Chapter 8: Management of the Older Adult
Patient
The nurse is providing care for an 82-year-old client whose signs and symptoms of Parkinson
disease have worsened over the past several months. The client reports no longer being able to
do as many things as in the past. Based on this statement, what issue is of most concern to the
client?
A. Neurologic deficits
B. Loss of independence
C. Age-related changes
D. Tremors and decreased mobility - ANS B
Which age-related physiologic change contributes to heart disease being the leading cause of
death in older adults?
A. Heart muscle and arteries lose their elasticity.
B. Systolic blood pressure decreases.
C. Resting heart rate decreases with age.
D. Atrial-septal defects develop with age. - ANS A
An occupational health nurse overhears an employee talking to a manager about a 65-year-old
coworker. Which phenomenon should the nurse identify when hearing the employee state to the
coworker, "You should just retire and make way for some new blood"?
A. Intolerance
B. Ageism
C. Dependence
D. Nonspecific prejudice - ANS B
An 80-year-old client is being admitted for dehydration and syncope. The client is found to be
hypotensive, and intravenous fluids are ordered. What are some teaching strategies that the
nurse should review with this client?
A. Before ambulation the client should rise slowly and take mini breaks between lying, sitting,
and standing.
B. Increase consumption of meals to three times a day, with the largest meal being at breakfast.
C. The client must use a rolling walker and call for assistance with any change in position.
D. The temperature in the room should stay very hot, and bathing in hot water is appropriate. -
ANS A
, A 76-year-old client is in the emergency department with reports of nausea, dyspnea, and
shoulder pain. The spouse stated the client woke up confused, slightly unsteady, and pale.
Which problem or condition is most likely occurring?
A. Myocardial ischemia
B. Urinary tract infection (UTI)
C. Lung cancer
D. Chronic obstructive pulmonary disease (COPD) - ANS A
A 65-year-old client has come to the clinic for a yearly physical. The client reports enjoying good
health, but also reports having occasional episodes of constipation over the past 6 months.
What intervention should the nurse first suggest?
A. Reduce the amount of stress the client currently experiences.
B. Increase carbohydrate intake and reduce protein intake.
C. Take herbal laxatives, such as senna, each night at bedtime.
D. Increase daily intake of water. - ANS D
An 80-year-old client has been admitted to the hospital for hypertension and now requires
oxygen. The client asks the nurse why oxygen is needed because they have never smoked and
feel fine. The client requires oxygen in the hospital because of which respiratory changes or
requirements?
A. As a therapeutic measure to encourage coughing and deep breathing
B. Diminished respiratory efficiency and declining aerobic capacity
C. To increase inspiratory and expiratory force of lungs
D. Lung mass increases and residual volume decreases - ANS B
The nurse is providing education to a client with early-stage Alzheimer disease (AD) and the
family members. The client has been prescribed donepezil hydrochloride. What should the
nurse explain to the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. - ANS A
A nurse is caring for an 81-year-old client who has become increasingly frail and unsteady when
standing. During the assessment, the client reports having fallen three times in the month,
though the client did not suffer any injury. The nurse should take action in the knowledge that
this client is at a high risk for which type of injury?
A. A hip fracture
B. A femoral fracture
C. Pelvic dysplasia
D. Tearing of a meniscus or bursa - ANS A
Patient
The nurse is providing care for an 82-year-old client whose signs and symptoms of Parkinson
disease have worsened over the past several months. The client reports no longer being able to
do as many things as in the past. Based on this statement, what issue is of most concern to the
client?
A. Neurologic deficits
B. Loss of independence
C. Age-related changes
D. Tremors and decreased mobility - ANS B
Which age-related physiologic change contributes to heart disease being the leading cause of
death in older adults?
A. Heart muscle and arteries lose their elasticity.
B. Systolic blood pressure decreases.
C. Resting heart rate decreases with age.
D. Atrial-septal defects develop with age. - ANS A
An occupational health nurse overhears an employee talking to a manager about a 65-year-old
coworker. Which phenomenon should the nurse identify when hearing the employee state to the
coworker, "You should just retire and make way for some new blood"?
A. Intolerance
B. Ageism
C. Dependence
D. Nonspecific prejudice - ANS B
An 80-year-old client is being admitted for dehydration and syncope. The client is found to be
hypotensive, and intravenous fluids are ordered. What are some teaching strategies that the
nurse should review with this client?
A. Before ambulation the client should rise slowly and take mini breaks between lying, sitting,
and standing.
B. Increase consumption of meals to three times a day, with the largest meal being at breakfast.
C. The client must use a rolling walker and call for assistance with any change in position.
D. The temperature in the room should stay very hot, and bathing in hot water is appropriate. -
ANS A
, A 76-year-old client is in the emergency department with reports of nausea, dyspnea, and
shoulder pain. The spouse stated the client woke up confused, slightly unsteady, and pale.
Which problem or condition is most likely occurring?
A. Myocardial ischemia
B. Urinary tract infection (UTI)
C. Lung cancer
D. Chronic obstructive pulmonary disease (COPD) - ANS A
A 65-year-old client has come to the clinic for a yearly physical. The client reports enjoying good
health, but also reports having occasional episodes of constipation over the past 6 months.
What intervention should the nurse first suggest?
A. Reduce the amount of stress the client currently experiences.
B. Increase carbohydrate intake and reduce protein intake.
C. Take herbal laxatives, such as senna, each night at bedtime.
D. Increase daily intake of water. - ANS D
An 80-year-old client has been admitted to the hospital for hypertension and now requires
oxygen. The client asks the nurse why oxygen is needed because they have never smoked and
feel fine. The client requires oxygen in the hospital because of which respiratory changes or
requirements?
A. As a therapeutic measure to encourage coughing and deep breathing
B. Diminished respiratory efficiency and declining aerobic capacity
C. To increase inspiratory and expiratory force of lungs
D. Lung mass increases and residual volume decreases - ANS B
The nurse is providing education to a client with early-stage Alzheimer disease (AD) and the
family members. The client has been prescribed donepezil hydrochloride. What should the
nurse explain to the client and family about this drug?
A. It slows the progression of AD.
B. It cures AD in a small minority of clients.
C. It removes the client's insight that they have AD.
D. It eliminates the physical effects of AD and other dementias. - ANS A
A nurse is caring for an 81-year-old client who has become increasingly frail and unsteady when
standing. During the assessment, the client reports having fallen three times in the month,
though the client did not suffer any injury. The nurse should take action in the knowledge that
this client is at a high risk for which type of injury?
A. A hip fracture
B. A femoral fracture
C. Pelvic dysplasia
D. Tearing of a meniscus or bursa - ANS A
