Nurs 114 ch. 32 QUESTIONS WITH
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When assessing the skin, hair, and nails of the older adult, the nurse needs to know the normal
effects of aging on these structures. Which of the following are normal effects of aging on the
integumentary system? Select all that apply. - ANS ✔✔The epidermis thins
Nails become thick and brittle with slow growth
Wound healing slows as a result of decreased mitotic activity
A nurse palpates a bulge in the anterior wall of the vagina. The nurse recognizes this finding as
what abnormal finding? - ANS ✔✔Cystocele
Which nursing action is most appropriate when providing care to the older adult with impaired
vision? - ANS ✔✔Announce presence every time by identifying self by name.
Which intervention should the nurse suggest to a client to improve the condition of dry skin? -
ANS ✔✔Use lanolin-based products
A nurse is working with an 88-year-old client who has developed stress incontinence. In this
case, as in all cases, the nurse should understand that which of the following is the key to
recognizing pathology and illness in the very old? - ANS ✔✔Knowing the person's baseline
functional status and recognizing deviations from it
With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing:
- ANS ✔✔High-pitched sounds
, A key area to assess in older adults with chronic respiratory or cardiac problems and some
constant degree of dyspnea is - ANS ✔✔the degree to which dyspnea affects daily function.
When assessing an older adult client, the nurse notes which age-related changes of the
cardiovascular system that increase the risk for falls? - ANS ✔✔postural orthostatic hypotension
A 76-year-old female client's blood pressure is 132/76 in a supine position, 128/71 when
dangling at the side of her bed, and 105/58 when she is standing. These assessment findings
constitute a risk for which of the following health problems? - ANS ✔✔falls
An elderly client visits her community health clinic with an outbreak of vesicles on her skin. She
tests positive for the herpes zoster virus. The nurse should recognize this condition as which of
the following? - ANS ✔✔shingles
When receiving the shift report, the nurse should identify which client as being at highest risk
for falls? - ANS ✔✔73-year-old with confusion and incontinence
An older adult client with type 2 diabetes reports leg pain. Which characteristic will assist the
nurse in determining if this is persistent pain? - ANS ✔✔cramping legs for three months
A priority nursing diagnosis for the client experiencing altered perception, extreme agitation,
and acute confusion is: - ANS ✔✔risk for injury
What does the nurse use to formulate a nursing care plan? - ANS ✔✔assessment data
Which finding noted during assessment of the oral cavity of an older adult alerts the nurse that
the older adult may be neglecting oral care? - ANS ✔✔white patchy plaque on the tongue
In the older adult, which changes in the peripheral vascular system can increase blood
pressure? - ANS ✔✔Arterial walls are less elastic and stiffen
100% COMPLETE SOLUTIONS
PASSED
When assessing the skin, hair, and nails of the older adult, the nurse needs to know the normal
effects of aging on these structures. Which of the following are normal effects of aging on the
integumentary system? Select all that apply. - ANS ✔✔The epidermis thins
Nails become thick and brittle with slow growth
Wound healing slows as a result of decreased mitotic activity
A nurse palpates a bulge in the anterior wall of the vagina. The nurse recognizes this finding as
what abnormal finding? - ANS ✔✔Cystocele
Which nursing action is most appropriate when providing care to the older adult with impaired
vision? - ANS ✔✔Announce presence every time by identifying self by name.
Which intervention should the nurse suggest to a client to improve the condition of dry skin? -
ANS ✔✔Use lanolin-based products
A nurse is working with an 88-year-old client who has developed stress incontinence. In this
case, as in all cases, the nurse should understand that which of the following is the key to
recognizing pathology and illness in the very old? - ANS ✔✔Knowing the person's baseline
functional status and recognizing deviations from it
With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing:
- ANS ✔✔High-pitched sounds
, A key area to assess in older adults with chronic respiratory or cardiac problems and some
constant degree of dyspnea is - ANS ✔✔the degree to which dyspnea affects daily function.
When assessing an older adult client, the nurse notes which age-related changes of the
cardiovascular system that increase the risk for falls? - ANS ✔✔postural orthostatic hypotension
A 76-year-old female client's blood pressure is 132/76 in a supine position, 128/71 when
dangling at the side of her bed, and 105/58 when she is standing. These assessment findings
constitute a risk for which of the following health problems? - ANS ✔✔falls
An elderly client visits her community health clinic with an outbreak of vesicles on her skin. She
tests positive for the herpes zoster virus. The nurse should recognize this condition as which of
the following? - ANS ✔✔shingles
When receiving the shift report, the nurse should identify which client as being at highest risk
for falls? - ANS ✔✔73-year-old with confusion and incontinence
An older adult client with type 2 diabetes reports leg pain. Which characteristic will assist the
nurse in determining if this is persistent pain? - ANS ✔✔cramping legs for three months
A priority nursing diagnosis for the client experiencing altered perception, extreme agitation,
and acute confusion is: - ANS ✔✔risk for injury
What does the nurse use to formulate a nursing care plan? - ANS ✔✔assessment data
Which finding noted during assessment of the oral cavity of an older adult alerts the nurse that
the older adult may be neglecting oral care? - ANS ✔✔white patchy plaque on the tongue
In the older adult, which changes in the peripheral vascular system can increase blood
pressure? - ANS ✔✔Arterial walls are less elastic and stiffen
