Older Adult Final Exam Practice Questions 2023

Older Adult Final Exam Practice Questions 2023 When performing a pain assessment on a client who is aphasic, the nurse should consider: a. reports from the family or staff at the nursing home about changes in functional status. b. that the patient is lying quietly in bed so she is not likely to be experiencing pain. c. that the patient's previous stroke interrupted pain pathways so she does not feel pain. d. that older adults do not tolerate opioid analgesics well and may exhibit side effects. - A An older adult is admitted to the hospital after a serious fall. When noting that the client has been prescribed meperidine (Demerol) for muscle pain, the nurse: a. administers the medication so as to prevent the client from developing the fear of pain. b. questions the client and family concerning any allergies to analgesic medications. c. calls the physician to question the appropriateness of this medication order. d. conducts a pain assessment and determines the client's need for an analgesic medication. - C Compared with acute pain, persistent pain requires the nurse to: a. monitor vital signs more frequently. b. document the character of the pain as burning. c. administer analgesics at least every 4 hours. d. educate the client to the benefit of specific lifestyle changes. - D The initial step to effect the safe management of mild to moderate acute pain that has not been controlled with over-the-counter medications is to: a. begin acetaminophen (Tylenol) every 4 hours for 24 hours. b. supplement with nonpharmacological interventions. c. administer a single low dose of short-acting opioid and monitor for relief. d. titrate dosage of a short-acting opioid upward over 24 hours to achieve relief. - CAn older adult is being treated for severe pain resulting from a history of osteoarthritis. In her discharge teaching, which information is most important to relay for the successful management of the pain? a. Check for incompatibilities before taking any new medications. b. Arrange to take a dose of analgesic prior to physical activity. c. Take the analgesic around-the-clock as prescribed. d. Be alert for the signs of overdose toxicity. - C An older client with a history of hypertension and osteoarthritis who has recently fallen and fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the client requires further evaluation by the nurse? a. "I find that when I drink herbal tea and then take my Tylenol at bedtime, I sleep through the whole night." b. "I heard that meditation may help me deal with the pain without taking all that Tylenol." c. "Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours around-the-clock and my pain is gone." d. "I make sure that I take my Tylenol with breakfast when I first get up." - C An older adult with gastric cancer with bone metastases is being discharged from the hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What should be included in the discharge teaching plan? a. The development of a plan to prevent constipation b. Benefits of grief counseling c. Increasing calories in the diet d. Preventing pressure ulcers - A