Complex Adult Health Exam 2

During a respiratory health promotion interview, an older adult client asks if it is important to have a dental examination after age 65. Which response is accurate? "Infections of the oral cavity can increase appetite and lead to poor nutritional status." "Most lung diseases are attributable to changes in oral health." "Infections of the oral cavity can lead to respiratory infections." "Other health matters are usually prioritized over your teeth in older adulthood."

"Infections of the oral cavity can lead to respiratory infections."

During a home visit the nurse notes that an older adult client has a prescription bottle for furosemide and another one for Lasix. The client reports taking one of each medication each morning as prescribed. Which action(s) will the nurse take? Select all that apply. Advise the client that these medications are the same. Contact the pharmacy where the prescriptions were filled. Assist the client to organize medications. Notify the health care provider. Measure vital signs.

Advise the client that these medications are the same. Assist the client to organize medications. Notify the health care provider. Measure vital signs.

An older adult client is prescribed nicotinic acid and aspirin to control cholesterol. Which will the nurse include in the client education? Aspirin works with nicotinic acid to lower cholesterol. Aspirin is co-prescribed to help lessen the side effects of nicotinic acid. It is best to take the aspirin one hour after taking the nicotinic acid. With nicotinic acid alone, flushing and tingling occur after taking the medication.

Aspirin is co-prescribed to help lessen the side effects of nicotinic acid.

An older adult client diagnosed with renal failure has been prescribed a loop diuretic for hypertension and is experiencing excess thirst. Which action will the nurse take first? Notify the health care provider. Assess the client for toxicity. Limit fluid intake. Monitor intake and output.

Assess the client for toxicity.

A client taking warfarin received an influenza vaccination. For what should the nurse monitor this client over the next 1 to 4 weeks? Deep vein thrombosis Bleeding Gastrointestinal dysfunction Increased blood pressure

Bleeding

An older adult client reports a recent change in sleep habits. The client now frequently gets up at night to go to the bathroom. Which data should the nurse review first? Current medications Blood sugar Urinalysis Sleeping habits

Current medications

The gerontological nurse is making hourly rounds on the unit and observes an older adult client who has been sleeping for about 2 hours. The client's respiratory rate is 10 breaths/min. What is the nurse's best action? Administer an opioid reversal agent such as naloxone Call a cardiopulmonary resuscitation code alert Document the assessment findings in the client's medical record Attempt to awaken the client by vigorous stimulation

Document the assessment findings in the client's medical record

The nurse is educating a client newly diagnosed with rheumatoid arthritis on how to management discomfort and pain. Which topic(s) will the nurse include in the client teaching? Select all that apply. Elevate the joint. Rest when needed. Apply ice or heat. Eat chicken and pork. Limit exercise.

Elevate the joint. Rest when needed. Apply ice or heat.

An older adult client is brought to the emergency department from home with a sudden change in mental status and productive cough, accompanied by significant weakness. Which intervention will the nurse implement? Obtain a sputum specimen. Measure peak flow. Administer a purified protein derivative (Mantoux) test. Percuss the abdomen.

Obtain a sputum specimen.

The nurse is preparing an older adult client for sleep. Which action(s) should the nurse take after administering a prescribed sedative to the client? Select all that apply. Place the bed in the lowest position Raise side rails as appropriate Place call light within reach Turn television volume to low Turn on a night light

Place the bed in the lowest position Raise side rails as appropriate Place call light within reach Turn on a night light

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. Promote a healthy nutritional intake Coach to change positions every hour Remind to maintain good body alignment Encourage family to do more for the client Design an exercise program appropriate for the client's status

Remind to maintain good body alignment Coach to change positions every hour Promote a healthy nutritional intake Design an exercise program appropriate for the client's status

A client reports hip pain while preparing for a total hip replacement scheduled in 30 days. Which recommendation(s) will the nurse give to lessen pain during this time? Select all that apply. Use a walking aid. Perform strengthening exercises. Sit in armless chairs. Adjust your bed height. Consider first floor sleeping arrangements.

Use a walking aid. Perform strengthening exercises. Adjust your bed height. Consider first floor sleeping arrangements.

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. client's ability to use the call button spills and tripping hazards assignment to a carpeted room bed in low position adequate lighting at night

client's ability to use the call button spills and tripping hazards bed in low position adequate lighting at night

An older adult client experiences leg cramps while sleeping. What should the nurse suggest to help this client? keep the legs warm apply ice to the area have a small glass of wine engage in aerobic activity before bedtime

keep the legs warm

A nurse plans care for a frail older adult in long-term care. Which intervention should be included in the plan of care to reduce the risk of respiratory infections? tracheal suctioning oxygen administration pulmonary function testing oral care

oral care

The nurse suspects that an older adult client who performs routine tasks and ambulation slowly is experiencing pain. What should the nurse do to encourage the client to discuss personal comfort?

recommend talking with the health care provider about pain symptoms