Quizlet Nursing 240 Final

Front 1

Which statement is true about rehab and restorative care for older adults?

Back 1

A person can learn skills and gain abilities that enable functioning

Front 2

An older adult is in the hospital because of heart failure and has become incontinent or urine. Which evidence based resource should the nurse use to guide continence care for this patient?

Back 2

Nursing Standard Practice Protocol

Front 3

The nurse understands that stress incontinence occurs:

Back 3

as a result of increased intraabdominal pressure

Front 4

A large residual urine volume characterizes what type of incontinence

Back 4

overflow

Front 5

Which action should be included in all bladder retraining programs?

Back 5

Toileting at bedtime

Front 6

The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem. Which recommendation should the nurse implement?

Back 6

Provide regular toileting

Front 7

The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills. Which intervention should the nurse implement?

Back 7

schedule voiding at 2 to 4 hours intervals

Front 8

What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?

Back 8

Maintaining an attitude that is respectful and positive about resolving the problem

Front 9

An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse implement?

Back 9

Recommend exercises to strengthen the pelvic floor

Front 10

The nurse is caring for a patient who has recently had an indwelling catheter placed. The nurse should assess the patient for:

Back 10

A change in mental status

Front 11

An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

Back 11

Constipation

Front 12

Which of the following is a true statement about elimination in older adults?

Back 12

Defecation less than once each day is not necessarily constipation

Front 13

Which option is part of a program that addresses bowel incontinence in an older adult patient?

Back 13

Ensuring that a toilet or commode is readily

Front 14

Which is an important consideration about the skin of an older adult person?

Back 14

The skin becomes more vulnerable to damage

Front 15

Which topical agent is safe to apply?

Back 15

Light mineral oil to moisten skin after bathing

Front 16

A 70 year old woman complains of dry skin and asks for advice. Which advice should the nurse offer to this woman for improving dry skin?

Back 16

Keep bath water between 90 and 105 degrees F

Front 17

The nurse monitors for which clinical indicator when the older adult complains of pruritus?

Back 17

Coarse Skin

Front 18

Which infection control practice should the nurse implement when caring for an older adult who has active herpes zoster?

Back 18

Cover ruptured skin lesions with a nonabsorbent dressing

Front 19

The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance. Which assessment approach should the nurse use?

Back 19

ABCD (asymmetry, border, color, and diameter)

Front 20

The nurse cares for an older man who has a malignant melanoma. Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

Back 20

Instruct him to wear sun protective clothing and a hat at all times

Front 21

Which of the following is a true statement about impaired skin integrity?

Back 21

Muscle and fat cannot regenerate

Front 22

An older adult is vitamin deficient. Which of the following does the nurse offer to the older adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair?

Back 22

Orange slices

Front 23

An older adult woman complains of foot pain from a corn. After assessing her feet, which intervention should the nurse implement to alleviate her discomfort safely?

Back 23

cut out an oval corn pad to make a U shape

Front 24

Which of the following is a true statement about Medicare for older adults?

Back 24

Eighty percent of Medicare's annual expenditures are for individuals with chronic illnesses

Front 25

Acute illness is to chronic illness as to which of the following comparisons

Back 25

An emergency department is to a nursing home

Front 26

An older adult female client is diagnosed with a chronic illness. Which principle should the nurse apply when answering her questions?

Back 26

Chronic illness is unending, and coping can be influenced by perception of uncertainty

Front 27

Over 50% of the population, aged 65 years and older, suffers from which of the following chronic health conditions?

Back 27

Hypertension

Front 28

Which older adult has the most characteristics associated with becoming frail

Back 28

Male, Hispanic American, with hypoproteinemia

Front 29

Which of the following describes the nurses role for an older patient with a chronic illness?

Back 29

provide caring to help the patient live at the optimal level of health and wellness

Front 30

Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in health maintenance regimen?

Back 30

Management of the patients chronic disease rests on the patient and the caregiver; therefore the goals should be collaboratively set

Front 31

Compared with acute pain, the following is true of persistent pain

Back 31

It can bring about changes in lifestyle

Front 32

The nurse admits an older male patient who had abdominal surgery. Admission vital signs are P 73, R 20, BP 136/84. He is receiving IV fluids but has not requested pain medication since surgery. Seven hours later his vitals are P 98, R 26, BP 164/90 and he denies pain. Which intervention should the nurse implement?

Back 32

Ask him about discomfort at the surgical site

Front 33

An older female adult had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine that this woman is experiencing pain?

Back 33

Holds abdomen tightly

Front 34

An older male adult who is Hispanic states he is not having pain, but he had knee replacement surgery 2 days ago. Which is the best pain assessment tool as recommended by the Hartford Institute from "Try this" for the nurse to apply for this man?

Back 34

Faces pain scale revised

Front 35

The safest opioid analgesic choice for an older patient who has severe acute pain in which of the following?

Back 35

Morphine Sulfate

Front 36

An older adult admitted for back surgery asks for opioid pain medication. The nurse knows the patient asks for pain medication 15 mins before it is due. Which recommendation should the nurse implement?

Back 36

Administer the pain medication as prescribed

Front 37

The nurse administers an opioid analgesic to an older male adult postoperative patient on a surgical unit. Which is the most important intervention for the nurse to implement before leaving the patients room?

Back 37

Instruct him to ask for help before getting up

Front 38

The nurse administers an opioid analgesic to an older male adult postoperative patient on a surgical unit. Which is the most important intervention for the nurse to implement before leaving the patients room?

