Older Adult Final Exam
In terms of accidental injuries for the older adult, what are the most common injuries associated with their emergency room visits? Select all that apply. A. Fractures B. Sprains & Strains C. Abuse D. Open wounds E. Internal Injuries
A. Fractures B. Sprains & Strains C. Abuse
When developing the plan of care for an older adult who is hospitalized with an acute illness, the nurse should A. Use a standardized geriatric nursing care plan B. Plan for likely long-term-care transfer to allow additional time for recovery C. Consider the preadmission functional abilities when setting patient goals D. Minimize activity level during hospitalization
C. Consider the preadmission functional abilities when setting patient goals
The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin? a) Crusting b) Wrinkling c) Deepening of expression lines d) Thinning and loss of elasticity in the skin
a) Crusting
In congestive heart failure (CHF) patients the nurse should assess (select all that apply) A. Ankles B. Heads C. Lungs D. Abdomen
A. Ankles C. Lungs D. Abdomen
The family of a patient with Parkinson's Disease has asked you to tell them more about better food intake while on Levadopa. You would tell them all of the following might interfere with absorption of Levadopa, except: A. Low - protein meals B. High fat meals C. Multivitamin with minerals D. Alcohol
A. Low - protein meals
An older adult client with bilateral crackles upon auscultation is demonstrating confusion. What should the nurse assess next in this client? A. Oxygen saturation level B. Blood pressure C. Heart Rate D. Temperature
A. Oxygen saturation level
A 70-year-old client asks the nurse to explain to her about hypertension. An appropriate response by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of plaque on arterial walls.
D. Accumulation of plaque on arterial walls.
Which of the following interventions should be taken to help an older client to prevent osteoporosis? A. Decrease dietary calcium intake. B. Increase sedentary lifestyles C. Increase dietary protein intake. D. Encourage regular exercise.
D. Encourage regular exercise.
The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which of the following statements made by the nurse is the most therapeutic regarding their mobility? A. "Your shoulder pain is normal for your age." B. "Continue to exercise your joints regularly to your tolerance level." C. "Why don't you begin walking 3 to 4 miles a day, and we'll evaluate how you feel next week." D. "Don't worry about taking that combination of medications since your doctor has prescribed them."
B. "Continue to exercise your joints regularly to your tolerance level."
Which of the following statements made by a nurse reflects the best understanding of the health value of conducting a blood pressure (BP) screening at a senior citizens centers health fair? A. "This is a high risk group, so assessing BP allows us to identify clients at risk and send them for treatment." B. "Older adults enjoy health fairs, so it's a good place to screen substantial numbers of clients for hypertension." C. "Hypertension doesn't present symptoms early on, so screening elder adults is a wonderful preventive measure." D. "Blood pressure problems are common among this group, so it's a good way to monitor the effectiveness of their medications."
B. "Older adults enjoy health fairs, so it's a good place to screen substantial numbers of clients for hypertension."
A 76 year old female patient has just recently been brought into the emergency department after experiencing a fall alone at home. The patient complains of pain in her right hip. Other than assessing the patient's vital signs, assessing the area of the patient's chief complaint, and taking a history, what other assessment would be a priority for the nurse? A. Performing a urinary scan to see if she has any urinary retention B. Performing a neurological exam as falls are the most common cause of brain injury and the fall was unwitnessed C. Checking the patient for polypharmacy D. Contacting the patient's power of attorney
B. Performing a neurological exam as falls are the most common cause of brain injury and the fall was unwitnessed
A UAP at a long term care facility finds an elderly patient on the floor of his room. He says he has fallen from his wheelchair while trying to get to the bathroom. What should the UAP do next? A. Document the incident on the patient's chart B. Signal for help and leave the patient where he is C. Help the patient to his chair D. Call the doctor to request orders for a chair alarm
B. Signal for help and leave the patient where he is
When caring for the older adult, it is important to: A. Repeat yourself often because older adults are forgetful B. Treat the client as an individual with a unique history of his or her own C. Disregard the older adult's experiences because they are too old-fashioned to have current value D. Be aware that older adults are no longer interested in sex
B. Treat the client as an individual with a unique history of his or her own
Which question does the gerontological nurse prioritize for an 86-year-old male patient with abdominal pain, muscle weakness, and leg cramps? A. "Do you eat a lot of meat?" B. "Do you have heart problems?" C. "Do you take a diuretic?" D. "Do you walk everyday?"
