Geriatric: Topic 13

The nurse prepares an educational session on cancer prevention for a group of older adult clients. What should the nurse include about the role of exercise in cancer prevention?

It can decrease the risk of breast cancer.

What should the nurse teach the aging client about actions to reduce the risk of cancer? Select all that apply.

Limit alcohol consumption. Eat a diet rich in fiber, fruits, and vegetables. Limit exposure to the sun. Exercise regularly.

A nurse in the long-term care facility assesses an older adult client who has recently become lethargic and difficult to arouse. Vital signs are at the client's baseline and within normal limits. Breath sounds are diminished in bilateral lung fields. Which action by the nurse is the priority?

Notify the emergency department of the impending transfer with an SBAR report,

The spouse of an older adult client explains how difficult it has been to get the client to see the health care professional. At this visit, the client is diagnosed with cancer. What does the spouse's statement reinforce about cancer in older adult clients?

Older adults have the lowest rates of receiving early detection tests.

A nurse is planning care for an older adult client with congestive heart failure. Which action(s) is appropriate in regard to achieving chronic care goals? Select all that apply.

Provide education about congestive heart failure. Teach the client about stress management. Motivate the client in maintaining self-care skills.

A community nurse is speaking to a group of older adults about ways to prevent colorectal cancer. Which action(s) will the nurse include in the teaching? Select all that apply.

Reach and maintain a recommended weight. Get colonoscopies until age 75. Request fecal testing. Reduce the intake of meats high in animal fats.

The nurse observes a client's caregiver looking frustrated and sitting with arms crossed. The client has just finished the initial education regarding a new diagnosis of cancer. When the nurse asked if there are any questions, the caregiver responded with, "This is so complicated and I am not sure how I can be of help." What is an appropriate nursing intervention?

Recommend a local support group.

The nurse is caring for an older adult client who has had persistent hoarseness for the last few years. The client reports smoking a pack of cigarettes a day for 30 years. Which is an appropriate intervention for the nurse?

Report this symptom to the primary health care provider

An older adult client reports increasing difficulty swallowing food. What should the nurse suggest to this client?

See the health care provider.

The nurse determines that an older adult client has achieved the goal of effectively managing a health problem. Which observation(s) did the nurse use to evaluate this goal? Select all that apply.

Self-injects medications Changes a foot wound dressing Expresses a desire to take care of self

An older adult client has diabetes and congestive heart failure. Which action by the nurse is appropriate based on the goal of preventing complications in chronic care?

Teach the client about the importance of checking blood glucose levels.

The nurse identifies interventions to help an older adult client who is diagnosed with stage IV liver cancer experience healing. Which outcome(s) should the nurse expect as evidence that healing has occurred? Select all that apply.

The client's quality of life is enhanced. The client's symptoms are controlled. The client demonstrates a sense of well-being.

The nurse is educating a 64-year-old client who has been diagnosed with kidney failure regarding chronic illness. What teaching about the implications of this chronic illness should the nurse provide?

The disease will be lifelong and demanding but likely manageable.

The nurse notes that an older adult client is prescribed chemotherapy as part of cancer treatment. What should the nurse realize about the dose prescribed for this client?

The dose is less than that prescribed for a younger client.

During a home visit the nurse learns that a client is relocating to a nursing facility for extended care. What should the nurse consider as the primary reason for this decision to be made?

The family can no longer provide the care.

An older adult female client informs the nurse their mother and sister were recently diagnosed with breast cancer. Which intervention is appropriate for the nurse to recommend for this client?

Undergo genetic testing.

During an interdisciplinary care conference, a plan of care has been designed by the physician and the nurse to assist a client with a chronic illness to become more independent in their home prior to being discharged. What should the nurse do with this plan of care before the client is discharged?

Write the plan down for the client.

The nurse cares for four clients. Which client is at highest risk for death from cancer?

a 65-year-old client, diagnosed with lung cancer, who also has a history of diabetes

A nurse cares for four clients. Which client has the highest risk for developing breast cancer?

a 76-year-old client who had their first menstrual period at age 11 and eats a lot of fried foods

The nurse is creating an education plan for an older adult client to address immunosenescence. What will be the focus of the plan?

age-related changes to the client's risk for disease

The nurse is teaching a group of women about the risk factors associated with breast cancer. Which client needs secondary preventative teaching?

client who recently had a positive mammography

A client is undergoing chemotherapy. What assessment data suggest the client is demonstrating age-related changes that increase the risk for medication toxicity?

