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A nurse is obtaining a health history from an older adult client as part of a
comprehensive physical examination. Which of the following findings should the
nurse expect as associated with aging? (SATA)
A. skin thickening
B. increased saliva production
C. decreased height
D. nail thickening
E. decreased bladder capacity - ANSWERS-C, D, E
delirium - ANSWERS--acute + temporary
-often caused by physiological source or change in environment
-1st manifestation of UTI in older adults
What is often the 1st manifestation of a UTI in older adults? - ANSWERS-delirium
dementia - ANSWERS-Chronic, progressive
Ex. Alzheimer's, vascular dementia
,A nurse is counseling an older adult who describes having difficulty dealing with
several issues. Which of the following problems verbalized by the client should
the nurse identify as the priority?
A. "I spent my whole life dreaming about retirement, and now I wish I had my job
back."
B. "It's been so stressful for me to have to depend on my child to help around the
house."
C. "I just heard my friend Al died. That's the third one in 3 months."
D. "I keep forgetting which medications I have taken during the day." - ANSWERS-
D. "I keep forgetting which medications I have taken during the day."
Explanation: The nurse should identify that the greatest risk to this client is injury
from overdosing or underdosing medications due to loss of short-term memory.
The priority issue is to assist the client to implement safe medication strategies.
Assist the client to use a pill organizer to help them remember to take their
medications and to keep a list of all current medications.
A nurse is caring for an older adult client. Which of the following is an expected
age-related physiological change for which the nurse should monitor?
A. increased bone density
B. enhanced immune response
C. decreased skin elasticity
D. improved renal function - ANSWERS-C. decreased skin elasticity
A nurse is caring for an older adult client. Which of the following is an expected
age-related physiological change in the renal system for which the nurse should
monitor?
A. increased glomerular filtration rate (GFR)
,B. enhanced ability to concentrate urine
C. decreased renal blood flow
D. improved electrolyte balance - ANSWERS-C. decreased renal blood flow
A nurse is caring for an older adult client. Which of the following is an expected
age-related physiological change in the cardiovascular system for which the nurse
should monitor?
A. increased cardiac output
B. reduced heart rate variability
C. decreased arterial stiffness
D. improved myocardial contractility - ANSWERS-B. reduced heart rate variability
An 82-year -old female client is being seen in the clinic for a routine check-up. She
has no significant medical history but reports feeling more fatigued and
experiencing occasional dizziness. Which nursing intervention is most appropriate
to address the expected age-related physiological changes?
A. encourage a high-protein diet to increase energy levels
B. monitor blood pressure regularly to detect orthostatic hypotension
C. administer vitamin supplements to prevent deficiencies
D. reccommend daily vigorous exercise to improve cardiovascular health -
ANSWERS-B. monitor blood pressure regularly to detect orthostatic hypotension
A nurse is caring for an older adult client. Which of the following is an expected
age-related physiological change in the pulmonary system for which the nurse
should monitor?
A. increased lung elasticity
B. enhanced alveolar surface are
, C. decreased chest wall compliance
D. improved respiratory muscle strength - ANSWERS-C. decreased chest wall
compliance
A nurse is caring for an older adult client. Which of the following is an expected
age-related physiological change in the neurological system for which the nurse
should monitor?
A. decreased nerve conduction velocity
B. increased cognitive flexibility
C. enhanced reflex responses
D. improved short-term memory - ANSWERS-A. decreased nerve conduction
velocity
The nurse understands that which of the following statements correctly describes
a key difference between delirium and dementia?
A. delirium has a gradual onset, while dementia has an abrupt onset
B. delirium is usually reversible, while dementia is typically progressive and
irreversible
C. delirium primarily affects memory while dementia primarily affects
consciousness
D. delirium Is a chronic condition, while dementia is an acute condition -
ANSWERS-B. delirium is usually reversible, while dementia is typically progressive
and irreversible
An 85-year old client is experiencing acute delirium. He has a history of HTN,
diabetes, and mild cognitive impairment. The nursing assessment reveals the
client is disoriented, agitated, and experiencing visual hallucinations. Which of the