C. "Do you take a diuretic?"
What age does a person have to be to be considered an older adult? A. 75 B. 55 C. 65 D. 80
C. 65
A nurse caring for older adults in an assistive living facility recognizes that a clients quality of life needs are best determined by: A. Excellent physical, social, and emotional nursing assessments B. A working knowledge of this age-group's developmental needs C. A therapeutic nurse-client relationship that facilitates communication D. The client's need for complete physical, emotional, and cognitive care
C. A therapeutic nurse-client relationship that facilitates communication
When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse should: A. Use a standardized geriatric nursing care plan. B. Plan for likely long-term-care transfer to allow additional time for recovery. C. Consider the preadmission functional abilities when setting patient goals. D. Minimize activity level during hospitalization. C. Consider the preadmission functional abilities when setting patient goals.
C. Consider the preadmission functional abilities when setting patient goals.
There are factors that influence the musculoskeletal system associated with aging. The nurse recognizes that with age: A. Men have the greatest incidence of osteoporosis B. Muscle fibers increase in size and become tighter C. Weight-bearing exercise reduces the loss of bone mass D. Muscle strength does not diminish as much as muscle mass
C. Weight-bearing exercise reduces the loss of bone mass
Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? A. 50% of older adults have two chronic health problems. B. Cancer is the most common cause of death among older adults. C. Nutritional needs for both younger and older adults are essentially the same. D. Adults older than 65 years of age are the greatest users of prescription medications.
D. Adults older than 65 years of age are the greatest users of prescription medications.
Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? A. 50% of older adults have two chronic health problems. B. Cancer is the most common cause of death among older adults. C. Nutritional needs for both younger and older adults are essentially the same. D. Adults older than 65 years of age are the greatest users of prescription medications.
D. Adults older than 65 years of age are the greatest users of prescription medications.
Of the following options, which is the greatest barrier to providing quality health care to the older-adult client? A. Poor client compliance resulting from generalized diminished capacity B. Inadequate health insurance coverage for the group as a whole C. Insufficient research to provide a basis for effective geriatric health care D. Preconceived assumptions regarding the lifestyles and attitudes of this group
D. Preconceived assumptions regarding the lifestyles and attitudes of this group
A 90-year-old patient comes to the clinic with a family member. During the health history, the patient is unable to respond to questions in a logical manner. The gerontological nurse's action is to: A. ask the family member to answer the questions. B. ask the same questions in a louder and lower voice. C. determine if the patient knows the name of the current president. D. rephrase the questions slightly, and slowly repeat them in a lower voice.
D. rephrase the questions slightly, and slowly repeat them in a lower voice.
An older adult client enjoys good overall health, but has just been diagnosed with pneumonia and has begun receiving an intravenous (IV) antibiotic. Shortly after being administered the first dose, the client pulled out his IV line and is now attempting to scale his bed rails. Which of the following phenomena most likely underlies this change in the client's cognition? a) Delirium b) Dementia c) Disorientation d) Depression
a) Delirium
An 80-year-old client tells the nurse that he has been dizzy since starting to take an herbal remedy for arthritis in addition to prescribed medications. The nurse recognizes that the client may be experiencing the effects of which of the following? a) Fluid volume overload b) Polypharmacy c) Sleep disorder d) Cascade iatrogenesis
b) Polypharmacy
A gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient who was admitted from home. When planning for the patient's discharge, the nurse's first action is to: a) delay discharge by informing the provider of the suspected abuse. b) enlist the help of family members with transitioning the patient home. c) notify Adult Protective Services of the patient's discharge. d) restrict the family members' access to the patient prior to discharge.
c) notify Adult Protective Services of the patient's discharge.
Which statement made by the older client shows that further teaching by the nurse is needed? A. "I take all my doses of pills in the morning everyday so it's easier for me to remember." B. "I put my pills in a organizer so I know when they are due." C. "I make sure to keep the pills inside the cabinet instead of in my car or somewhere too hot or cold." D. "I have handouts from the doctor explaining any adverse side affects to look out for or medication interactions to be aware of."
