The nurse is concerned that an older adult client is experiencing
undiagnosed malnutrition. What information may cause the nurse to
make this clinical determination? Correct Answer-serum albumin level
2.8 g/dL (28 g/L)
An older male consumed a high-carbohydrate lunch and is now
exhibiting signs of acute confusion. What is the priority lab the nurse
should assess? Correct Answer-Glucose
An older adult states experiencing heart palpitations ever since adding a
vitamin and nutrient supplement to the diet. The nurse checks the label
of the client's supplement. For which vitamin or nutrient is the nurse
assessing? Correct Answer-Potassium
During a home visit, the nurse is asked by an older couple if vitamin and
nutritional supplements can compensate for poor food intake. Which
response by the nurse would be most appropriate? Correct
Answer-"Vitamin and nutrient supplements can be useful short-term, but
only if they don't interact with prescribed medications."
An older woman asks what she can do to reduce the risk of developing
osteoporosis. Which response by the nurse would be most appropriate?
Correct Answer-"You need to make sure you are getting the
recommended daily dose of calcium, which may involve taking
supplements at each meal."
, An 80-year-old client who has just spent 2 days at the beach with the
family is demonstrating confusion; dry skin; a dry, brown tongue;
sunken cheeks; and concentrated urine. The nurse suspects which
condition? Correct Answer-Dehydration
After an older adult client receives new dentures, the nurse provides
instruction about their use and care. Which client statement indicates
that teaching has been effective? Correct Answer-"I suppose that I'll
have to get these resized and adjusted from time to time."
During an assessment the nurse notes that the gum tissue around an
older client's teeth are red, swollen, and inflamed. How should the nurse
document this finding? Correct Answer-Gingivitis
The nurse is concerned that an older client is unable to provide self-
injections of insulin to treat diabetes. What did the nurse assess to make
this clinical determination? Correct Answer-Has arthritis in the fingers
and hands
A 75-year-old client and 40-year-old daughter both have a
gastrointestinal virus with complaints of vomiting and diarrhea. The
nurse is concerned about the client being at risk for dehydration for
which reason? Correct Answer-The vomiting and diarrhea will cause a
reduction in intracellular fluids.
An older adult client with a history of renal failure is admitted with
dehydration and hyponatremia. The nurse identifies which assessment
finding(s) as being consistent with the client's diagnosis of dehydration?