chronic i Flashcards
When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is themostimportant for the nurse to include in the discharge
teaching?
Symptoms indicating that the patient should contact the health care provider
The nurse performs a comprehensive geriatric assessment of a patient who is being assessed
for admission to an assisted living facility. Which question is themostimportant for the nurse to
ask?
“Are you able to prepare your own meals?”
An older patient who takes multiple medications for chronic cardiac and pulmonary diseases is
alert and lives with a daughter who works during the day. During a clinic visit, the patient
verbalizes to the nurse that she has a strained relationship with her daughter and does not enjoy
being alone all day. Which nursing diagnosis should the nurse assign as thepriorityfor this
patient?
Risk for injury related to drug interactions
The nurse plans to complete a thorough assessment of an older patient. Which method should
the nurse use to gather themostcomplete information?
Use a geriatric assessment instrument to evaluate the patient.
An older patient is hospitalized with pneumonia. Which intervention should the nurse
implement to provide optimal care for this patient?
Consider the preadmission functional abilities when setting patient goals.
The nurse cares for an older adult patient who lives in a rural area. Which intervention should
the nurse plan to implement tobestmeet this patient’s needs?
Ensure transportation to appointments with the health care provider.
Which nursing action will bemosthelpful in decreasing the risk for drug-drug interactions in
an older adult?
Have the patient bring all medications, supplements, and herbs to each appointment.
A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation
stress syndrome. Which action should the nurse include in the plan of care?
Have staff members write notes welcoming the patient to the facility.
An older patient complains of having “no energy” and feeling increasingly weak. The patient
has had a 12-pound weight loss over the last year. Which action should the nurse takeinitially?
Ask the patient about daily dietary intake.
The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse
takefirst?
Perform the physical assessment before interviewing the patient.
The nurse cares for an alert, homeless older adult patient who was admitted to the hospital
with a chronic foot infection. Which intervention is themostappropriate for the nurse to include
in the discharge plan for this patient?
Refer the patient to social services for further assessment.
The home health nurse cares for an older adult patient who lives alone and takes several
different prescribed medications for chronic health problems. Which intervention, if
implemented by the nurse, wouldbestencourage medication compliance?
Use a marked pillbox to set up the patient’s medications.
The home health nurse visits an older patient with mild forgetfulness. The nurse
ismostconcerned if which information is obtained?
The patient has lost 10 pounds (4.5 kg) during the last month.
Which statement, if made by an older adult patient, would be ofmostconcern to the nurse?
“I don’t go on daily walks anymore since I had pneumonia 3 months ago.”
The nurse assesses an older patient who takes diuretics and has a possible urinary tract
infection (UTI). Which action should the nurse takefirst?
Invite the patient to use the bathroom.
Which patient ismostlikely to need long-term nursing care management?
63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
When completing an admission assessment on an older adult, the nurse gives the patient a
high fall risk score. Which action should the nurse takefirst?
Use a bed alarm system on the patient’s bed.
An older adult patient presents with a broken arm and visible scattered bruises healing at
different stages. Which action should the nurse takefirst?
Have the family member stay in the waiting area while the patient is assessed.
The family of an older patient with chronic health problems and increasing weakness is
considering placement in a long-term care (LTC) facility. Which action by the nurse will
bemosthelpful in assisting the patient to make this transition?
Obtain the patient’s input about the choice of a LTC facility.
The nurse manages the care of older adults in an adult health day care center. Which
action can the nurse delegate to unlicensed assistive personnel (UAP)?
Take blood pressures daily and document in individual patient records.
1.Which nursing actions will the nurse take to assess for possible malnutrition in an older adult
patient (select all that apply)?
a. Observe for depression.
b. Review laboratory results.
c. Assess teeth and oral mucosa.
d. Ask about transportation needs.