A. "I take all my doses of pills in the morning everyday so it's easier for me to remember."
After hip surgery, the nurse is preparing the patient to be discharged to a nursing center. The patient is concerned she will never go back home. What is the most therapeutic response by the nurse? A. "What makes you think that this transfer to the nursing center will be permanent?" B. "The reason for this transfer is only to support you while you continue to recuperate." C. "The decision to stay in the nursing center is yours to make. When you want to leave no one will stop you." D. "The nursing center is a lovely place with a wonderful staff of caring people. Just give it a chance. You may like it."
A. "What makes you think that this transfer to the nursing center will be permanent?"
The nurses 72 year old patients states that he has cloudy vision, and claims to have sensitivity to light. Upon assessment, the nurse notices a white milky appearance on the pupils. The nurse notices these symptoms to be indicative of what visual problem? A. Cataracts (answer) B. Glaucoma C. Macular Degeneration D. Presbycusis
A. Cataracts
1. A nurse reviews a list of drugs prescribed for an older adult to determine if the drug doses are safe for the patient. What is the primary reason for increased drug toxicity and adverse drug events in older adults? A. Decline in enzyme activity B. Increase in metabolism C. Decrease in drug half-life D. Increase in hepatic blood flow
A. Decline in enzyme activity
What are the conditions that primarily affect the older adult population. Select all that apply. A. Delirium B. Dementia C. Incontinence D. Malnutrition E. Depression
A. Delirium B. Dementia C. Incontinence
A nurse is organizing client education for an older adult that is being discharged home following a short hospital stay for a cardiac problem. Which nursing action addresses the most common need for the older population? A. Encourage the use of a compartment pill storage container to use for their daily medications B. Suggest they purchase an emergency in-home alter system C. Only provide written documentation describing the medications the client will be prescribed upon discharge D. Arrange for the client to receive meals on wheels to be delivered daily
A. Encourage the use of a compartment pill storage container to use for their daily medications
As a home health nurse, you arrive at the home of an 80-year-old woman who lives alone. Upon assessment, you find that the woman has a history of arthritis and COPD. The woman does not have any family members close by and does not drive a car. Which of the following referrals would be recommended for this patient? A. Meals on Wheels B. Medicaid C. A Pediatrist D. A Nutritionist
A. Meals on Wheels
When caring for an elderly woman who is hospitalized for wound infection, the patient appears depressed and refused to ambulate. Which basic principle of leadership should the nurse demonstrate when caring for the elderly woman. A. Partnership B. Accountability c. Ownership D. Equity
A. Partnership
1. A gerontology nurse addresses a number of challenges while treating patients in the clinic. Which issues are of particular concern in treating older adults, and which require the nurses to be especially observant and compassionate? Select all that apply. A. Patients with poor hearing B. Problems with insurance coverage and claims C. Patients who under report their symptoms D. A cascade disease pattern that leads to health deterioration E. Impatient or unhappy patients
A. Patients with poor hearing C. Patients who underreport their symptoms D. A cascade disease pattern that leads to health deterioration
A Nurse is looking to give their 86-year-old patient an opioid for their acute pain. Which of the following side effects would the nurse be most concerned about (Select all that apply): A. Respiratory Depression B. Nausea C. Paralytic Ileus D. Mental cloudiness that changes to confusion
A. Respiratory Depression C. Paralytic Ileus D. Mental cloudiness that changes to confusion
What are the classic clinical manifestations of Parkinson's Disease? Select all that apply. A. Tremor B. Rigidity C. Bradykinesia D. Cough E. Fatigue
A. Tremor B. Rigidity C. Bradykinesia
A patient is currently being cared for by a grandchild. The patient has multiple health problems, is currently non-ambulatory, and requires assistance in all activities of daily living (ADLs). There is also evidence of kidney deterioration. The grandchild tells the nurse, "I can no longer take care of my grandparent. I must return to work. What is an appropriate health care alternative?" What should the nurse suggest to the grandchild? A. Adult day care center B. Adult day health care center C. Long term care facility D. Home health care
C. Long term care facility
Which of the following statements made by a family member of a client recently diagnosed with early stages of Alzheimer's disease is most reflective of an understanding of this disease process? A. "Dad has always been a fighter; he'll fight this too. He won't give up." B. "We have an appointment with his care provider to see about medication therapy." C. "Good thing we found out about this early so we can prevent this from getting worse." D. "We have a made arrangements to discuss nursing home placement for dad."