Back 38

Position the patient comfortably

Front 39

The nurse plans the care of an older female resident of a nursing home who has experienced a sudden deterioration in visual acuity. Which intervention should the nurse complete first?

Back 39

Examine her mood and functional status

Front 40

The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?

Back 40

Cataracts

Front 41

Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina?

Back 41

Macular Degeneration

Front 42

Which population groups are most at risk for macular degeneration

Back 42

those aged 60 and over, whites and Asians, white women over 80, genetic predisposition, smokers, family history, and excessive sunlight

Front 43

what does the nurse teach the patient with retinopathy to slow its progression

Back 43

constant, strict controls of bs, cholesterol and BP. Laser photocoagulation treatments can halt the disease. Laser treatments can reduce vision loss in 50% of patients and recent evidence suggests that treatment with various drugs may be better, avoid wind and hair dryers

Front 44

An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help determine the cause of the patients complaint?

Back 44

Prescription antihistamine use

Front 45

The nurse is teaching older adults about maintaining health and wellness. Which recommendation should the nurse include in the teaching to maintain optimal vision?

Back 45

Wear sunglasses that block sun rays

Front 46

How does the nurse approach the hearing impaired elder for conversation

Back 46

face the pt, sit or stand on the same level, don't turn away while speaking, eye contact, slow speech, nonverbal approached, reduce background noise

Front 47

Persons with normal age related sensory changes are more likely to have the most difficultly distinguishing which of the following?

Back 47

Spoken pairs of phrases like "shes praised" and "fees raised"

Front 48

Which of the following is used to treat the most common cause of hearing impairment in elder

Back 48

Ear canal irrigation

Front 49

A medical illustration shows a man with the blunt end of a tuning fork pressed to the center of his forehead. The man is being tested for which of the following?

Back 49

Unilateral conductive hearing loss

Front 50

An older man who is a non Hispanic Caucasian has a fasting blood sugar level above 130. Which patient assessment does the nurse use to confirm a high risk for diabetes mellitus in this man?

Back 50

68 years of age

Front 51

Which comorbidity commonly associated with type 2 diabetes mellitus enhances the development of the mircovascular complications of diabetes mellitus?

Back 51

Hyperlipidemia

Front 52

What concerns the nurse regarding patient with DM that confirms progression to chronic illness

Back 52

patient diabetic + toe removal= increased health problems (chronic illness)

Front 53

The nurse assists an older man who has type 2 diabetes mellitus to improve his glucose control. Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day?

Back 53

Supplement caloric intake

Front 54

Which is a true statement about osteoporosis?

Back 54

A high risk of death follows an osteoporosis related fracture

Front 55

An older female adult seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia. To achieve the woman's goal, which teaching should the nurse provide to enhance activity of osteoblasts?

Back 55

Exercise with weights

Front 56

Which are characteristics of RA that are unlike OA

Back 56

it is systemic and symmetrical

Front 57

which statement is true about joints in older adults?

Back 57

surgical joint replacement can cure osteoarthritis

Front 58

An osteoporosis related fall necessitated hip replacement surgery for an older female adult who is entering a rehabilitation facility. Which is the nurse's priority goal during this woman's rehabilitation?

Back 58

Recapture preoperative mobility status

Front 59

Which assessment is typical for a patient with osteoarthritis

Back 59

narrow joint spaces with crepitus

Front 60

the nurse prepares an older male adult who has osteoarthritis for discharge. Which instruction does the nurse include in patient teaching to maintain safety for this man?

Back 60

Report joint instability to the health care provider

Front 61

An older male adult who has osteoarthritis tells the nurse that he has experienced fatigue for the past 2 weeks. Which nursing intervention should the nurse implement to help him manage fatigue?

Back 61

help him plan exercise and rest

Front 62

Which of the following statements is true about RA?

Back 62

can affect body systems other than the joints

Front 63

Which of the following nursing interventions are suitable for a patient who has gout?

Back 63

Colchicine (Colsalide) by mouth

Front 64

Which of the following is a true statement about heart disease in older men and women

Back 64

women generally receive less aggressive treatment than men do

Front 65

Which classic sign of an acute myocardial infarction can be absent in an older man with an AMI

Back 65

crushing chest pain

Front 66

An African American58 year old man in goo health has a blood pressure at 120/73 at his annual physical. Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age?

Back 66

Prevent cardiovascular disease

Front 67

An older woman has severe ischemic heart disease, hypertension and low cardiac output. Which medication does the nurse administer to counteract the neurohormonal activation of this patients cardiovascular status

Back 67

beta adrenergic blocker

Front 68

which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of HF in older adults who have HF

Back 68

control fluid balance

Front 69

an older man in a cardiac rehabilitation exercise class refuses to participate in the cool down phase of activity; consequently, 2 mins later, he passes out but quickly regains consciousness. Which instruction does the nurse include in patient teaching to reinforce the importance of cooling down after exercising to this man

Back 69

baroreceptor function diminishes with age

Front 70

which condition is a COPD

Back 70

bronchial asthma

Front 71

An older woman who has COPD wants to perform self care activities. Which instruction should the nurse include in patient teaching to help her achieve this goal?

Back 71

Bathe and eat slowly with periodic rest

Front 72

Which of the following statements is true about cardiopulmonary disease in older adults

Back 72

mouth hygiene is essential to prevent and treat pneumonia

Front 73

which of the following is a true statement about tb in older adults

Back 73

older persons, particular those in nursing homes, are at risk for tb