PVN 133 EAQ HW 8
When planning care for an older client, what does the nurse remember that aging has little effect on for a client?
Capacity to handle life's stresses
The nurse assesses an elderly client with a diagnosis of dehydration and recognizes which finding as an early sign of dehydration?
Change in mental status
What can the nurse do to help an older adult successfully complete Erikson's major task at this stage?
Develop a sense of satisfaction when considering past achievements
Which of these are symptoms of depression commonly observed in older adults? Select all that apply.
Fatigue Sadness Agitation
What are the most frequent medication reactions in older adults? Select all that apply
Fatigue Vertigo Anorexia
A nurse is caring for depressed older adults. What precipitating factors for depression are most common in the older adult without cognitive problems? Select all that apply.
Multiple losses Declines in health
An older adult is hospitalized for weight loss and dehydration because of nutritional deficits. What should the nurse consider when caring for this client?
The nutritional needs of an older adult are unchanged except for a decreased need for calories.
Which older adult is at an increased risk of inflammation due to gerontological changes?
An older adult with changes in his or her natural defense mechanism
An older client who is receiving chemotherapy for cancer has severe nausea and vomiting and becomes dehydrated. The client is admitted to the hospital for rehydration therapy. Which interventions have specific gerontologic implications the nurse must consider? Select all that apply.
Assessment of skin turgor Administration of antiemetic drugs Replacement of fluid and electrolytes
How would the nurse explain that the skeletal system of toddlers differs from older adults?
Bones of toddlers can withstand falls better than those of older adults.
An 85-year-old client has a three-day history of nausea, vomiting, and diarrhea. The client develops weakness and confusion and is admitted to the hospital. To best monitor the client's rehydration status, what should the nurse assess?
Daily weight
An 85-year-old client has just been admitted to a nursing home. When designing a plan of care for this older adult what expected sensory losses associated with aging will the nurse expect to find? Select all that apply.
Diminished sensation of pain Impaired hearing of high-frequency sounds
An older adult client states, "I walk 2 miles a day for exercise, but now that the weather is hot, I am worried about becoming dehydrated." What should the nurse teach the client?
Fluids should be increased if the urine is getting darker.
Which statement about sleep patterns in older adults is correct?
Inadequate sleep in older adults may lead to memory and personality changes.
Which age-related change should the nurse consider when formulating a plan of care for an older adult? Select all that apply.
Increased sensitivity to glare Diminished sensation of pain
Which statement about the findings of the adult eye is correct?
Lipid depositions may lead to the formation of arcus senilis in older adults.
An older adult client is talking to the nurse about his Vietnam experiences and shares that he still has flashbacks. While sitting with him the nurse notices that he is jumpy and exhibits startle reactions and poor concentration. The nurse identifies these as symptoms of what?
Posttraumatic stress disorder (PTSD)
The nurse's role in maintaining or promoting the health of the older adult should be based on which principle?
There is a strong correlation between successful retirement and maintaining health.
What physiological changes that occur with aging must be taken into consideration when the nurse provides care for the older adult? Select all that apply.
Urinary urgency Loss of skin elasticity Swallowing difficulties Elevated blood pressure
