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Chapter 014

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 14: Older Adult MULTIPLE CHOICE 1. A nurse is performing a physical examination on an older-adult client in an assisted living facility. On completion of the examination, the nurse compares the results to findings expected for individuals in this age-group. An expected finding for this client is: 1. Increased tactile responsiveness 2. Increased sensitivity to visual glare 3. Increased hearing acuity for higher tones 4. Increa
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 1: !lder dult#$%TP%E C'!CE 1.A nurse is performing a physical examination on an older-adult client in an assisted livingfacility. On completion of the examination, the nurse compares the results to findings expected for individuals in this age-group. An expected finding for this client is:1.Increased tactile responsiveness2.Increased sensitivity to visual glare3.Increased hearing acuity for higher tones.Increased thoracic expansion during ventilationA! :2A common physiological change in the older-adult client is an increased sensitivity to glare. Increased tactile responsiveness #ould not $e an expected finding in the older-adultclient. An expected physiological change in the older adult-client is a loss of hearing acuity for high-fre%uency tones &pres$ycusis'. (he older adult has decreased thoracic expansion during ventilation $ecause of musculos)eletal changes.*I+:A+:1/O0:no#ledge(O:!ursing rocess: Assessment4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess; hysiological Integrity ystem pecific Assessment2.A <=-year-old client as)s the nurse to explain her hypertension as she is to have her $lood pressure chec)ed each shift. An appropriate response $y the nurse as to #hy older clients often experience hypertension is $ecause of:1.4yocardial muscle damage2.eduction in physical activity3.Ingestion of foods high in sodium.Accumulation of pla%ue on arterial #allsA! :Although hypertension is not a normal physiological change of aging, older adults often experience hypertension $ecause of vascular changes and accumulation of pla%ue on arterial #alls, $oth of #hich reduce contractility. >ascular changes include thic)ening of vessel #alls, narro#ing of vessel lumen, and loss of vessel elasticity. 4yocardial damage is not the reason for older adults commonly experiencing hypertension. 9ypertension is not caused $y a reduction in physical activity. Older adults #ith hypertension should $e counseled on limiting fat and salt in their diet. 9o#ever, ingestion of processed foods high in salt is not the reason #hy older clients often experience hypertension.*I+:A+:1O0:5omprehension(O:!ursing rocess: Assessment4 5:!5678 test plan designation: hysiological AdaptationAlteration in 0ody 4os$y items and derived items ? 2==, 2==@ $y 4os$y, Inc., an affiliate of lsevier Inc.  (est 0an)  ystems3.In revie#ing changes in the older adult, the nurse recognies that #hich of the follo#ing statements related to cognitive functioning in the older client is trueB1.*elirium is usually easily distinguished from irreversi$le dementia.2.(herapeutic drug intoxication is a common cause of senile dementia.3.eversi$le systemic disorders are often implicated as a cause of delirium..5ognitive deterioration is an inevita$le outcome of the human aging process.A! :3*elirium is a potentially reversi$le cognitive impairment that is often due to a  physiological cause such as an electrolyte im$alance, cere$ral anoxia, hypoglycemia, medications, tumors, cere$rovascular infection, or hemorrhage. *elirium is not al#ays easily distinguisha$le from irreversi$le dementia. 0ecause of the close resem$lance  $et#een delirium and dementia, the presence of delirium must $e ruled out #henever dementia is suspected. (he cause of senile dementia &e.g., AlheimerCs disease' is not )no#n. 4edications and drug effects can cause delirium. *ementia is not an inevita$le outcome of aging.*I+:A+:2=2O0:5omprehension(O:!ursing rocess: Assessment4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess; hysiological AdaptationAlteration in 0ody ystems.A client has $een recently diagnosed #ith AlheimerCs disease. Dhen teaching the familya$out the prognosis, the nurse must explain that:1.*iet and exercise can slo# the process considera$ly2.+e# clients live more than 3 years after the diagnosis3.4any individuals can $e cured if the diagnosis is made early.It usually progresses gradually #ith a deterioration of functionA! :AlheimerCs disease usually progresses gradually #ith a deterioration in function. 4edications, not diet and exercise, can slo# the process of AlheimerCs disease considera$ly. 5lients may live years after the diagnosis of AlheimerCs disease. (here is no cure for AlheimerCs disease $ut medications can $e given to slo# the progression of symptoms.*I+:A+:2=2O0:5omprehension(O:!ursing rocess: Implementation4 5:!5678 test plan designation: hysiological AdaptationAlteration in 0ody ystems@.Dhich of the follo#ing statements accurately reflects data that the nurse should use in  planning care to meet the needs of the older adultB1.