B. "We have an appointment with his care provider to see about medication therapy."
When caring for an older adult patient, the nurse uses the following interventions to accommodate visual changes with age: A. Eye glasses in the bedside table B. Adequate lighting and uncluttered walkways C. Draw drapes in room to prevent glare. D. Keep bedside rails down.
B. Adequate lighting and uncluttered walkways
An elderly woman wakes up confused and disoriented. She is normally lucid and alert. What should the nurse look for? Select all that apply. A. This is a normal finding of aging. B. An undiagnosed infection. C. Dehydration D. Alzheimer's Disease
B. An undiagnosed infection C. Dehydration
One reason for medication problems in the elderly is that A. Regular use of laxatives increases absorption of medications B. Decreased renal function slows excretion of drugs C. Enhanced sense of taste of medications D. Increased perception of pain from injections
B. Decreased renal function slows excretion of drugs
You arrive at the home of a geriatric patient for an initial home visit. During your assessment, you notice that the patient has 12 prescription medications and several other over-the-counter medications on her coffee table. The patient states, "I take them all because that's what my doctors tell me I should do." As a nurse, what intervention should you take first? A. Check for medication interactions. B. Determine whether there are medication duplications. C. Call the prescribing health care provider (HCP) and report polypharmacy. D. Determine whether a family member supervises medication administration
B. Determine whether there are medication duplications.
An 80-year-old female presents to the ER with a temperature of 99.1, a pulse of 106 and a respiration rate of 30. The patient has a history of incontinence, and a bladder scan after voiding reveals significant urinary retention. Which of the following medications prescribed by the physician should the nurse question? A. Acetaminophen B. Diphenhydramine C. Fosfomycin D. Cranberry tablets
B. Diphenhydramine
In performing a physical assessment for an older adult, the nurse anticipates finding which of the following normal physiological changes of aging? A. Increased perspiration B. Increased airway resistance C. Increased salivary secretions D. Increased pitch discrimination
B. Increased airway resistance
A 76-year-old adult female is brought to a neighborhood client after being found wandering around the local park. The client appears disheveled and reports being hungry. Which of the following assessment and interview findings would cause the nurse to suspect elder abuse? (Select all that apply) A. Falls asleep in the examination room B. Repeatedly states "Don't hurt me." C. Chafing around wrists and ankles D. Bruises in various stages of healing
B. Repeatedly states "Don't hurt me." C. Chafing around wrists and ankles D. Bruises in various stages of healing
1. A 78-year old patient is admitted to the hospital with pneumonia. He has a history of hypertension, CHF, type II diabetes, and hearing loss. He wears hearing aids in both ears. While conducting an assessment, what nursing interventions should the nurse use in order to effectively communicate with this patient? Select all that apply. A. Stand behind the patient B. Speak slowly C. Eliminate background noise D. Speak in a low-pitched voice E. Over-articulate all words
B. Speak slowly C. Eliminate background noise D. Speak in a low-pitched voice
Which information obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of the most concern? A. The patient's son uses a marked pillbox to set up the patient's medications weekly. B. The patient has lost 10 pounds (4.5 kg) during the last month. C. The patient is cared for by a daughter during the day and stays with a son at night. D. The patient tells the nurse that a close friend recently died.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
Signs and symptoms of age-related macular degeneration include: A. Deficits in peripheral vision B. Decreases in depth perception C. Distortion of lines and print D. Reports of flashes of light
C. Distortion of lines and print
In reviewing changes in the older adult, the nurse recognizes that which of the following statements related to cognitive functioning in the older client is true? A. Delirium is usually easily distinguished from irreversible dementia. B. Therapeutic drug intoxication is a common cause of senile dementia. C. Reversible systemic disorders are often implicated as a cause of delirium. D. Cognitive deterioration is an inevitable outcome of the human aging process.
