Quiz #20 Care of the Adult Flashcards
SATA: Nurse should include which of the following teachings for physiologic changes of aging?
a. More difficulty seeing due to greater sensitivity to glare
b. Decrease in cough reflex
c. Decrease bladder capacity – nocturia
d. Dehydration of intervertebral disc
SATA: Risk factors for osteoporosis
a. Sedentary lifestyle
b. Aging
c. Excessive caffeine
Which statement by the client indicates further teaching is needed – measures to prevent constipation
“I will drink 4 glasses of water per day” – rationale: need more than 4 glasses of water a day
What action by the new nurse demonstrates adequate knowledge of age-related changes on the integumentary system when transferring patient from bed to chair?
Use of Hoyer lift to move resident from bed to chair.
A daughter is concerned about her father who had bigger appetite, she states now it’s gone, what will the nurse say?
Older residents have decreased appetite because they need fewer calories due to slower metabolism.
Teaching of nurse about normal changes in aging that affects the ability of the body to absorb medications?
Gastric enzymes are reduced
- Difficulty in urination in older male client is related to (due to)?
Prostate enlargement
Older female sneezes, concerned about incontinence, why does stress continence happen?
Stress continence occurs because of loss of muscle tone
Loss of the elasticity of the lens is due to?
Presbyopia
Nurse is conducting an assessment on a home health geriatric patient, finds visual impairment, which is the appropriate intervention to be done?
Modify environment by removing all hazardous objects
Slowing of the transmission of impulses in the nervous system results in/will result in?
Delayed reaction time
Respiratory system: client with COPD has developed which of the following age-related skeletal changes?
Kyphosis
Increased urination at night – nocturia in older people due to:
Decrease in bladder capacity
When older adult has difficulty swallowing, what will the nurse suggest for position of chin?
Chin down
What are physical changes of osteoporosis?
Increase in curvature of spine and decrease in height of 1.5-3 inches
Leading cause of accidental death:
falls
To deliver age appropriate care:
The nurse must know the differences between normal aging and illness
Nurse is reinforcing heart healthy diet for hypertension, which statement by the client needs further teaching:
“I can have cola drinks twice a day”
Nurse in long term care facility has a client who had stroke 4 weeks ago and can’t move independently, what findings indicate complications of immobility/impairments?
Reddened area over sacrum – stage 1 pressure ulcer
Decline in most functions in aging process, what does not get affected by aging:
Cognition
Term for age discrimination in elderly:
Ageism
Reason for deafness among older adults:
Impacted cerumen
Demographic changes in relation to the aging population
Older adult population is growing twice as fast as the rest of the population
Type of family: Client lives with grandparents
extended family
Growth and development of individual cognitive stage (Paiget’s theory) – what stage is maturity reached?
formal operational thought stage
Women are at high risk of this because of gradual physical changes after menopause:
osteoporosis
Malnutrition resulting from chronic illness, what manifestations could you expect to find?
Depigmented hair – rationale: hair color declines, hair is sparse, brittle
What to do with client with dementia who wanders at night
Help them to the bathroom
Client is unresponsive, when performing oral hygiene, what position should the nurse put the patient in?
Turn to the side before providing oral care
Client is unresponsive, what is the rationale for turning the patient from left lateral to right and right lateral to left?
To prevent aspiration problems
What preventive health screening can the nurse reinforce to 40 year old female?
mammogram every year
Developmental task for adolescence from Erik Eriksen theory:
sense of self/identity
Communication: client has ulcerative colitis and is scheduled for ileostomy, client states, how will I have life after this; what is the response of the nurse?
“Tell me how you feel having ileostomy will affect you”
Older client lives alone, unable to drive to store, unable to cook, what would the you recommend?
Meals on Wheels
Measures the nurse will take first/interventions (first intervention) when assisting with planning of care for long term care client:
Determine client’s mobility first when assisting in client’s care – rationale: greater risk to client is injury
