Podcast
Questions and Answers
What complication with medication therapy could the older client taking digoxin be at risk for due to age-related body changes?
What complication with medication therapy could the older client taking digoxin be at risk for due to age-related body changes?
- Increased risk for digoxin toxicity (correct)
- Decreased therapeutic effect of digoxin
- Decreased absorption of digoxin
- Increased risk for side effects related to digoxin
What should the nurse tell the UAP regarding older clients with hearing loss?
What should the nurse tell the UAP regarding older clients with hearing loss?
- They have middle ear changes
- They develop moist cerumen production
- They respond to low-pitched tones (correct)
- They are often distracted (correct)
Which assessment data would indicate a potential skin complication in an older adult client?
Which assessment data would indicate a potential skin complication in an older adult client?
- Thinning and loss of elasticity in the skin
- Ulceration (correct)
- Wrinkling
- Deepening of expression lines
Which are normal age-related physiological changes the nurse should expect to note? (Select all that apply)
Which are normal age-related physiological changes the nurse should expect to note? (Select all that apply)
How should the nurse interpret the nonverbal behavior of a Japanese American client who smiles and nods continually during a preoperative discussion?
How should the nurse interpret the nonverbal behavior of a Japanese American client who smiles and nods continually during a preoperative discussion?
When communicating with a client who speaks a different language, which best practice should the nurse implement?
When communicating with a client who speaks a different language, which best practice should the nurse implement?
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Study Notes
Geriatric Client Medication Management
- Age-related changes like decreased lean body mass and glomerular filtration rate increase the risk of digoxin toxicity.
- Potential complications in older adults can include decreased absorption, therapeutic effect, and heightened side effects of medications.
Hearing Loss in Older Adults
- Older clients with hearing loss may experience distractions and respond better to low-pitched tones.
- They may exhibit changes like middle ear modifications and increased cerumen production.
Skin Assessment in Older Adults
- Skin complications can manifest as wrinkling, ulceration, deepening expression lines, and reduced elasticity.
- Thinning skin is a common indicator of age-related skin changes.
Normal Age-Related Physiological Changes
- Expected changes include a decline in visual acuity and increased vulnerability to urinary tract infections.
- Normal findings can also involve heightened incidence of waking after sleep onset and variations in respiratory rates, not necessarily an increased heart rate.
Cultural Sensitivity in Communication
- Nonverbal cues, such as nodding and smiling in Japanese American clients, may indicate cultural values rather than agreement or understanding.
- Proper interpretation of these signals is crucial to effective communication.
Best Practices for Multilingual Communication
- Always arrange for a professional interpreter when communicating with clients who have different language requirements.
- Avoid speaking loudly and slowly as it does not facilitate effective understanding; instead, utilize clear and concise language.
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