NUR 306 Ch. 24 Assessing Older Adults : PrepU

An older client asks why the leg muscles have become flabby over the last few years. What should the nurse respond to this client?

"It occurs with aging but is encouraged by sitting too much."

When examining the skin of an elderly client, the presence of which skin lesions should indicate a need for referral?

Actinic keratosis

The nurse is assessing an older adult with intact cognition. A younger family member is present. The client is slightly hearing impaired, so the nurse must speak up. What should the nurse never do in relation to the client in this situation?

Address the family member if the client hesitates when answering a question

The nurse detects a pulsation when assessing the abdomen of an older adult. Which condition does the nurse suspect the older adult has?

Aortic Aneurysm

During an assessment of an elderly client, the nurse notes a decrease in pupil size and a slowed reaction of the pupil to light. Accommodation and convergence are normal. Based on these findings, what should the nurse emphasize with client education?

Avoid driving at night

An elderly male client presents to the health care clinic with reports of urinary frequency, nocturia, and difficulty starting his stream. A nurse knows that the most common cause of these symptoms is what condition?

Benign prostatic hypertrophy

An elderly client with a history of sinusitis has been taking antibiotics. The nurse should assess for what potential adverse effect of treatment?

Candidal Infection

A sign of infection in the elder that is more common than fever is

Confusion

Which of the following represents an age-related change in the lungs?

Decreased chest wall compliance

It is summer and an 82-year-old woman arrives at the emergency room from her home after seeing her primary care physician 2 days ago, when she had been started on an antibiotic. Today, she does not know where she is or what year it is. What could be a likely cause?

Delirium

The nurse has assessed and informed the healthcare provider of a brown-colored lesion on an older client's left cheek. The lesion is diagnosed as solar lentigines. What is the nurse's best action?

Encourage the client to wear sunscreen daily

An older client demonstrates mental status changes after being diagnosed with a urinary tract infection. Which finding suggests that this client is experiencing delirium?

Experiencing visual hallucinations

A 76-year-old female client's blood pressure is 132/76 in a supine position, 128/71 when dangling at the side of her bed, and 105/58 when she is standing. These assessment findings constitute a risk for which of the following health problems?

Falls

A nurse examines a frail elderly client's mouth and finds several broken and missing teeth and irritated gums. The nurse should assess this client closely for problems associated with which body system?

Gastrointestinal

A nurse recognizes that a slight barrel-shaped chest in an elderly client is due to what physiologic change in the thorax as a result of the aging process?

Loss of skeletal muscle strength

An elderly client presents to the emergency department with reports of a productive cough of blood-tinged sputum, fatigue, weight loss, and shortness of breath. The nurse recognizes that these are symptoms associated with which respiratory disease process?

Lung Disease

An older adult client has received a diagnosis of stress incontinence, and the nurse is planning the client's subsequent care. What health education is most relevant to this client's needs?

Pelvic floor strength training and activity management

While the nurse is interviewing a newly admitted older adult client, the client repeats the same story to the nurse several times. What is the nurse's next, best action?

Perform mini mental status exam

A nurse is preparing a class for a group of older adult clients at a local senior center. The nurse is focusing on health promotion and disease prevention. Which condition would the nurse most likely include as a common cause of infection-related deaths in the elderly?

Pneumonia

A 75-year-old female client tells the nurse that she is sexually active but that it causes her pain when she has intercourse. What would the nurse suggest to alleviate this pain?

Taking warm baths

The nurse uses the mnemonic DIAPERS to assess for urinary incontinence in an older adult client. The "P" indicates pharmaceuticals.

True

The student nurse examines a 62-year-old client and reports to the preceptor that the client appears to have an infection in an untreated laceration on the calf. The student is unsure of the assessment because the client does not have a fever. The preceptor correctly explains that the older adult often does not have a fever with an infection.

True

In an interview with an elderly female client, the nurse learns that the client often has involuntary loss of urine associated with an abrupt and strong desire to void. What type of incontinence should the nurse document in the client's record?

Urge

Which intervention should the nurse suggest to a client to improve the condition of dry skin?

Use lanolin-based products

A key area to assess in older adults with chronic respiratory or cardiac problems and some constant degree of dyspnea is

the degree to which dyspnea affects daily function