chapter 32

which of the following is a common cause of deminita in older adults?

alzhimers disease

which of the following questions represents the best approach to determinig if a caregiver is experiencing burnout

are you experiencing any personal health problems such as insomnia or fatigue

a 72 yr old pt is brought the the doctor by his son for a chekc up as you are helping him disrobe you notice several bruise on his tomach you ask him if he has fallen he says no he got them leaning over the sink doing dishes which of the following represents your next action

ask him if he is taking anticoagulants or if he has been in the hospital recently

older adults often have trouble with onstipation what is the physicological reason for consitpation that is associated with old age

changes in appitite decreased peristalisis

older adults may have decreased sensation which of the following is an important intervention aimed at preventing complications from the physcological change

check the bath water to make sure it is not too hot

an 89 year old female has been admitted to the long term care unit facility where you work she had tried to remain indepentdent but her arthritis prevents her from ambulating in her home even with a walker and her children felt she would be safer in an ltc facility what neurological effects should you monitor for

confussion depression

fall pervention is an extermely important consideration when caring for older aduts which of the following are nterventions youcan perform that will help prevent falls

get the help of coworkers when transfering a pt with imparied mobility make sure pt or resident is wear non skid shoes keep walkways clear of small artiles eletrical cords and throw rugs

Mr kaufmann a 77 year old man with Alzheimer disaes is being combative with the nursing staff you assign a uap to his care choose the best answer from the following explanations about this delegated decision

it is a good delegation decision only if you make yourself available to help if the patient is confused

which organs of the body are primarily responsible for metabolizing and eliminating medications from the body

liver and kidneys

an elderly patient with a hearing problem and mild confusion is not being cooperative reguarding his need for a morning bath the uap in charge is upset and says mr anderson isnt listening to a word i say which of the following is the best responseby the charge nurse repreents effective supervision in this situation

patient care can be frutrating at times mr. A has a hearing impariment which probably adds to his confusion

which of the following are teaching points to discuss with each patient reguarding his or her medications

reasons for taking the medication potential side effect and interactions how to store the medication when to take the medication

you care for a resident in a long term facility she reieves a phone call informing her that her older sister has died which of the following interventions will bemost helpful for her at this time

sit quietly with her

which of the following concepts is important to remember when you work in a long term care facility

the people consider their rooms their personal residences

anticoagulant drugs (called blood thiners ) are broken down (metabolized) in the liver which of the following might be an outcome if a patient has undiagnosed liver disease but is started on anticoagulant?

there will be an increase in bleeding tendencies

older adults who have become incontinet are likley to feel very embarrassed about it which of the following comments best demonstrate the respect and carea nurse must show to avoid making the incontinet adult uncomftorable? assuem the pt is unable to changr to dry clothes or pads independently but would be able to tell if she has VOIDED

Hello mrs williams i wanted to check to see if you needed to use the bathroom now or if you need help getiing into fresh underwear

older adults may not empty their bladders completely whet hey void because of changes in neurosmuscular functioning of the bladder muscle or in men enlargement of the prostste gland which of the following is a common complication of issufficent bladder emptying

UTI

your a cna and one of your pt mrs cortes has age related macular degeneration and recently diagnosed with diabetes type 2 she only speaks a little english and you dont know weather or not she knows how t take her meds because you do not speak spanish which of the following represents the best intervention for addressing her educatinal needs

ask mrs cortes who in her familycan act as an translator and have that person present at the next visit which is scheduled in 2 days in the meantime use a plastic pill dispenser and dispence her medications appopriately for the rest of today and next

decreased renal function is assosciated with old age which of the following tests give information about renal funcation

blood urea nitrogen (BUN), creatinine and glomerular filtratin rate(GFR)

Many older patients experience a decline in renal function as they age what effect does renal decline have on medications

decline in renal function can cause excessive amounts of a drug to be left circulating in the blood

an older person under you care who has been alert and oriented begins acting different than normal and appears to be hallucinating which of the following is correct term for this

delirium

which of the following integumentary systems changes puts the patient at greatest risk for complications from bedrest

dereased circulation to skinand underlying tissue

the occurance of ceberrovascular accidents (stoke ) increase with age.what is one risk factor that a person can change on their own to decrease the risk for a stroke

diet high in saturated fats

olde adults may experience a decline in sexual desire as they age this may be related to which of the following

erectile dysfunction menopause change in hormone production