C. Reversible systemic disorders are often implicated as a cause of delirium.
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process? A. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to even walk." B. "I've given my grandchildren money for college so they can live a better life than I had." C. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now." D. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."
D. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."
A 76-year-old male patient reports hesitancy, decreased force of the urinary flow, a sensation of incomplete emptying of the bladder, and dribbling. The gerontological nurse first asks: A. "Have you experienced abdominal pain?" B. "Have you had a daily bowel movement?" C. "Have you had low back pain?" D. "Have you noticed blood in your urine?
D. "Have you noticed blood in your urine?
You are conducting an assessment on a 68-year-old patient who recently suffered a myocardial infarction and has a history of epilepsy and type 2 diabetes. Which of the following reported by the patient would be the most important concern? A. A glucose level of 120 taken before the patient's lunch meal B. A blood pressure of 126/85 C. A weight gain of 2Ibs in one week D. A weight gain of 3Ibs in one day.
D. A weight gain of 3Ibs in one day.
The nurse, preparing to discharge an 81-year-old client from the hospital, recognizes that the majority of older adults: A. Require institutional care B. Have no social or family support C. Are unable to afford any medical treatment D. Are capable of taking charge of their own lives
D. Are capable of taking charge of their own lives
An older client, who is demonstrating progressive confusion, has unchanged vital signs and is intact neurologically. What action should the nurse perform next? A. Turn and reposition in the bed. B. Perform deep breathing and coughing exercises C. Conduct passive range of motion to the extremities. D. Assess for medications that cause changes in mentation.
D. Assess for medications that cause changes in mentation.
When providing care for older adults, the nurse should focus on what to make the patient's body/mind feel a little better with their aging process? A. Talk about what they have not completed in life. B. Question why they do not know how to use an I-phone. C. Letting the patient eat junk food and disregard any healthy eating. D. Demonstrate light exercises that the patient can do daily, such as walking and stretching.
D. Demonstrate light exercises that the patient can do daily, such as walking and stretching.
The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented.
D. Develop large-print handouts that reflect the verbal information presented.
The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anti coagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented.
D. Develop large-print handouts that reflect the verbal information presented.
The leading cause of injury and preventable source of morbidity in older adults is A. Presbycusis B. Car Accidents C. Pneumonia D. Falls
D. Falls
For older adults who are taking neuroleptic medication, the primary concern is the development of: A. Lethargy B. Nausea C. Poor appetite D. Tardive dyskinesia
D. Tardive dyskinesia
The following are normal age-related changes except (select all that apply): a. Presbyopia b. Macular Degeneration c. Arcus Senillis d. Xerostomia e. Depression f. Delirium g. Forgetfulness
b. Macular Degeneration e. Depression f. Delirium
The nurse is providing an educational session to new employees during orientation, and the topic is about abuse of the older client. The nurse helps the employees identify which client would mist likely be a victim of abuse? a) A 75-year-old man who has moderate hypertension b) A 90-year-old woman who has advanced Parkinson's disease c) A 68-year-old man who has newly diagnosed cataracts d) A 70-year-old woman who has early diagnosed Lyme disease
b) A 90-year-old woman who has advanced Parkinson's disease
The long term care nurse is performing assessments on several of the residents. Which are normal age-related physiological change(s) the nurse expects to note? Select all that apply. a) Increased heart rate b) Decline in visual acuity c) Deceased respiratory rate d) Decline in long term memory e) Increased susceptibility to urinary tract infections f) Increased incidence of awakening after sleep onset
b) Decline in visual acuity e) Increased susceptibility to urinary tract infections f) Increased incidence of awakening after sleep onset
1. The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse take first? a) Check for medication interactions. b) Determine whether there are medication duplications. c) Call the prescribing health care provider (HCP) and report polypharmacy. d) Determine whether a family member supervises medication administration.
b) Determine whether there are medication duplications.
2. The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse take first? a) Check for medication interactions. b) Determine whether there are medication duplications. c) Call the prescribing health care provider (HCP) and report polypharmacy. d) Determine whether a family member supervises medication administration.
b) Determine whether there are medication duplications.
The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse take first? a) Check for medication interactions. b) Determine whether there are medication duplications. c) Call the prescribing health care provider (HCP) and report polypharmacy. d) Determine whether a family member supervises medication administration.
b) Determine whether there are medication duplications.
