Older CH16
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Questions and Answers

An older patient recovering from a stroke has been very depressed and noncompliant with the physical therapy regimen. Which nursing intervention is important to initiate to prevent immobility in this patient?

  • Force the patient to participate in the activity program
  • Refer the patient to the facility social worker for counseling
  • Walk the patient to the bathroom before and after meals and before bedtime (correct)
  • Change the patient's activity program to activities that can be done in a wheelchair
  • The nurse is asked how physical exercise affects the cardiovascular system. Which response should the nurse make?

  • Increases cardiac output (correct)
  • Decreases cardiac efficiency
  • Decreases cardiac response to activity
  • Maintains pulse rate in response to activity
  • During the night an older patient fell, was incontinent of urine, and complained of not being able to get to the bathroom because the side rails on the bed were raised. What is the most appropriate nursing intervention to prevent this patient from falling again

  • Initiate a toileting program (correct)
  • Place a commode next to the bed
  • Apply a soft waist restraint at night
  • Put the side rails down during the night
  • The nurse is concerned that a patient is experiencing stress incontinence. What characteristic of this type of incontinence caused the nurse to make this decision?

    <p>It is a sudden loss of small amount of urine when coughing, laughing or lifting</p> Signup and view all the answers

    An older male patient is complaining of leaking urine and constipation. Which health problem is this patient most likely experiencing?

    <p>A fecal impaction, causing overflow incontinence</p> Signup and view all the answers

    The mnemonic DRIP is used to help remember the possible causes of acute incontinence According to this mnemonic. Which is a least likely cause of acute incontinence?.

    <p>Renal stones</p> Signup and view all the answers

    A newly admitted resident of a skilled facility has to void, however, a wheelchair and stretcher are blocking the entrance to the bathroom. Which type of incontinence is this patient most likely going to experience?

    <p>Functional</p> Signup and view all the answers

    An older patient is sitting in a wheelchair for 3 hours. When changing position the nurse notes an area of redness over the coccyx. Which risk factor caused this patient's area of erythema

    <p>Pressure</p> Signup and view all the answers

    An older patient who is losing weight refuses to come to meals and when he does he cannot sit down long enough to eat. What should the nurse do to improve this patient's nutritional status?

    <p>Provide with sandwiches small pieces of fruit and cheese, and spill-proof drink containers</p> Signup and view all the answers

    An older person who uses the bathroom three times a night is experiencing eye problems, extreme fatigue, weakness, unsteadiness, and depression. What should the nurse say in response to this patient's symptoms?

    <p>&quot;You may be having symptoms of sleep deprivation&quot;</p> Signup and view all the answers

    The nurse notes that an older patient has a behavior change during the evening hours. What should the nurse suspect is occurring with this patient?

    <p>Sundown syndrome</p> Signup and view all the answers

    The nurse encourages an older patient to increase activity. Which potential respiratory problem is the nurse helping to prevent? select all that apply

    <p>Sensory</p> Signup and view all the answers

    The nurse encourages an older patient to increase activity. Which potential respiratory problem is the nurse helping to prevent? Select all apply

    <p>Atelectasis</p> Signup and view all the answers

    After an assessment the nurse determines that an older patient is at risk for falling. What assessment findings did the nurse use to make this clinical decision? Select all that apply

    <p>Has sleep apnea</p> Signup and view all the answers

    The nurse is concerned that an older patient is at risk for aspirating. What information did the nurse use to make this clinical determination? Select all apply

    <p>Difficulty swallowing liquids</p> Signup and view all the answers

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