@=E of older adults have t#o chronic health pro$lems.2.5ancer is the most common cause of death among older adults. 4os$y items and derived items ? 2==, 2==@ $y 4os$y, Inc., an affiliate of lsevier Inc. 1-2  (est 0an) 3.!utritional needs for $oth younger and older adults are essentially the same..Adults older than F@ comprise the greatest users of prescription medications.A! :(his is a true statement. Approximately t#o thirds of older adults use prescription and nonprescription drugs #ith one third of all prescriptions $eing #ritten for older adults. Approximately =E of adults older than F@ have at least one chronic health condition. Approximately <=E of older adults have multiple chronic conditions #ith arthritis, hypertension, heart disease, vision impairment, and dia$etes mellitus $eing the most common in noninstitutionalied older adults. 9eart disease is the leading cause of death in older adults. !utritional needs of older adults are affected $y their levels of activity and $y clinical conditions.*I+:A+:2=O0:5omprehension(O:!ursing rocess: lanning4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess; hysiological AdaptationAlteration in 0ody ystemsF.(he nurse is a#are that the maGority of older adults:1.6ive alone2.6ive in institutional settings3.Are una$le to care for themselves.Are actively involved in their communityA! :(he maGority of adults are indeed active #ithin their community. (he maGority of older adults live #ith a spouse or have other living arrangements such as living #ith a family mem$er. 4ost older adults live in noninstitutional settings. 4ost older adults are a$le to care for themselves.*I+:A+:13O0:no#ledge(O:!ursing rocess: Assessment4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess<.(he nurse #or)s #ith elderly clients in a #ellness screening clinic on a #ee)ly $asis. Dhich of the follo#ing statements made $y the nurse is the most therapeutic regarding their mo$ilityB1.Hour shoulder pain is normal for your age.J2.H5ontinue to exercise your Goints regularly to your tolerance level.J3.HDhy donCt you $egin #al)ing 3 to  miles a day, and #eCll evaluate ho# you feel next #ee).J.H*onCt #orry a$out ta)ing that com$ination of medications since your doctor has  prescri$ed them.JA! :2 4os$y items and derived items ? 2==, 2==@ $y 4os$y, Inc., an affiliate of lsevier Inc. 1-3  (est 0an) 5lients in the older adult age group should $e advised to exercise their Goints regularly to their level of tolerance. houlder pain is not a normal finding in the older adult. It may indicate a condition such as arthritis. xercise programs should $egin conservatively and  progress slo#ly. eriodic and thorough revie# of all medications $eing used is important to restrict the num$er of medications used to the fe#est necessary. 5oncurrent use of medications increases the ris) for adverse reactions.*I+:A+:2=<-2=/O0:5omprehension(O:!ursing rocess: Assessment4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess; hysiological AdaptationAlteration in 0ody ystems/.A long-term care facility sponsors a discussion group on the administration of medications. (he participants have a num$er of %uestions concerning their medications. (he nurse responds most appropriately $y saying:1.H*onCt #orry a$out the medicationCs name if you can identify it $y its color and shape.J2.HKnless you have severe side affects, donCt #orry a$out the minor changes in the #ay you feel.J3.H+eel free to as) your physician #hy you are receiving the medications that are  prescri$ed for you.J.Hemem$er that the hepatic system is primarily responsi$le for the  pharmacotherapeutics of your medications.JA! :3(he nurse should encourage the older adult to %uestion the physician andor pharmacist a$out all prescri$ed drugs and over-the-counter drugs. (he older adult should $e taught the names of all drugs $eing ta)en, #hen and ho# to ta)e them, and the desira$le and undesira$le effects of the drugs. (he nurse should teach the client ho# to avoid adverse side effects and to report them to their care provider if they occur. If the client is distur$ed $y minor side effects, it could $e an indication of $eginning drug toxicity. Another possi$ility is that the client may $ecome noncompliant #ith their medication  $ecause they disli)e ho# the side effects ma)e them feel. (he hepatic system is not the only system responsi$le for the pharmacotherapeutics of medication. Older adults are at ris) for adverse reactions $ecause of age-related changes in the a$sorption, distri$ution, meta$olism, and excretion of drugs. 5hanges in the LI system may affect a$sorption, distri$ution may $e affected $y changes in $ody composition and $y reduced serum al$umin levels, and changes in )idney functioning may impair excretion.*I+:A+:2=O0:5omprehension(O:!ursing rocess: Assessment4 5:!5678 test plan designation: 9ealth romotion and 4aintenanceAging rocess; harmacological (herapies.Dhich of the follo#ing $ehaviors sho#s the greatest ris) to an older adult as they attemptto minimie the effects of the aging processB1.Increased cosmetic use 4os$y items and derived items ? 2==, 2==@ $y 4os$y, Inc., an affiliate of lsevier Inc. 1-

Chapter 018

Jul 23, 2017

Chapter 016

Jul 23, 2017
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