NCLEX - Developmental Stages - Later Adulthood

The nurse is monitoring several older adults for adverse drug effects. Which client requires closest monitoring for drug toxicity?

A client who consumes a high-carbohydrate, low-protein diet

The nurse would implement which activity to promote reminiscence among older clients?

Having storytelling hours

When the nurse is collecting data from the older adult, which findings would be considered normal physiological changes?

-Decline in visual acuity -Increased susceptibility to urinary tract infections -Increased incidence of awakening after sleep onset.

The nurse is caring for an older adult and knows that an ethical dilemma is most likely to occur in this population because of which issues?

-Limited vision -Chronic illness -Lack of assertiveness

An older adult couple requests to room together at a long-term care facility. When some members of the staff question this, the nurse would provide which response?

Although responses may be slower, sexual ability is present in later years of life

The nurse has gathered data regarding an older client. The nurse recognizes that which indicator of fluid imbalance is least likely to be reliable for a client in this age group?

Thirst

The nurse is caring for an older client who is reminiscing about past life experiences in a positive manner. The nurse plans care with the understanding that this behaviors indicates which?

A normal psychosocial response

The nurse is providing information to assistive personnel regarding caring for an older adult. The nurse determines the AP understands the information provided if the AP identifies which situation portrays ageism?

Advising older adults to fogo aggressive treatment

An older client is taking multiple medications for a variety of health problems. The nurse would monitor the results of which most important laboratory test(s) when evaluating adverse effects of medication therapy in the older adult?

Creatinine

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance?

Walking three to five times a week for 30 minutes

The nurse is working with an older client who has a diagnosis of depression. To work most effectively with this client, the nurse recalls that which information is accurate regarding depression and the older client?

-Suicide is a frequent cause of death among the older population -Some indications of dementia may actually originate as depression -Depression in an older person is likely to have physical manifestations

The nurse working in a long-term care facility is approached by the son of a resident, who wants his 78-year-old father to have a heating pad because "his feet are always cold at night." The nurse would incorporate which concept when formulation a response to the family member?

Older adults often have slower neurological response times and are therefore more at risk for burns

The nurse is reinforcing teaching about fall prevention to family members of an older client who is at risk for falls. The nurse realizes further instruction is necessary if the family states which concept is relevant to maintenance of balance for the older adult?

Older clients cannot think quickly enough to respond to emergencies

The nurse instructs the assistive personnel assigned to care for an older adult client to place an extra blanket in the client's room. The nurse provides this instruction because the older adult is less able to regulate hot and cold body changes as a result of alterations in the activity of which gland?

Sweat glands

The nurse is working with a new nurse who is assisting an older client and family with discharge planning following hospitalization. The nurse realizes the new nurse correctly understands the needs of older adults if the new nurse helps the group plan for which situation?

To live independently, but close to their children is possible