Chapter 24: Assessing Older Adults Questions and Answers

Chapter 24: Assessing Older Adults Questions and Answers 1. 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. 2. This murmur most likely represents aortic sclerosis, a common murmur affecting about one third of those near 60 years of age. It is caused by calcification of the valve and is associated with cardiovascular risk. 3. An elderly male client presents to the health care clinic with reports of urinary frequency, nocturia, and difficulty starting his stream. A nurse knows that the most common cause of these symptoms is what condition? - Benign prostatic hypertrophy 4. 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 5. What would be important to assess when detecting alcohol use disorders in older adults? - Blood sugar control problems 6. An objective assessment that is frequently indicated when the subjective assessment reveals a history of falling is - a Get Up and Go test. 7. Observe the client's gait by performing the timed "Get Up and Go" test. Older adult clients without impairments in gait or balance can complete the test within 10 seconds. 8. The nurse uses the mnemonic DIAPERS to assess for urinary incontinence in an older adult patient. The "P" indicates pharmaceuticals. - True 9. With a client suspected of suffering from presbycusis, the nurse would expect difficulty hearing: - High-pitched sounds 10.Which of the following represents an age-related change in the lungs? - Decreased chest wall compliance 11.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 abuse12.A nurse notes the presence of brown, pigmented patches on an elderly client's hands. What is the proper term for the nurse to use to document this finding? - Solar lentigenes 13.Hyperpigmentation - is sun exposed areas appear as brown, pigmented, round o rectangular patches. They are often called liver spots. These are normal skin variations in the aging population. 14.Actinic keratoses - are dry, scaly, rough-textured patches or lesions that form on the outermost layer of the skin after years of exposure to ultraviolet (UV) light, such as sunlight. These lesions typically range in color from skin-toned to reddish brown and are often pedunculated. 15.Seborrheic keratoses - are normal skin changes of aging and involve the outer layer of the skin. They have a characteristic waxy appearance and vary in color from light tan to black.