Nursing Care of the Older Adult Module 5 Revision Exam And Correct Answers.

Health assessment - Answer It is designed to determine the older adults overall functional and health state and Identify limitations that can be aligned with the appropriate interventions to promote health and prevent further decline or injury. Nursing Process Assessment - Answer Diagnosis, planning, intervention and evaluation becomes relevant as one gathers objective and subjective data in order to direct the plan of care. Objective data - Answer Information that can be gathered using the senses of vision, hearing, touch, and smell Subjective data - Answer Subjective means that its context is based on the way one interprets something. Vital signs: Rectal - Answer The rectal route should be used with caution in the older adult client as one is more prone for rectal bleeding Vitals signs: axillary - Answer The axillary route is the least common temperature site for older adults as environmental temperature plays a major part in older adults because their thermoregulatory control systems are not as efficient as in younger individuals. Temperature: Older Adult - Answer 1. The temperature of an older adult usually lower than that of young adults. Pulse - Answer Apical and radial readings may be different in the older adult and this is referred to as a pulse deficit. When the nurse detects an abnormal pattern to the heart rhythm, it is best to check ________? - Answer the apical heart rate for a full minute for best accuracy