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The student nurse examines a 62-year-old patient and reports to the preceptor that the patient
appears to have an infection in an untreated laceration on the calf. The student is unsure of the
assessment because the patient does not have a fever. The preceptor correctly explains that the
older adult often does not have a fever with an infection. - T
The nurse uses the mnemonic DIAPERS to assess for urinary incontinence in an older adult
patient. The "P" indicates pharmaceuticals. - T
Mr. Chin, 82 years old, comes to the office for a routine examination. The nurse notices a
somewhat high-pitched murmur in the second right intercostal space during systole. It does not
radiate, and the rest of his examination findings are within expected parameters for age. Which
is true of the most likely cause of this murmur? - It carries with it increased risk for
cardiovascular disease.
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension.
Which area should the nurse emphasize during client education? - Prevention of falls
A nurse assesses the skin of an older adult's forearms and observes purpura. The nurse
interprets this finding as indicative of which issue? - Vascular fragility
A client has come to the clinic for a routine checkup. The client is 77 years old, weighs 198
pounds (89.8 kg), stands 5'4" (162.5 cm), and lives alone. The client's B/P is 147/89, pulse is 80,
and respirations 18. The nurse is planning client teaching. What is an appropriate topic to
include in the teaching plan? - Encouraging a diet that supports a normal BMI
Mrs. Geller is somewhat quiet today. She has several bruises of different colours on the ulnar
aspects of her forearms and on her abdomen. She otherwise has no complaints, and her
diabetes and hypertension are well managed. Her son from out of state accompanies her today
and has recently moved in to help her. What should the nurse suspect? - Elder abuse
With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing:
- High-pitched sounds
The nurse is assessing an older adult. Which assessment finding would the nurse recognize as a
finding associated with aging? - Kyphosis
, 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? - Shingles
Which intervention should the nurse suggest to a client to improve the condition of dry skin? -
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? - Knowing the person's baseline
functional status and recognizing deviations from it
A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension.
Which area should the nurse emphasize during client education? - Prevention of falls
An older adult client has come to the clinic with new complaints of fatigue, constipation, and
cold intolerance. The nurse would refer the client for what type of testing? - Assessment
of thyroid function
The nurse has assessed and informed the healthcare provider of a brown-colored lesion on an
older client's left cheek. The lesion is diagnosed as solar lentigines. What is the nurse's best
action? - Encourage the client to wear sunscreen daily.
A hospitalized client develop thrombocytopenia. Which lab result does the nurse expect in this
client? - Platelet count less than 100,000
A sign of infection in the elder that is more common than fever is - confusion
Some symptoms are common in elderly clients. Which of the following is less likely to be a
common problem in old age? - Fever
A key area to assess in older adults with chronic respiratory or cardiac problems and some
constant degree of dyspnea is - the degree to which dyspnea affects daily function.
An older client demonstrates mental status changes after being diagnosed with a urinary tract
infection. Which finding suggests that this client is experiencing delirium? - experiencing
visual hallucinations
An older client who typically weights 160 lbs. appears withdrawn and disheveled and causes the
nurse to be concerned since the last visit a month ago. For which body weight should the nurse
conduct a complete nutritional assessment? - 152 lbs.