Nursing Application for the Older Adult
A client has been admitted for restorative care in a long-term care setting following hip replacement. Which of the following interventions promote independence in activities of daily living (ADL)? Select all that apply.
*Ask the client when they need assistance. *Involve the client in the plan of care. *Provide the client with a toothbrush. *Collaborate with a physical therapist to promote mobility.
The nurse is completing a health history with the daughter of a newly admitted client. The daughter reports that the client was diagnosed with Alzheimer's disease 1 year ago. According to the daughter, last night the client became agitated, confused, and was seeing spiders that were not present. The daughter was unable to calm the client and reported that the client did not recognize her. According to this history, what does the nurse suspect the client is experiencing?
Delirium
What should the nurse consider when developing the plan of care for an older adult who is hospitalized for an acute illness?
Preadmission functional abilities
When assessing an older adult, the nurse knows which of the following is a normal and physiological change related to aging?
Taking longer for the heart rate to return to baseline after exercise
A nurse is caring for an older adult couple in their home. The couple has children and grandchildren, who live far from them and typically visit one to two times a year. The husband is 88 years old and beginning to show signs of Alzheimer's disease and has mobility issues. The wife is 88 years old and has difficulty managing her diabetes. She is the primary caregiver for her husband and wants to maintain his safety. What support could the nurse provide the wife to care for her husband?
Teach the wife about this progressive disease and the need to promote as much independence as possible.
The nursing student is planning care for an older adult who had a total knee replacement yesterday evening. Which statement by the nurse is the priority to promote skin integrity?
Tell the client that they need to reposition or get out of bed as much as possible
The nurse is speaking with the daughter of an older adult client about bringing her mother home to live with her family. Which of the following statements, made by the daughter, presents the greatest concern for the nurse?
"I don't think she will react very well to me making decisions for her."
During a home visit with an 83-year-old client diagnosed with dementia, who is visibly upset and insists that people are throwing away his medals. The nurse observes the daughter telling her father that he is hiding them in the back of the closet and forgetting where he put them. The nurse notices the client becoming increasingly upset and anxious. The nurse offers to role-play a response with the daughter that could help reduce the client's anxiety. Which statement shared by the nurse would best support the client and his daughter?
"I know those medals are important to you. Tell me more about them."
The nurse is providing education on fall prevention with an older adult client recently discharged home. Which of the following statements by the client indicates that more teaching is needed to minimize the risk of falls?
"I will limit my activities so I don't fall."
During a home health visit, a nurse talks with a client and their family caregiver about the client's medications. The client has a history of hypertension and renal disease. Which of the following client findings place the client at risk for an adverse drug event? Select all that apply.
*Client's health history of Renal Disease *Taking two medications for hypertension *Taking a total of eight different medications during the day
A nurse is discussing medication safety with a group of older adults. Which of the following information, when discussed with clients, will increase medication safety? Select all that apply.
*When to take medications *Undesirable effects of the medications *Question the health care provider about new prescribed medications *Names of the medications *Ask healthcare provider before taking over the counter medication.
The nurse is seeing an older adult client in a wellness screening clinic. The client is discussing their current medications, recent shoulder pain, exercising, and taking a daily one-mile walk. Which of the following statements by the nurse is accurate?
Continue to exercise your joints regularly to your tolerance level
The nurse is planning client education for an older adult being prepared for discharge home after hospitalization with a new cardiac diagnosis. Which nursing action addresses a priority need for this client?
Encourage the client to use a compartmentalized pill storage container for their daily medications.
In reviewing changes in the older adult, the nurse recognizes which of the following statements related to cognitive functioning in the older client as true?
Reversible systemic disorders are often a cause of delirium.
An 89-year-old client is confused and disoriented. Which of these interventions promotes reminiscence?
Showing the client a picture of when they baked cookies with their grandchildren.
A 68-year-old client who is hospitalized with pneumonia became disoriented and confused 3 days after admission. Which information indicates that the client is experiencing delirium rather than dementia?
The client was oriented and alert when admitted.