Elderly
Older adults are most likely to enter an emergency department with which of the following symptoms of pneumonia?
Altered mental status
Which is one of the most common barriers to pain management with the older adult population?
An attitude that pain is a normal part of aging
Nurses have an important role in teaching older adults about which of the following?
Benefits of physical activity
A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?
Bladder infection
A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?
Broccoli
Absorption of which nutrient is most affected by age-related changes in the small intestine?
Calcium and Vitamin D
A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?
Decrease mental status
Which of the following is not a risk factor for cognitive impairment?
Deficiencies in vitamin A and D
.A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?
Determine the location of the pain
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Dysphagia
Which is the most prevalent risk factor for impaired hearing?
Exposure to noise
A nurse is caring for a client who reports having chronic constipation. Which of the following herbal supplements should the nurse recommend?
Flaxseed
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
Frequent mood changes
A client complains of a loss of peripheral vision. Which condition should the client be evaluated for?
Glaucoma
Which risk factor may have a negative effect on bioactive substances and the older adult?
Increased prevalence of chronic conditions
A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
Insomnia
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Lower the client to the floor
A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Mental status examination (MSE)
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?
Monitor for muscle pain
What setting provides a combination of skilled nursing for short-term post-hospital residents and intermediate care services for long-term residents?
Nursing home
An older adult has recently become incontinent of urine. Which of the following is a common perception of incontinence?
Older adults view incontinence as a normal part of aging
A nurse in a long-term care facility is caring for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?
Provide a consistent daily routine
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Provide the client with a diet high in protein.
Which statement best describes the challenge of health assessment of the older adult?
Symptoms of chronic conditions interact with acute conditions
Which statement best describes a change in the female sexual organs as a result of diminished estrogen?
The vaginal wall and mucosa become thinner
A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?
Thyroid hormones
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Thyroid stimulating hormone (TSH)
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Use transfer device to lift the client up in bed
A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?
- Reposition the client at least every 2 hr.
A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?
- "Glipizide stimulates your pancreas to release insulin."
A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?
- "It was good. The Queen of England visited me there."
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
- "Taking the medication between meals will help you absorb the medication more efficiently."
A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching?
- "The signs of dementia are progressive and irreversible."
A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make?
- "We have begun plans to send your partner to a rehabilitation facility as soon as he is stable."
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
- A client who has terminal cancer and needs assistance with pain management
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?
- Apply a moisture barrier ointment to the client's skin.
A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?
- Be direct and honest when speaking with the client.
A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
- Decrease in level of thyroid stimulating hormone (TSH).
A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?
- Determine the client's level of fluency in his primary language.
A nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?
- Determine the client's need for assistance with grooming.
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
- Elevate the head of the client's bed 30° to 45°.
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?
- Forgetfulness gradually progressing to disorientation
Which assessment tool is used to determine the progression of dementia?
- Global Deterioration Scale/Functional Assessment Staging
Which statement about the sense of taste and the older adult is true?
- Healthy older adults maintain the ability to detect sweet taste
.A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?
- Leave a nightlight on in the client's room.
A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?
- Move the client to a room closer to the nurses' station.
Which statement is true about age-related changes affecting the action of medications in the older adult?
- Renal changes may affect the concentrations of medications in the body
A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
- Scheduling a diagnostic study for a client
A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?
- When asking if the client took his medications this morning
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report
- having a decreased ability to perceive colors.
A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client
- makes up stories when he is unable to remember actual events.
1. A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?
-Excessive laxative use may cause an electrolyte imbalance."
In what way does assessment of elder abuse differ from usual nursing?
A major focus is to determine whether legal interventions are necessary
