Dementia/ Alzheimer's [Chapter 8- Med Surg]
When assessing an older adult's gastrointestinal system, the nurse would identify an increase in which of the following as normal?
- Feeling of fullness
SPICES
Sleep problems Problem with eating Incontinence Confusion Evidence falls Skin breakdown
A family of a patient with Alzheimer's disease asks the nurse what causes this condition? Which response by the nurse would be most appropriate?
- "Evidence shows that there are changes in nerve cells and brain chemicals."
What is a nurse's role in providing home care for a client with Alzheimer disease?
- Provide emotional and physical support.
A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school-aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can I do?" The nurse first responds:
- "What precipitates the outbursts?"
The nurse is caring for an older adult who has a sedentary lifestyle. Which changes to the client's musculoskeletal system will the nurse expect to assess? Select all that apply.
- Back pain -Stiff Joints -Loss of gluteus maximus mass -Difficulty with activities of daily living
A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? Select all that apply.
- Have routine vision and hearing screenings - Have routine vision and hearing screenings - Wear nonslip shoes or socks when walking -Place grab bars in the shower and tub
Which action is included in a nurse's role when providing home care for a client with Alzheimer disease?
- Provide emotional and physical support
When assessing an older adult, the nurse anticipates an increase in which component of respiratory status?
-Residual lung volume
An older adult is hospitalized and does not have health insurance. While trying to determine eligibility for government programs, the client asks, "Aren't Medicare and Medicaid the same thing?" What education will the nurse provide for this client?
-"When it comes to acute care like hospitalizations, there is no distinction since both programs provide coverage.
The nurse is working in a long-term care facility. When assessing her patients, what body system dysfunction should the nurse look for as the leading cause of morbidity and mortality in the older adult population?
-Cardiovascular
An elderly client reports fatigue without shortness of breath with walking 30 minutes five times each week. The nurse assesses the resting heart rate as 72 beats per minute; 10 minutes after walking, the client's heart rate is 92 beats per minute. What should the nurse instruct the client to do next?
-Continue to walk at his current level.
Which is a factor that contributes to urinary incontinence in older female adults?
-Decreased urinary residual
A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs. What action by the nurse is most appropriate?
-Distract the client with a familiar object or music.
The plan of care for a patient with advanced Alzheimer's disease includes the nursing diagnosis of risk for injury. The nurse has identified this nursing diagnosis most likely as related to which of the following?
-Impaired memory
A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? Select all that apply.
-Place grab bars in the shower and tub - Have routine vision and hearing screenings - Wear nonslip shoes or socks when walking -Review medications routinely for side effects
An elderly client is hospitalized. To maintain the client's mobility, the best nursing intervention is:
-Sit the client in a chair for meals.
The nurse is preparing a teaching tool that focuses on elder abuse. Which type of abuse will the nurse highlight as being the most common?
-physical
An age-related change associated with the cardiovascular system is:
- increased compliance of heart muscle.
