HEALTH ASSESSMENT IN NURSING 6TH {Chapter 32} _ Graded A

HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER - Chapter 32 ANSWER KEY ON THE LAST PAGE 1. The nurse is conducting a functional assessment of an older adult client. The nurse should focus questions on which area? A) Feelings about aging B) Quality of life C) Recent personal losses D) Activities of daily living 2. A nurse assesses the skin of an older adult's forearms and observes purpura. The nurse interprets this finding as indicative of which of the following? A) Elder abuse B) Vascular fragility C) Poor circulation D) Herpes zoster 3. When examining the skin of an elderly client, the presence of which skin lesions should indicate a need for referral? A) Cherry angioma B) Actinic keratosis C) Seborrheic keratosis D) Acrochordons 4. When examining the eyes of an elderly client, the nurse observes a brownish discoloration of the lens. The nurse interprets this finding as being suggestive of what health problem? A) Conjunctivitis B) Presbyopia C) Glaucoma D) Cataracts 5. During an assessment of an elderly client, the nurse notes a decrease in pupil size and a slowed reaction of the pupil to light. Accommodation and convergence are normal. Based on these findings, which of the following should the nurse emphasize with client education? A) Use drops to prevent dryness B) Wear sunglasses outdoors C) Avoid driving at night D) Obtain an eye examination 6. A nurse is preparing a health education class for a group of older adult clients at a local senior center. The nurse is focusing on health promotion and disease prevention. Which condition would the nurse cite as a common cause of infection-related deaths in the elderly? A) Pyelonephritis B) Cellulitis C) Pneumonia D) Meningitis 7. When auscultating the heart of an elderly client, the nurse detects a soft systolic murmur at the base of the heart. The nurse understands that this is most likely the result of which of the following? A) Calcification of the aortic and mitral valves B) Accumulation of amyloid in the pacemaker cells C) Enlargement of the heart muscle D) Regurgitation through a stenotic valve 8. A client's medical assessment reveals no heart disease. An electrocardiogram is performed and a dysrhythmia is noted. The nurse interprets this finding as most likely reflecting which of the following age-related changes? A) Decreased ventricular compliance B) Peripheral vascular disease C) Widening pulse pressure D) Collagen deposits around pacemaker cells 9. A nurse assesses a client's blood pressure and the findings suggest orthostatic hypotension. Which area should the nurse emphasize during client education? A) Daily exercise routine B) Prevention of falls C) Diet high in iron D) Vitamin supplementation 10. The children of an elderly client tell the nurse, ìHe has lost his appetite. He eats very small amounts, and only twice a day.î Which suggestion would be most appropriate? A) Inform them that he will eat when he is hungry. B) Counsel them to weigh him daily. C) Recommend nutrient-dense foods. D) Advise them to restrict fluid intake. 11. The nurse is assessing an elderly client who is receiving tube feedings via a nasogastric tube. The nurse should assess the client for signs and symptoms of which of the following? A) Gingivitis B) Sinusitis C) Epiglottitis D) Cellulitis 12. The advanced practice nurse is preparing to perform a pelvic examination on an elderly female client. Which of the following would the nurse expect to find? A) Elongation of the vagina B) Thick, pale epithelium C) Decreased vaginal secretions D) Palpable ovaries 13. When assessing an elderly client's hip joint after a fall, which of the following should lead the nurse to suspect that the client has a hip fracture? A) Internal rotation of the affected leg B) Abduction of the affected leg C) Partial weight bearing D) Thigh pain 14. After teaching a group of students about geriatric syndromes, the instructor determines that the teaching was successful when the students identify which of the following as an example? A) Confusion B) Pneumonia C) Heart failure D) Renal failure 15. A nurse has assessed an elderly client and is preparing to analyze the assessment data. Which of the following would the nurse need in order to accurately perform data comparison? A) Client's major complaints B) Client's usual daily patterns C) Client's adherence to treatment D) Client's underlying pathology 16. A home care nurse is assessing an older adult's functional status. The nurse should identify which of the following as an instrumental activity of daily living? A) Bathing B) Cooking C) Toileting D) Eating 17. A nurse is interviewing an elderly client and begins the interview by evaluating the client's mental status. The nurse does this based on an understanding of which of the following? A) The aging brain is more easily affected by pathology. B) Older clients have decreased intellectual capacity. C) The brain is the last organ to experience an age-related decline. D) The client is always the most reliable person to provide the data. 18. An elderly client's history reveals the use of antihistamines. When inspecting the client's mouth, which of the following would the nurse expect to find? A) Resorption of the gum ridge B) Swollen, red tongue C) Decreased saliva production D) Pocketing of food 19. An elderly client with a history of sinusitis has been taking antibiotics for this condition. The nurse should assess for what potential adverse effect of treatment? A) Exacerbation of cardiac dysrhythmias B) Candidal infection C) Overdrying of nasal passages D) Exacerbation of hypertension