A nurse is caring for an older adult client. The nurse should
recognize the client is at risk for which of the following
physiological changes? (select all that apply)
a. decreased gastric motility
b. decreased skin elasticity
c. increased pain threshold
d. increased metabolic rate
e. increased cardiac output
A nurse is teaching a class of older adults about the expected
physiologic changes of aging. Which of the following changes
should the nurse include in the discussion? (select all that
apply)
a. more difficulty seeing due to a greater sensitivity to glare
b. decreased cough reflex
c. decreased bladder capacity
d. decreased systolic blood pressure
e. dehydration of interveterbal discs
A nurse is obtaining a history on an older adult. Which finding
will the nurse most typically find?
a. lives in a nursing home
b. lives with a spouse
c. lives divorced
d. lives alone
A nurse is developing a plan of care for an older adult. Which
information will the nurse consider?
a. Should be standardized because more geriatric patients
have the same needs
b. needs to be individualized to the patient's unique needs
c. focuses on the disabilities that all aging persons face
d. must be based on chronological age alone
Which information from a co-worker on a gerontological unit
will cause the nurse to intervene?
a. most older people have dependent functioning
b. most older people have strengths we should focus on
c. most older people should be involved in care decisions
d. most older people should be encouraged to have
independence
A nurse suspects an older-adult patient is experiencing
caregiver neglect. Which assessment findings are consistent
with nurse's suspicions?
a. flea bites and lice infestation
b. left at a grocery store
c. refuses to take a bath
d. cuts and bruises
A nurse is teaching a group of older-adult patients. Which
teaching strategy is best for the nurse to use?
a. provide several topics of discussion at once to promote
independence and making choices
b. avoid uncomfortable silences after questions by helping
patients complete their statements
c. ask patients to recall past experiences that correspondwith their interests
d. speak in a high pitch to help patients hear better
An older patient has fallen and suffered a hip fracture. Asaconsequence, the patient's family is concernedabout thepatient's ability to care for self, especially during thisconvalescence. What should the nurse do?
a. stress that older patients usually ask for helpwhenneededb. inform the family that placement in a nursing centerisapermanent solution
c. tell the family to enroll the patient in a ceramics classtomaintain quality of life
d. provide information and answer questions as familymembers make choices among care options
A nurse is caring for an older adult. Which goal is priority?a. adjusting to career
b. adjusting to divorce
c. adjusting to retirement
d. adjusting to grandchildren
A nurse is observing skin integrity of an older adult. Whichfinding will the nurse document as a normal finding?a. oily skin
b. faster nail growth
c. decreased elasticity
d. increased facial hair in men
When planning care for a male client with burns ontheuppertorso, which nursing diagnosis should take the highest
priority?
A. Ineffective airway clearance related to edemaof therespiratory passages
B. Impaired physical mobility related to the diseaseprocessC. Disturbed sleep pattern related to facility environmentD. Risk for infection related to breaks in the skinIn a female client with burns on the legs, whichnursingintervention helps prevent contractures?
A. Applying knee splints. B. Elevating the foot of the bed. C. Hyperextending the client’s palms. D. Performing shoulder range-of-motion exercises. A male client comes to the physician’s office for treatmentofsevere sunburn. The nurse takes this opportunity todiscussthe importance of protecting the skin fromthe sun’sdamaging rays. Which instruction would best prevent skindamage?
B. “Use sunscreen with a sun protection factor of 6or
higher.” C. “Apply sunscreen even on overcast days.” D. “When at the beach, sit in the shade to prevent sunburn.”A female client is brought to the emergency departmentwithsecond-and third-degree burns on the left arm, left anteriorThis study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 01:59:34 GMT -05:00
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