AHT quizzes

Based on a client's vague explanations for recurring injuries, the nurse suspects that a community-dwelling older adult may be the victim of abuse. What is the nurse's primary responsibility? Report the findings to adult protective services. Confront the suspected perpetrator. Gather evidence to corroborate the abuse. Work with the family to promote healthy conflict resolution.

Report the findings to adult protective services.

An older adult client visits the clinic for a blood pressure (BP) check. The client's hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about the blood pressure medicine? Take the medicine on an empty stomach. A possible adverse effect of blood pressure medicine is dizziness when you stand. There are no adverse effects from blood pressure medicine. A severe drop in blood pressure is possible.

A possible adverse effect of blood pressure medicine is dizziness when you stand.

An elderly client who lives in a retirement community is having a mild depressive episode over the past few weeks. The nurse intervenes by recommending -Participation in a social activity . -Watching television in a darkened room -Decreasing walking from 1 mile to 1/2 mile daily -Taking an antidepressant medication

Participation in a social activity

A client is admitted to the hospital with systolic left-sided heart failure. The nurse knows to look for which assessment finding for this client? Pulmonary congestion Pedal edema Nausea Jugular venous distention

Pulmonary congestion

Which factor alters urinary elimination patterns in older adults? Decreased residual volume Increased bladder capacity Decreased muscle tone Active lifestyle

Decreased muscle tone

An 84-year-old client has returned from the post-anesthetic care unit (PACU) following hip arthroplasty. The client is oriented to name only. The client's family is very upset because, before having surgery, the client had no cognitive deficits. The client is subsequently diagnosed with postoperative delirium. What should the nurse explain to the client's family? This problem is self-limiting and there is nothing to worry about. Delirium involves a progressive decline in memory loss and overall cognitive function. Delirium of this type is treatable and her cognition will return to previous levels. This problem can be resolved by administering antidotes to the anesthetic that was used in surgery.

Delirium of this type is treatable and her cognition will return to previous levels.

Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain. Venography reveals deep vein thrombosis (DVT). When assessing this client, the nurse is likely to detect: pallor and coolness of the left foot. a decrease in the left pedal pulse. loss of hair on the lower portion of the left leg. left calf circumference 1" (2.5 cm) larger than the right.

left calf circumference 1" (2.5 cm) larger than the right.

Students are preparing a class presentation on elder abuse. Which of the following would they include as the most common type of elder abuse? Neglect Emotional Financial Sexual

Neglect

An older adult develops sudden onset of confusion and is hospitalized. The family expresses concern that their loved one is developing Alzheimer disease. What response by the nurse is most appropriate? "What concerns you most about Alzheimer disease?" "Alzheimer disease can be a great burden on the family. What community resources do you know about?" "Once the underlying cause of the confusion is found and treated, your loved one will be better than ever." "Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

"Several possible underlying factors could be causing the confusion. Alzheimer's usually does not present with sudden confusion."

When administering heparin anticoagulant therapy, the nurse needs to make certain that the activated partial thromboplastin time (aPTT) is within the therapeutic range of: 1.5 to 2.5 times the baseline control. 2.5 to 3.0 times the baseline control. 3.5 times the baseline control. 4.5 times the baseline control.

1.5 to 2.5 times the baseline control.

Which of the following is a characteristic of an arterial ulcer? Border regular and well demarcated Brawny edema Ankle-brachial index (ABI) > 0.90 Edema may be severe

Border regular and well demarcated

The nurse is providing discharge instructions to a client with heart failure preparing to leave the following day. What type of diet should the nurse request the dietitian to discuss with the client? Low-fat diet Low-potassium diet Low-cholesterol diet Low-sodium diet

Low-sodium diet

With a severe degree of peripheral arterial insufficiency, leg pain during rest can be reduced by: Elevating the limb over the heart level. Lowering the limb so that it is dependent. Massaging the limb after application of cold compresses. Placing the limb in a plane horizontal to the body.

Lowering the limb so that it is dependent.

The nurse is providing discharge education to a client diagnosed with heart failure. What should the nurse teach this client to do to assess fluid balance in the home setting? Monitor and record blood pressure daily Monitor and record radial pulses daily Monitor weight daily Monitor bowel movements

Monitor weight daily

The nurse is providing care for a client who has had a below-the-knee amputation. The nurse enters the client's room and finds the client resting in bed with his residual limb supported on pillow. What is the nurse's most appropriate action? Inform the surgeon of this finding. Explain the risks of flexion contracture to the client. Transfer the client to a sitting position. Encourage the client to perform active ROM exercises with the residual limb.

Explain the risks of flexion contracture to the client.

A client with Alzheimer's disease is admitted for hip surgery after falling and fracturing the right hip. The client's spouse tells the nurse about feeling guilty for letting the accident happen and reports not sleeping well lately because the spouse has been getting up at night and doing odd things. Which nursing diagnosis is most appropriate for the client's spouse? Relocation stress syndrome related to hospitalization Defensive coping related to diagnosis of Alzheimer's disease Risk for caregiver role strain related to increased client care needs Decisional conflict related to lack of relevant treatment information

Risk for caregiver role strain related to increased client care needs

A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. Which of the following are risk factors for cardiovascular problems in clients with hypertension? Choose all that apply. Gallbladder disease Smoking Diabetes mellitus Physical inactivity Frequent upper respiratory infections

Smoking Diabetes mellitus Physical inactivity

Which is an accurate rationale for why older adults are more susceptible to serious infections? -They are less aware of how to control infections. -They have less efficient defense mechanisms. -They have increased social contact. -They do not have easy access to antibiotics.

They have less efficient defense mechanisms.

An age-related change associated with the cardiovascular system is decreased cardiac output. decreased blood pressure. increased compliance of heart muscle. thinner heart valves.

decreased cardiac output.

A nurse is presenting a safety program to a group of older adults at a continuing care retirement community. The nurse emphasizes measures to reduce the risk of falls based on the understanding that which type of fracture is the most common? Forearm Hip Femur Ankle

hip