Developmental Stages: Early and Late Adulthood

An older client is taking multiple medications for a variety of health problems. The nurse should monitor the results of which most important laboratory test(s) when evaluating adverse effects of medication therapy in the older adult? 1.Creatinine 2.Arterial blood gases 3.Complete blood cell count 4.Hemoglobin and hematocrit

1.Creatinine

The nurse is collecting data from an older adult client. Which indicates a potential complication associated with the skin of this client? 1.Crusting 2.Wrinkling 3.Deepening of expression lines 4.Thinning and loss of elasticity in the skin

1.Crusting

The nurse should implement which activity to promote reminiscence among older clients? 1.Having storytelling hours 2.Setting up pet therapy sessions 3.Displaying calendars and clocks 4.Encouraging client participation in a pottery class

1.Having storytelling hours

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? 1.Thirst 2.Skin turgor 3.Intake-output differences 4.Appearance of oral mucosa

1.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 behavior indicates which? 1.A mental status alteration 2.A normal psychosocial response 3.A need for psychiatric consultation 4.A sensory deficit requiring social activities

2.A normal psychosocial response

The nurse prepares to discharge a fifty-year-old client who is experiencing family-related stress. Which goal does the nurse include to help the client achieve the primary developmental task? 1.Improve the client's acceptance of aging. 2.Assist the client resume her familial role. 3.Develop the client's critical thinking skills. 4.Adjust her lifestyle to ease stress response.

2.Assist the client resume her familial role.

When the nurse is collecting data from the older adult, which findings should be considered normal physiological changes? Select all that apply. 1.Increased heart rate 2.Decline in visual acuity 3.Decreased respiratory rate 4.Decline in long-term memory 5.Increased susceptibility to urinary tract infections 6.Increased incidence of awakening after sleep onset

2.Decline in visual acuity 5.Increased susceptibility to urinary tract infections 6.Increased incidence of awakening after sleep onset

The nurse is conducting a session on the process of fertilization with a group of nursing students. The nurse asks a nursing student to identify the structure in which fertilization of an ovum takes place. The nurse midwife recognizes the teaching has been effective if the student selects which location? 1.Ovary 2.Fallopian tube 3.Fundus of the uterus 4.Corpus of the uterus

2.Fallopian tube

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? 1.Older clients often have slower neurological responses to stimuli. 2.Older clients cannot think quickly enough to respond to emergencies. 3.Many medications may have orthostatic hypotension as a side effect. 4.Older clients tend to maintain a broad base of support and thus change direction more slowly.

2.Older clients cannot think quickly enough to respond to emergencies.

Which data would indicate a potential complication associated with age-related changes in the musculoskeletal system? 1.Decrease in height 2.Overall sclerotic lesions 3.Diminished lean body mass 4.Change in structural bone tissue

2.Overall sclerotic lesions

The nurse instructs the unlicensed assistive personnel (UAP) 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? 1.Pineal gland 2.Sweat glands 3.Parotid glands 4.Thymus gland

2.Sweat glands

The nurse is told by an older woman that she has begun to be incontinent of urine at night and now drinks no fluids after 6.00 pm. Which is the nurse's best response? 1."Incontinence is to be expected in old age." 2."Older people do not need as much fluid intake as younger people." 3."Incontinence at any age should be evaluated by your primary health care provider." 4."That's a good idea; you're the best judge of how much fluid you should or should not drink."

3."Incontinence at any age should be evaluated by your primary health care provider."

An older client confides to the visiting nurse the fear of falling while going to the bathroom at night. Considering the visual changes affecting the older client, the nurse should make which recommendation? 1."Limit your fluid intake during the day." 2."Use a commode in your bedroom at night." 3."Keep a red light on in the bathroom at night." 4."Use a bell to call your daughter if you need to get up."

3."Keep a red light on in the bathroom at night."

The nurse is monitoring several older adults for adverse drug effects. Which client requires closest monitoring for drug toxicity? 1.A client with an increased hemoglobin 2.A client with an increased plasma protein level 3.A client who consumes a high-carbohydrate, low-protein diet 4.A client who frequently refuses to take prescribed antihypertensive medication

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

An older client has been prescribed digoxin. The nurse determines that which age-related change would place the client at risk for digoxin toxicity? 1.Decreased salivation and gastrointestinal motility 2.Decreased muscle strength and loss of bone density 3.Decreased lean body mass and glomerular filtration rate 4.Decreased cardiac output and decreased efficiency of blood return to the heart

3.Decreased lean body mass and glomerular filtration rate

The nurse is providing information to unlicensed assistive personnel (UAP) regarding caring for the older adult. The nurse determines the UAP understands the information provided if the UAP identifies which situation portrays ageism? 1.Informing the older adult of their rights 2.Allowing older adults to make decisions 3.Accepting differences among older adults 4.Advising older adults to forgo aggressive treatment

4.Advising older adults to forgo aggressive treatment

The nurse should plan which to encourage autonomy in the client who is a resident in a long-term care facility? 1.Choosing meals 2.Decorating the room 3.Scheduling haircut appointments 4.Allowing the client to choose social activities

4.Allowing the client to choose social activities

An older adult couple requests to room together at a long-term care facility. When some members of the staff question this, the nurse should provide which response? 1.Aberrant sexual behavior is to be expected among older males. 2.Most people do not engage in sexual activity after the age of 70. 3.Physical beauty is necessary for continued sexual activity in older persons. 4.Although responses may be slower, sexual ability is present in later years of life.

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

The nurse will be caring for several older adults who will be undergoing general anesthesia. Which older adult will require the closest monitoring for a prolonged effect of anesthesia? 1.An older adult with an increase in liver size 2.An older adult with an increase in plasma proteins 3.An older adult with an increased kidney cell function 4.An older adult with increased amount of fatty tissue

4.An older adult with increased amount of fatty tissue

A client who has been seen in the clinic has been diagnosed with endometriosis and asks the nurse to describe this condition. Which is the best response for the nurse to provide? 1.Endometriosis is pain that occurs during ovulation. 2.Endometriosis causes the cessation of menstruation. 3.Endometriosis is also known as primary dysmenorrhea. 4.Endometriosis is the presence of tissue outside the uterus that resembles the lining of the uterus.

4.Endometriosis is the presence of tissue outside the uterus that resembles the lining of the uterus.

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 should incorporate which concept when formulating a response to the family member? 1.Heating pads are dangerous and are likely to cause fires. 2.The resident has a right to procure and keep his own property. 3.The long-term care facility strictly prohibits the use of heating pads. 4.Older adults often have slower neurological response times and are therefore more at risk for burns.

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

The nurse is collecting data from a client who is suspected of having mittelschmerz. Which finding, on data collection, is most closely associated with this disorder? 1.Profuse vaginal bleeding 2.Pain that occurs during intercourse 3.Pain at the beginning of menstruation 4.Sharp pain located on the right side of the pelvis

4.Sharp pain located on the right side of the pelvis

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? 1.To live alone 2.To live with their children 3.To live in long-term care facilities 4.To live independently, but close to their children if possible

4.To live independently, but close to their children if possible

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance? 1.Gardening every day for an hour 2.Sculpting once a week for 40 minutes 3.Cycling three times a week for 20 minutes 4.Walking three to five times a week for 30 minutes

4.Walking three to five times a week for 30 minutes