Quiz #20 Care of the Adult

Question 1

SATA: Nurse should include which of the following teachings for physiologic changes of aging?

Answer 1

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

Question 2

SATA: Risk factors for osteoporosis

Answer 2

a. Sedentary lifestyle
b. Aging
c. Excessive caffeine

Question 3

Which statement by the client indicates further teaching is needed – measures to prevent constipation

Answer 3

“I will drink 4 glasses of water per day” – rationale: need more than 4 glasses of water a day

Question 4

What action by the new nurse demonstrates adequate knowledge of age-related changes on the integumentary system when transferring patient from bed to chair?

Answer 4

Use of Hoyer lift to move resident from bed to chair.

Question 5

A daughter is concerned about her father who had bigger appetite, she states now it’s gone, what will the nurse say?

Answer 5

Older residents have decreased appetite because they need fewer calories due to slower metabolism.

Question 6

Teaching of nurse about normal changes in aging that affects the ability of the body to absorb medications?

Answer 6

Gastric enzymes are reduced

Question 7

7. Difficulty in urination in older male client is related to (due to)?

Answer 7

Prostate enlargement

Question 8

Older female sneezes, concerned about incontinence, why does stress continence happen?

Answer 8

Stress continence occurs because of loss of muscle tone

Question 9

Loss of the elasticity of the lens is due to?

Answer 9

Presbyopia

Question 10

Nurse is conducting an assessment on a home health geriatric patient, finds visual impairment, which is the appropriate intervention to be done?

Answer 10

Modify environment by removing all hazardous objects

Question 11

Slowing of the transmission of impulses in the nervous system results in/will result in?

Answer 11

Delayed reaction time

Question 12

Respiratory system: client with COPD has developed which of the following age-related skeletal changes?

Answer 12

Kyphosis

Question 13

Increased urination at night – nocturia in older people due to:

Answer 13

Decrease in bladder capacity

Question 14

When older adult has difficulty swallowing, what will the nurse suggest for position of chin?

Answer 14

Chin down

Question 15

What are physical changes of osteoporosis?

Answer 15

Increase in curvature of spine and decrease in height of 1.5-3 inches

Question 16

Leading cause of accidental death:

Answer 16

falls

Question 17

To deliver age appropriate care:

Answer 17

The nurse must know the differences between normal aging and illness

Question 18

Nurse is reinforcing heart healthy diet for hypertension, which statement by the client needs further teaching:

Answer 18

“I can have cola drinks twice a day”

Question 19

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?

Answer 19

Reddened area over sacrum – stage 1 pressure ulcer

Question 20

Decline in most functions in aging process, what does not get affected by aging:

Answer 20

Cognition

Question 21

Term for age discrimination in elderly:

Answer 21

Ageism

Question 22

Reason for deafness among older adults:

Answer 22

Impacted cerumen

Question 23

Demographic changes in relation to the aging population

Answer 23

Older adult population is growing twice as fast as the rest of the population

Question 24

Type of family: Client lives with grandparents

Answer 24

extended family

Question 25

Growth and development of individual cognitive stage (Paiget’s theory) – what stage is maturity reached?

Answer 25

formal operational thought stage

Question 26

Women are at high risk of this because of gradual physical changes after menopause:

Answer 26

osteoporosis

Question 27

Malnutrition resulting from chronic illness, what manifestations could you expect to find?

Answer 27

Depigmented hair – rationale: hair color declines, hair is sparse, brittle

Question 28

What to do with client with dementia who wanders at night

Answer 28

Help them to the bathroom

Question 29

Client is unresponsive, when performing oral hygiene, what position should the nurse put the patient in?

Answer 29

Turn to the side before providing oral care

Question 30

Client is unresponsive, what is the rationale for turning the patient from left lateral to right and right lateral to left?

Answer 30

To prevent aspiration problems

Question 31

What preventive health screening can the nurse reinforce to 40 year old female?

Answer 31

mammogram every year

Question 32

Developmental task for adolescence from Erik Eriksen theory:

Answer 32

sense of self/identity

Question 33

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?

Answer 33

“Tell me how you feel having ileostomy will affect you”

Question 34

Older client lives alone, unable to drive to store, unable to cook, what would the you recommend?

Answer 34

Meals on Wheels

Question 35

Measures the nurse will take first/interventions (first intervention) when assisting with planning of care for long term care client:

Answer 35

Determine client’s mobility first when assisting in client’s care – rationale: greater risk to client is injury