#5
A nurse is collecting data from an older adult client as part of a comprehensive physical
examination. Which of the following findings should the nurse expect as associated with
aging? (Select all that apply.)
A. Skin thickening
B. Decreased height
C. Increased saliva production
D. Nail thickening
E. Decreased bladder capacity - CORRECT ANSWER- -B, D, E
Ch. 25
#4
A nurse is talking with an older adult client about improving nutritional status. Which of the
following interventions should the nurse recommend? (Select all that apply.)
A. Increase protein intake to increase muscle mass.
B. Decrease fluid intake to prevent urinary incontinence.
C. Increase calcium intake to prevent osteoporosis.
D. Limit sodium intake to prevent edema.
E. Increase fiber intake to prevent constipation. - CORRECT ANSWER- -A, C, D, E
Ch. 25
#3
,A nurse is planning a presentation for a group of older adults about health promotion and
disease prevention. Which of the following interventions should the nurse plan to
recommend? (Select all that apply.)
A. Human papilloma virus (HPV) immunization
B. Pneumococcal immunization
C. Yearly eye examination
D. Periodic mental health screening
E. Annual fecal occult blood test - CORRECT ANSWER- -B, C, D, E
Ch. 25
#1
A nurse is counseling an older adult who describes having difficulty dealing with several
issues. Which of the following problems verbalized by the client should the nurse identify
as the priority?
A. " I spent my whole life dreaming about retirement, and now I wish I had my job back."
B. "It's been so stressful for me to have to depend on my child to help around the house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - CORRECT ANSWER- -
D
The greatest risk to this client is injury from overdosing or underdosing medications due to
loss of short-term memory. The priority issue is to assist the client to implement safe
medication strategies. Assist the client to use a pill organizer to help them remember to
take their medications and to keep a list of all current medications.
Ch.26
, #1
A nurse provides an introduction to a client as the first step of a comprehensive physical
examination. Which of the following strategies should the nurse use with this client?
(Select all that apply.)
A. Address the client with the appropriate title and their last name.
B. Use a mix of open- and closed-ended questions.
C. Reduce environmental noise.
D. Have the client complete a printed history form.
E. Perform the general survey before the examination. - CORRECT ANSWER- -B, C, E
Ch. 26
#2
A nurse in a provider's office is documenting findings following an examination performed
for a client new to the practice. Which of the following parameters should the nurse include
as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - CORRECT ANSWER- -A, B, C
Ch. 26
#3
A nurse is collecting data for a client's comprehensive physical exam. After inspecting the
client's abdomen, which of the following skills of the physical exam process should the
nurse perform next?