FUNDAMENTAL FOR NURSING CHAPTER 40 & 41 COMPLETE QUESTIONS AND ANSWERS

FUNDAMENTAL FOR NURSING CHAPTER 40 & 41 COMPLETE QUESTIONS AND ANSWERS A nurse takes into consideration the most common cause of physical change in an older adult is? - CORRECT ANSWER-Impaired mobility How often would you encourage an older adult who is active to exercise? - CORRECT ANSWER-20 - 30 minutes 3 times a week. If you are a home health nurse who is going to a home to make a risk assessment and you find an older adult who has their own home. She wears glasses with a missing eye piece and soft soled, floppy shoes. She uses a rolling walker to get around and has no carpet. What would be the highest risk for a fall for this patient? - CORRECT ANSWERSoft soled, floppy shoes If an older adult patient is too weak to walk after surgery the nurse would work with what specialist? - CORRECT ANSWER-Physical therapist You have a patient with presbycusis. How would you effectively communicate with them? - CORRECT ANSWER-Use a slower and deeper voice What would a nurse's strategy be that might be helpful in preventing falls on a skilled unit? - CORRECT ANSWER-Put the call bell within reach. What would be a risk for falls that a home health nurse might find in a home when they go to assess the home for hazards? - CORRECT ANSWER-Scatter rugs present in all the rooms. An older adult is rearranging her kitchen to better fit her needs. As a nurse, you would encourage her to avoid having to reach up and would encourage her to place all items below the level of her? - CORRECT ANSWER-Head An older adult in a skilled facility tells the nurse that he has controlled incontinence with an herbal remedy. What herbal remedy would be effective for him? - CORRECT ANSWER-Pumpkin seeds The nurse uses the behavioral technique of habit voiding to reduce uriniary incontinence. What else is this called? - CORRECT ANSWER-Timed voiding What is the most effective method to prevent skin breakdown from incontinence? - CORRECT ANSWER-Using protective pads An older adult is on bedrest and has been eating poorly. He presents with a distended abdomen, pain in the abdomen, and has only had small watery stools. What would you think is the issue? - CORRECT ANSWER-Fecal impaction When performing a digital examination for fecal impaction, what would the nurse monitor for? - CORRECT ANSWER-A decrease in heart rate A nurse is reviewing an older adults diet and is going over nutrition education. What would the nurse suggest be changed? - CORRECT ANSWER-Reduction in sugar. To reduce the risk of osteoporosis, a nurse would suggest that a female get a higher amount of? - CORRECT ANSWER-Calcium A patient with dysphagia is under your care. What would be a safe plan to help them eat? - CORRECT ANSWER-Sit the patient upright for meals and encourage them to tuck their chins when swallowing. The nurse is aware that a newly admitted patient has age-related macular degeneration (AMD). What symptom would she expect the patient to have? - CORRECT ANSWER-A loss of central vision. You have a patient with with visual impairment. What intervention would you do at meal time to help with independant eating? - CORRECT ANSWER-Use a clock to describe the position of food on a plate. If you are assisting a blind person to ambulate, what would be the best way? - CORRECT ANSWER-Offer an arm for guidance. An older adult patient is having difficulty opening their weekly pill box. What would the nurse suggest to help them with their medication regimen? - CORRECT ANSWER-Use an egg carton in place of the pill box. A nurse is caring for an 86 year old male patient who states how proud he is that he is still driving. What would the nurse suggest to the patient as a limit for their driving? - CORRECT ANSWER-That he should limit his driving to the daytime hours. An older adult who is hispanic brings her bag of medication in for review. What would the nurse think to ask and get more information on? - CORRECT ANSWER-What herbal remedies do you take? A nurse is planning on giving health care instructions to an 84 year old man. The nurse should realize and plan for? - CORRECT ANSWER-More time to educate fully. You have a patient with Alzheimer's. When educating the family you try to clarify the difference between confusion, delirium, and Alzheimer's. What would be a significant difference? - CORRECT ANSWER-Dementia is permanent A nurse explains to the family of a resident of a long term care facility that on of the purposes of creative therapies is? - CORRECT ANSWER-To slow the rate of detiriorization. The family of a retired army veteran who has Alzheimer's is concerned about what to do with the patient when they go on vacation. A nurse might suggest that? - CORRECT ANSWER-They look into the VA. The VA gives up to 30 days of inpatient stay a year. A nurse plans to have patients reminisce to encourage ego integrity. What would be one stratagey that the nurse might use? - CORRECT ANSWER-Individual and group sharing of memories. When a patient with dementia begins displaying signs of agitation, aggression, and hostility they might be given a? - CORRECT ANSWER-Major tranquilizer The family of a patient with Alzheimer's wants to keep their family member at home but are unsure if they will be able to take care of the patient every day. What might the nurse suggest to alleviate their fears? - CORRECT ANSWER-Have them consider respite care for when they are overwhelmed. A home health nurse recognizes the early indication that one of their patients might have Alzheimer's. What is one of the signs? - CORRECT ANSWER-Difficulty learning new things. An older adult with early alzheimer's is receiving donepezil. The nurse knows that the patient must be assessed for side effects and monitored for toxicity and that the drug is processed through the? - CORRECT ANSWER-Liver What would be an appropiate plan of care for a cognitavely impaired, wandering patient? - CORRECT ANSWER-Apply a bracelet that sounds an alarm when the patient leaves the unit or safe area. A 64 year old cognitively impaired patient refuses to sit down and eat. He keeps on wandering and does not sit still. What would be an appropiate plan of care for this patient? - CORRECT ANSWER-Prepare a protein shake so the patient can drink while wondering and still get the nurtrition he needs. In order to minimize aspiration in a patient with advanced alzheimer's desease. The nurse should? - CORRECT ANSWER-Remind the patient to chew and swallow while eating.