N128 Week 2 - Adaptive Quizzing #2
Study online at https://quizlet.com/_bc1776
N128 Week 2 -
Adaptive
Quizzing #2
, N128 Week 2 - Adaptive Quizzing #2
1. A debilitated older client who has glaucoma places great value on independence.
What would the nurse encourage the client to do after discharge from the hospital?
Prevent stressful events that can increase symptoms
Conserve eyesight by not reading or watching television
Perform household chores and shopping without assistance
Self-administer eye medications using appropriate technique: Self-administer the eye
medications using appropriate technique
The responsibility for correctly doing this task will foster independence. Preventing
stressful events that increase symptoms is a laudable goal, but it does not relate to
independence. Moderate use of the eyes is not contraindicated in clients with glaucoma.
Performing household chores and shopping is too ambitious for a debilitated older client.
2. For which physiological condition would the nurse teach an older adult client about
the use of isometric exercises?
Kyphosis
Muscle atrophy
Decreased bone density
Decreased range of motion (ROM): Muscle atrophy
Muscle atrophy occurs due to muscular weakness; isometric
exercises can help increase muscular strength. Introducing the client
to proper body mechanics and instructing the client to sit in
supportive chairs with arms reduces kyphosis. Teaching safety tips to
prevent falls and reinforcing the need to exercise reduces
complications associated with decreased bone density. The nurse
should assess the client's ability to perform activities of daily living
and mobility in a client with a decreased ROM.
, N128 Week 2 - Adaptive Quizzing #2
Test-Taking Tip: Read the question carefully before looking at the answers: (1)
Determine what the question is really asking; look for key words;
(2) Read each answer thoroughly and see if it completely covers
the material asked by the question; (3) Narrow the choices by immediately
eliminating answers you know are incorrect.
3. Which physiological change occurs in older adults and warrants the nurse teaching
the client about safety tips to prevent falls?
Slowed movement
Cartilage degeneration
Decreased bone density
Decreased range of motion (ROM): Teaching safety tips to prevent falls would best help a
client with decreased bone density. If a client experiences slow movements, the nurse
should not rush the client because the client may become frustrated if hurried. Providing
a client with cartilage degeneration with a moist heat source such as a shower or a warm
compress is beneficial because this action may increase blood flow to the area. The nurse
should assess a client's ability to perform activities of daily living and mobility to help
improve the self-care skills of clients with a decreased range of motion.
4. The nurse finds that an older adult has a new onset of decreased consciousness,
fatigue, and hallucinations. Which condition would the nurse suspect in the client?
Delirium
Dementia
Depression
Alzheimer disease: Delirium is an acute confusion state in which the client has reduced or
disturbed consciousness, fatigue, and distorted perceptions accompanied by delusions,
hallucinations, and misperceptions. Clear consciousness exists and misconceptions are
usually absent in clients with dementia. Clear consciousness exists and distortions and
hallucinations are observed only in severe cases of depression. Alzheimer disease is a
progressive cerebral deterioration that can occur in middle-aged or advanced age adults.
, N128 Week 2 - Adaptive Quizzing #2
Test-Taking Tip: Read the question carefully before looking at the answers: (1) Determine
what the question is really asking; look for key words. (2) Read each answer thoroughly
and see if it completely covers the material asked by the question. (3) Narrow the choices
by immediately eliminating answers you know are incorrect.
5. An older adult is having urinary incontinence. Which nursing interventions would help
the client? Select all that apply. One, some, or all responses may be correct.
Provide nutritional support.
Provide voiding opportunities.
Avoid indwelling catheterization.
Provide beverages and snacks frequently.
Promote measures to prevent skin breakdown.: Provide voiding opportunities.
Avoid indwelling catheterization.
Promote measures to prevent skin breakdown.
An older adult should be provided voiding opportunities to minimize urinary incontinence.
Indwelling catheterization should be avoided because this action increases the risk of
infection, weakens bladder tone, and may cause discomfort. Measures to prevent skin
breakdown should be taken because the client may develop skin problems due to
incontinence. Nutritional support and frequent beverages and snacks should be provided
to a client with malnutrition.
6. Which immune function change places older clients at risk for bacterial and fungal
infections?
