Answers 100% Correct
A nurse is collecting data from an older adult client who states he is homeless. Which of the
following findings should the nurse document as comorbidities for this client - ANSWER -
Dementia and tuberculosis
A nurse at an assisted living center is conducting an orientation session for a group of newly
hired assistive personnel (AP). Which of the following instructions should the nurse include
regarding clients who are hearing impaired - ANSWER - Maintain eye contact with the clients.
A nurse is reviewing the medical record of a client who is postmenopausal and has
osteoporosis. The client has a new prescription for alendronate sodium. Which of the following
findings in the client's history should the nurse recognize is a contraindication to this medication
- ANSWER - Esophageal stricture
A nurse is reinforcing teaching with an older adult client who has osteoarthritis of the right hip
and lower lumbar vertebrae. Which of the following statements by the client indicates an
understanding of the teaching - ANSWER - "To relieve the pressure on my hip, I can use a cane
while ambulating."
A nurse is reinforcing teaching with a group of older adult female clients who are
postmenopausal about dietary requirements. Which of the following statements about the role of
folic acid should the nurse make - ANSWER - Adequate folic acid intake is associated with a
reduced risk for heart disease."
A nurse at a long-term care facility is assisting with planning care for a group of older adult
clients. When planning care, the nurse should consider that older adult clients are most likely to
exhibit a decrease in which of the following - ANSWER - Short-term memory
A nurse is participating on a committee that is developing age-appropriate care standards for
older adult clients. Which of the following of Erikson's developmental tasks should the nurse
recommend as the focus - ANSWER - Integrity
, A nurse is assisting with planning care for an older adult client following abdominal surgery for a
bowel obstruction. Which of the following information about pain management should the nurse
include in the plan of care - ANSWER - Older adult clients are sensitive to the analgesic effect of
opiates.
A nurse is reinforcing teaching with an older adult client who has anemia. Which of the following
foods should the nurse recommend to increase the client's iron intake - ANSWER - Dried fruit
A nurse is assisting with the care of an older adult client who has dementia. The client becomes
agitated and confused at night and wanders into the hallway. Which of the following actions
should the nurse take - ANSWER - Place the client's mattress on the floor.
A nurse is contributing to the plan of care for a client who had a stroke. Which of the following
goals should the nurse identify as the priority for this client - ANSWER - The client's airway will
remain clear, as evidenced by clear breath sounds.
A nurse is reinforcing teaching with a group of healthy older adult clients about health
screenings after age 50 years. Which of the following health screenings should the nurse
recommend that the clients complete annually - ANSWER - Visual acuity
A nurse is collecting data from an older adult client during an annual physical. Which of the
following findings should the nurse report to the provider - ANSWER - Fasting blood glucose
level 160 mg/dL
A nurse is caring for an older adult client who has pneumonia. Which of the following physiologic
changes associated with aging places the client at a greater risk for pneumonia - ANSWER -
Decreased number of cilia
A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which
of the following actions should the nurse plan to take prior to administration - ANSWER - Review
the medical record for a client history of glaucoma.
A nurse is reinforcing teaching with a newly hired assistive personnel about her role in helping
older adult clients with activities of daily living (ADLs). The nurse should explain that which of
the following is the most common factor that affects a client's ability to perform ADLs - ANSWER
- Chronic physical disability