body alignment b. Design an exercise program appropriate for the client's status c. Coach to change positions every hour d. Promote a healthy nutritional intake e. Encourage family to do more for the client
a b c d
The nurse prepares an educational session on activity in older age for a community health program. What should the nurse include as an advantage(s)of staying physically active when aging? Select all that apply. a. Improve sleep b. Prevent obesity c. Guard against developing pneumonia d. Reduce joint immobility e. Slow progression of Alzheimer disease
a b c d
A client with osteoarthritis is experiencing chronic pain. Which action(s) should the nurse implement to improve this client's comfort? Select all that apply. a. Assist with maintaining good body alignment b. Apply heat to the area c. Limit the use of analgesics d. Coach in the use of relaxation techniques e. Instruct on ways to minimize stress to joints
a b d e
The nurse is caring for an older adult client at risk for falls. The nurse surveys the client's surroundings in the hospital for safety concerns. Which will the nurse survey? Select all that apply. a. bed in low position b. client's ability to use the call button c. assignment to a carpeted room d. spills and tripping hazards e. adequate lighting at night
a b d e
The nurse is caring for several clients with risk factors for falls. Which client(s) is likely at a high risk for falls? Select all that apply. a. Newly admitted client to hospital from nursing home b. Dehydrated client with continuous intravenous infusion c. Client on end-of-life comfort measure with family constantly at bedside d. Client receiving around-the-clock analgesics for pain e. Confused client ambulating in hallway frequently with a walker
a b d e
A gerontological nurse initiates an activities program at the long-term care facility. Which activity(ies) will the nurse plan? Select all that apply. a. charitable activities b. weightlifting c. life story activities d. daily walks outdoors e. swimming f. board games
a c d f
A gerontological nurse is working with an older adult client to develop an individual exercise program for weight loss. Which outcome for the client is most appropriate? a. Client will walk at sunrise for 20 minutes. b. Client will walk with family member each morning for 30 minutes. c. Client will walk before bed in the local park for 10 minutes. d. Client will walk every afternoon for at least 3 miles (5 kilometers).
b
A nursing home resident is moving into a double room. What should the nurse do to ensure for both of the residents' personal space? a. Place the new resident near the window on the other side of the room b. Define the areas that are specific to each individual resident c. Hang clothing in the closet next to the roommate's items d. Explain that the roommates will have to learn to share space
b
An adult child is having the bathroom of an older adult parent renovated. What should the nurse recommend to ensure safety when the parent uses the shower? a. Locate a grab bar on the back of the bathroom door b. Install a bath bench c. Clearly mark the hot and cold water handles d. Place a throw rug outside of the shower door
b
An older adult client returns to the assisted living facility after being hospitalized for pneumonia. Which activity should the nurse suggest that the client skip in the days ahead? a. watching television in the day room b. shopping trip to the mall c. showering unattended d. walking to the lobby to check for mail
b
The nurse is helping an older adult client relocate to a new room in an assisted living facility. To which temperature should the nurse set the thermostat for this client's comfort? a. 70°F (21°C) b. 75°F (24°C) c. 80°F (27°C) d. 65°F (18°C)
b
An older adult client has been performing strength training exercises as recommended; however, the client's muscle tone has not improved. The client is upset. What should the nurse emphasize with this client? a. Change the timing of the activity b. Accept the current level of muscle tone c. Increase the amount of weight used d. Decrease the amount of weight used
c
The nurse prepares an educational session on safety for residents in an extended care facility. What should the nurse include in this teaching? a. interchange balance between the feet b. avoid slippers when walking in the bedroom c. climb stairs slowly d. place a cane over the wrist when descending stairs
c
A client recently diagnosed with plantar fasciitis reports heel pain. Which information will the nurse provide during client teaching? a. Wear sandals for less impact on foot. b. Massage the area to increase circulation. c. Increase the amount of walking each day. d. Ice the area to relieve inflammation.
d
A resident of an assisted living facility asks others about the noise from the street construction. What affect might the environmental noise have on the client? a. Reduce sadness b. Increase fatigue c. Reduce frustration d. Increase anxiety
d
After injuring the right arm and hip in a fall, an 80-year-old client is brought to the emergency department. Further assessment reveals intact skin without edema or redness. After reporting to the medical staff, which decision will the nurse anticipate? a. Discharge client home with instructions to follow up with the family health care provider if further pain is noted. b. Design an exercise program to increase the client's stamina to prevent future falls. c. Discharge the client to a long-term care facility for further oversight. d. Assess the client further despite the absence of obvious signs or symptoms.
d
An older adult client has been on bedrest while recovering from a stroke. Which action will the nurse take to prevent muscle atrophy? a. Reposition the client every 2 hours. b. Raise the head of the bed 30 degrees several times per day. c. Move the client into sitting position routinely. d. Direct the client in active range-of-motion exercise.
d
An older adult client is experiencing changes in balance when walking. What activity might be appropriate for this client? a. Weight lifting b. Jogging c. Cycling d. T'ai chi
d
An older adult client is experiencing dizziness and low blood pressure after bathing. Which recommendation to the family will the nurse make? a. Apply nonslip surfaces to the shower floor. b. Encourage the client to wash up in the sink. c. Recommend the client toilet before bathing. d. Place a chair in the bathroom.
d
An older adult client is preparing for a total hip replacement. The nurse teaches a caregiver how to assist the client with exercises. Which statement by the caregiver indicates to the nurse that additional teaching is needed? a. "I will assist the client as needed to complete the exercises as outlined." b. "I will support the client to perform these exercises the prescribed number of times daily." c. "I will encourage the client while performing these exercises." d. "I will exercise each joint for the client, each day."
d
An older adult client with an overactive parathyroid has been diagnosed with demineralization of the bones. Which action will the nurse take to support this client? a. Maintain bedrails in the low position. b. Discourage the client from napping. c. Reinforce the need for the client to complete tasks quickly. d. Keep the client's necessary articles close to the client.
d
The nurse is facilitating a support group for the families of older adult clients who live alone at home. Which safety recommendation is the most important to include in the teaching plan? a. Check water heater temperature. b. Encourage parent to frequently empty the bladder. c. Cook meats thoroughly. d. Purchase non-skid footwear for the parent.
d
The nurse visits the home of an older adult client recovering from hip replacement surgery. What should the nurse suggest to improve safety in the bathroom? a. place a small mat on the floor in front of the sink b. move the grab bar to be next to the sink c. replace the faucet with one with round handles d. use a shower chair when in the bathtub
d
The report of an older adult client's ophthalmologic examination states variability with the Amsler grid. Which activity will the nurse consider as being unsafe for this client? a. reading in low light b. cooking meals c. going outside without sunglasses d. driving a vehicle
d