Decline in natural antibodies Reduction of neutrophil function
Decrease in circulating T lymphocytes
Reduction of colony-forming B lymphocytes: Decrease in circulating T lymphocytes
A decrease in circulating T lymphocytes occurs with cell-mediated immunity, resulting in an
increased risk of bacterial and fungal infections. A client would need booster shots for old
Study online at https://quizlet.com/_bc1776
N128 Week 2 -
Adaptive
Quizzing #2
, N128 Week 2 - Adaptive Quizzing #2
1. A debilitated older client who has glaucoma places great value on independence.
What would the nurse encourage the client to do after discharge from the hospital?
Prevent stressful events that can increase symptoms
Conserve eyesight by not reading or watching television
Perform household chores and shopping without assistance
Self-administer eye medications using appropriate technique: Self-administer the eye
medications using appropriate technique
The responsibility for correctly doing this task will foster independence. Preventing
stressful events that increase symptoms is a laudable goal, but it does not relate to
independence. Moderate use of the eyes is not contraindicated in clients with glaucoma.
Performing household chores and shopping is too ambitious for a debilitated older client.
2. For which physiological condition would the nurse teach an older adult client about
the use of isometric exercises?
Kyphosis
Muscle atrophy
Decreased bone density
Decreased range of motion (ROM): Muscle atrophy
Muscle atrophy occurs due to muscular weakness; isometric
exercises can help increase muscular strength. Introducing the client
to proper body mechanics and instructing the client to sit in
supportive chairs with arms reduces kyphosis. Teaching safety tips to
prevent falls and reinforcing the need to exercise reduces
complications associated with decreased bone density. The nurse
should assess the client's ability to perform activities of daily living
and mobility in a client with a decreased ROM.
, N128 Week 2 - Adaptive Quizzing #2
Test-Taking Tip: Read the question carefully before looking at the answers: (1)
Determine what the question is really asking; look for key words;
(2) Read each answer thoroughly and see if it completely covers
the material asked by the question; (3) Narrow the choices by immediately
eliminating answers you know are incorrect.
3. Which physiological change occurs in older adults and warrants the nurse teaching
the client about safety tips to prevent falls?
Slowed movement
Cartilage degeneration
Decreased bone density
Decreased range of motion (ROM): Teaching safety tips to prevent falls would best help a
client with decreased bone density. If a client experiences slow movements, the nurse
should not rush the client because the client may become frustrated if hurried. Providing
a client with cartilage degeneration with a moist heat source such as a shower or a warm
compress is beneficial because this action may increase blood flow to the area. The nurse
should assess a client's ability to perform activities of daily living and mobility to help
improve the self-care skills of clients with a decreased range of motion.
4. The nurse finds that an older adult has a new onset of decreased consciousness,
fatigue, and hallucinations. Which condition would the nurse suspect in the client?
Delirium
Dementia
Depression
Alzheimer disease: Delirium is an acute confusion state in which the client has reduced or
disturbed consciousness, fatigue, and distorted perceptions accompanied by delusions,
hallucinations, and misperceptions. Clear consciousness exists and misconceptions are
usually absent in clients with dementia. Clear consciousness exists and distortions and
hallucinations are observed only in severe cases of depression. Alzheimer disease is a
progressive cerebral deterioration that can occur in middle-aged or advanced age adults.
, N128 Week 2 - Adaptive Quizzing #2
Test-Taking Tip: Read the question carefully before looking at the answers: (1) Determine
what the question is really asking; look for key words. (2) Read each answer thoroughly
and see if it completely covers the material asked by the question. (3) Narrow the choices
by immediately eliminating answers you know are incorrect.
5. An older adult is having urinary incontinence. Which nursing interventions would help
the client? Select all that apply. One, some, or all responses may be correct.
Provide nutritional support.
Provide voiding opportunities.
Avoid indwelling catheterization.
Provide beverages and snacks frequently.
Promote measures to prevent skin breakdown.: Provide voiding opportunities.
Avoid indwelling catheterization.
Promote measures to prevent skin breakdown.
An older adult should be provided voiding opportunities to minimize urinary incontinence.
Indwelling catheterization should be avoided because this action increases the risk of
infection, weakens bladder tone, and may cause discomfort. Measures to prevent skin
breakdown should be taken because the client may develop skin problems due to
incontinence. Nutritional support and frequent beverages and snacks should be provided
to a client with malnutrition.
6. Which immune function change places older clients at risk for bacterial and fungal
infections?
Decline in natural antibodies Reduction of neutrophil function
Decrease in circulating T lymphocytes
Reduction of colony-forming B lymphocytes: Decrease in circulating T lymphocytes
A decrease in circulating T lymphocytes occurs with cell-mediated immunity, resulting in an
increased risk of bacterial and fungal infections. A client would need booster shots for old