The home health nurse is visiting a client for the first time. While assessing the client's medication history, it is noted that there are 19 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse take first? a) Check for medication interactions. b) Determine whether there are medication duplications. c) Call the prescribing health care provider (HCP) and report polypharmacy. d) Determine whether a family member supervises medication administration.
b) Determine whether there are medication duplications.
A 75-year-old patient with a history of CHF, hypertension, and diabetes is waiting on a visit from their homecare nurse. When speaking with his/her client, what statement by the patient would the nurse want to investigate first? a) My last three blood sugars have been under 105 mg/dl. b) I normally sleep with three pillows but last night I had to sleep with four. c) Yesterday I went to the bathroom a lot yesterday but I haven't at all this afternoon d) My son hasn't come to visit me; I don't think he cares about me anymore.
b) I normally sleep with three pillows but last night I had to sleep with four.
An 80-year old patient has lost his hearing and does not have the ability to read. A nurse caring for this patient is preparing discharge for the next day as his family will be visiting soon before the discharge. What can you do to help patient understand the discharge instructions? a) Write the instructions so the patient's family can explain the patient at home b) Sit facing the patient so he can read lip movements and facial expressions c) Speak loudly so the patient can hear you d) Explain the instructions to the family members instead
b) Sit facing the patient so he can read lip movements and facial expressions
Your patient assigned to you has pneumonia. You are reviewing the age-related changed involved with the older adult. Select all age-related changes of the respiratory system that apply. a. Decreased in residual lung volume b. Decreased gas exchange c. Decreased cough efficiency d. Increased gas exchange
b. Decreased gas exchange c. Decreased cough efficiency
The nurse is performing an assessment on an older client who is having difficulty sleeping at night. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? a) "I swim three times a week." b) "I have stopped smoking cigars." c) "I drink hot chocolate before bedtime." d) "I read for 40 minutes before bedtime."
c) "I drink hot chocolate before bedtime."
A 76 year old man is admitted to the emergency room with shortness of breath, 4+ pitting edema in both ankles, an apical heart rate of 96, and crackles in the bases of the lungs. What would be the most appropriate primary nursing diagnosis for this patient? a) Activity intolerance b) Risk for falls c) Fluid volume overload d) Impaired gas exchange
c) Fluid volume overload
A senior wellness center has provided its clients with an educational programs safe administration of prescribed medications. Which statement by the older adult client indicates a need for further teaching? a) I'll be sure to read the insert and ask the pharmacist I don't understand something. b) If I am confused about the identify of one of my pills, I will consult the pharmacist. c) I don't seem to have any problems with side effects, but I'll let my doctor know if something happens. d) I will keep my daily medications organized with compartmentalized pill storage.
c) I don't seem to have any problems with side effects, but I'll let my doctor know if something happens.
Which of the following statements reflect data that the nurse should use in planning care to meet the needs of the older adult? a) 50% of older adults have two chronic health problems b) Cancer is the most common cause of death among older adults. c) Nutritional needs for both younger and older adults are essentially the same. d) Adults older than 65 y/o are the greatest users of prescription medication.
d) Adults older than 65 y/o are the greatest users of prescription medication.
The nurse is planning care with an older adult who is at risk for falling because of postural hypotension. Which of the following will be most effective in preventing falls in this client? a) Complete a fall diary. b) Attach a sensor to the client that will alarm when client attempts to get up. c) Encourage a family member to stay with the client. d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
A visiting nurse who observes that the older male client is confined by his daughter-in-law to his room. When the nurse suggests that he walk to the den and join the family, he says, "I'm in everyone's way; my daughter-in-law needs me to stay here." Which is the most important action for the nurse to take? a) Say to the daughter-in-law, "Confining your father-in-law to his room is inhumane." b) Suggest to the client and daughter-in-law that they consider a nursing home for the client. c) Say nothing, because it is best for the nurse to remain neutral and wait to be asked for help. d) Suggest appropriate resources to the client and daughter-in-law, such as respite care and a senior citizens' center.
d) Suggest appropriate resources to the client and daughter-in-law, such as respite care and a senior citizens' center.
