complete solution
A home health nurse is assessing an older adult client in the home who has decreased
vision due to a history of
glaucoma. Which of the following findings should the nurse identify as a safety risk?
Scatter rugs are present in the kitchen
.A nurse is formulating a teaching plan about herpes zoster for a group of older adults at
a community center. The nurse
should include which of the following information in the plan?
Many clients experience pain in the affected area for weeks after the lesions have
resolved
A nurse is teaching a class at a community center to a group of young adult, adult, and
older adult clients regarding
regular screening recommendations for cancer prevention. Which of the following
information should the nurse include?
Clients should have a yearly test for fecal occult blood.
A nurse is reviewing the diagnostic test results of an older adult female client who is
preoperative for a knee arthroplasty. The nurse should notify the surgeon of which of
the following results?
WBC count 20,000/mm3
A nurse is assessing an older adult client who reports a sudden onset of urinary
incontinence. The nurse should recognize which of the following conditions can cause
incontinence in the older adult client?
Cystitis
A nurse is teaching an older adult client who has osteoporosis about beginning a
program of regular physical activity. Which of the following recommendations should the
nurse make?
Walking briskly
A nurse working for a home health agency is assessing an older adult male client.
Which of the following findings is the priority for the nurse to address?
Dysphagia
An older adult client who lives alone tells a clinic nurse that he is unable to drive himself
to the store and is afraid to cook on the stove. Which of the following community
resources should the nurse recommend for this client?
Meals on Wheels
A nurse is inserting an IV catheter for an older client in preparation for an outpatient
procedure. Which of the following veins should the nurse select?
Median vein in the forearm
A nurse is teaching a class of older adults about the expected physiologic changes of
aging. Which of the following changes should the nurse include in the discussion?
(Select all that apply.)
-More difficulty seeing due to a greater sensitivity to glare
-Decreased cough reflex
, -Decreased bladder capacity
-Dehydration of intervertebral discs
.A nurse is caring for an older adult client who has a fractured hip and will require
rehabilitative care. The client's family asks the nurse for information about this type of
care. Which of the following explanations should the nurse provide?
This service began with the client's admission to the hospital.
.A nurse is caring for an older adult client. The nurse informs the client that straining
while defecating can cause which of
the following?
Dysrhythmias
.A nurse in a clinic is caring for an older adult client who reports dry, flaky skin on her
upper back. Which of the following is an interventions should the nurse complete?
Pinch up a fold of skin to check for turgor.
A nurse is caring for an older adult client. The nurse should recognize the client is at risk
for which of the following
physiological changes? (Select all that apply.)
-Decreased gastric motility
-Decreased skin elasticity
- Increased pain threshold
An older adult client is scheduled to have an elective surgical procedure and informs the
nurse that she wants to be designated as a "do not resuscitate" (DNR) case. Which of
the following responses should the nurse provide?
"Your provider needs to talk with you concerning your request."
.A nurse is administering an oral medication to an older adult client. The client states,
"The pill I always take is green. I don't take an orange pill." Which of the following
responses should the nurse make?
"I will check your medication order again."
A nurse is reviewing the medical records of four older adult clients. The nurse should
plan to administer the herpes zoster vaccine to which of the following clients?
A client who takes omeprazole for peptic ulcer disease
A nurse is preparing an older adult client for a physical examination the provider is
about to perform. Which of the following actions should the nurse take?
Explain to the client what is about to happen.
A nurse is teaching a group of older adults about health tests and screenings. Which of
the following information should the nurse include? (Select all that apply.)
- "You should have a single dose of the shingles vaccine at age 60."
- "You should have the pneumococcal vaccine at age 65 and then every 10."
- "You should have visual acuity screening every year."
A nurse is teaching an older adult client who has left-sided weakness about cane use.
Which of the following instructions should the nurse include?
"When walking, move your left foot forward first."
.A nurse is assisting an older adult client who is sedentary plan a new exercise regimen.
Which of the following activities should the nurse recommend?
Walking
A nurse is preparing to administer cephalexin oral suspension to an older adult client
who has difficulty swallowing pills. Which of the following actions should the nurse take?