decreased glomerular filtration rate

The nurse is educating a 73-year-old client regarding a new cancer diagnosis. What nursing intervention is associated with client understanding of the condition?

discussing client's perception of effectiveness of planned treatments

The nurse supports an older client's ability to improve independence by using a walker when walking out of doors. Which therapeutic environment is the nurse promoting with this client?

reinforcing

The nurse is creating a plan of care for an older adult client with chronic illness. What intervention is likely to enhance the client's quality of life?

removing barriers to self-awareness to enhance healing

An older adult client has a long history of poor eating habits and low activity levels. The client now has a diagnosis of type 2 diabetes mellitus. Which nursing intervention should be the priority?

self-care measures to aid in the management of the client's disease

An older adult client arrives with an adult child for a health visit. What should the nurse keep in mind as a priority when assessing this client?

the child's role in the older adult client's care

The nurse is providing teaching to a 69-year-old client with colon cancer. The client underwent a bowel resection, in which a large part of the small intestine was removed. Which statement made by the client indicates an understanding of the teaching?

"I will drink fluids between my meals."

A nurse is speaking to a group of older adults about prevention and screening of cancers. Which teaching is appropriate for the nurse to include? Select all that apply.

"Mammograms should be performed as recommended by the primary health care provider." "Clinical breast exams should occur every 2 years until the age of 75." "Prostate-specific antigen testing may not be necessary for men older than 70 years."

A 71-year-old client has been diagnosed with breast cancer. The client asks about treatments using complementary and alternative medicine (CAM). How will the nurse respond?

"Not all CAM therapies have been proven to be beneficial."

A palliative care team has taken over primary responsibility for the care of an older adult client. A friend visiting the client inquires about the care that this individual is prescribed. Which response by the nurse is best?

"Palliative care is the provision of holistic care to clients experiencing incurable health states."

An older adult client asks why so many older people are diagnosed with cancer. How should the nurse respond to the client?

"The immune system changes and the body does not recognize cancer cells to destroy them."

A 65-year-old female client asks how often they still require a screening mammogram. What should the nurse respond to this client?

"They are recommended every 1 or 2 years."

The nurse educator is reinforcing teaching about management of chronic conditions in older adult clients. Which student statement indicates the need for more teaching?

"We can count on older adult clients having adult children who will take care of them at home."

An older adult client is newly diagnosed with diabetes. The client states, "I cannot believe this is happening to me." Which response by the nurse is most therapeutic?

"We will work together so that you will be able to manage the diabetes without complications."

A nurse is teaching an older adult client's family about the concept of caregiver burden. Which point is priority for the nurse to communicate to the family?

"You will find it difficult to provide for your loved one's needs if you yourself do not have a strong support system."

A nurse who works in a nursing facility is admitting a new client on hospice who is diagnosed with end-stage liver cancer. What nursing intervention(s) is important for this client? Select all that apply.

Administer the pain medication as needed. Spend time to listening to the client. Keep personal effects within reach. Allow time for family and friends to visit.

A 68-year-old client who is at risk for breast cancer has a scheduled mammography. The nurse is educating the client about the procedure. What will the nurse do first?

Ask the client if she had prior mammography.

An older adult client hesitates to discuss health issues related to a chronic condition with the nurse or health care provider. What should the nurse suggest to this client?

Attend a support group.

A wellness center nurse teaches a class of older adults about healthy habits. Which habit(s) will the nurse include? Select all that apply.

Avoid secondhand smoke. Avoid overexposure to sunlight. Limit fried foods and red meats.

The nurse is preparing to administer a chemotherapeutic drug for the first time on a 74-year-old client with colon cancer. The client has a history of chronic kidney disease and diabetes. Which is the priority action for the nurse to perform prior to administering chemotherapy to this client?

Check client's kidney function.

An older adult client asks about ways to prevent the development of mouth cancer because the client's brother was recently diagnosed with mouth cancer. Which intervention is appropriate for the nurse to teach this client about prevention of mouth cancer?

Decrease alcohol consumption.

An older adult client with osteoarthritis becomes frustrated when unable to walk long distances because of hip pain. What action will the nurse take that will help this client heal?

Educate on ways to prepare for physical activity.

An older adult client who lives alone has been diagnosed with diabetes. Which nursing action(s) is appropriate to maintain self-care capacity in this client? Select all that apply.

Educate the client about the management of diabetes. Educate the client about the importance of diet in diabetes. Teach the client how to self-administer insulin. Teach the client how to use a glucometer