A care aide at a long-term care facility has assured the family of a resident that their father's increasing forgetfulness is a normal part of the aging process. How can the nurse best respond to the care aide's statement to the family?
A) It's actually a myth that older people experience changes to their memory..
B) Memory losses are a normal age-related change many people experience..
C) Older adults have less working memory and slower retrieval, but this still requires further assessment..
D) There is no reason for healthy older adults to experience changes in their memory unless they are experiencing dementia..
Question 2Which of the significant neurovascular impairment symptoms, following a musculoskeletal trauma, should be reported to the physician? (Select all that apply.)
a. Extremity feels warm to touch
b. Slow capillary refill
c. Diminished or absent pulses,
d. Extremity pink in color
e. +1 edema of extremity
f. Unrelieved pain after administration of pain medication
Question 3A 75-year-old client has presented to the emergency department with complaints of recent fatigue, nausea, and vomiting. The patient's temperature is 101.8F orally and urinalysis indicates proteinuria and slight hematuria.
Which of the following diagnoses is the care team most likely to suspect? A) Glomerulonephritis
B) Renal calculi
C) Bladder cancer
D) Prostatic hypertrophy
Question 4A hospital client, aged 82 years, is presently undergoing an endocrine diagnostic workup in an effort to diagnose his increasing fatigue of unknown etiology. Which of the following findings would his care team recognize as potentially pathological?
A) Apparent decreased thyroid gland activity.
B) Decreased somatotropic growth hormone (GH) levels.
C) Delayed and insufficient release of insulin by the beta-cells.
D) Decreased erythropoietin production by the kidneys.
Question 5The main purpose of traction is to (Select all that are correct)
a. Align and stabilize a fracture
b. Prevent deformities
c. Relieve muscle spasms
d. Promote bed rest
e. Increase circulation to the rest of the body
Question 6A 74-year-old woman has presented to the emergency department with a suspected hip fracture following a fall on the sidewalk outside her home.
The nurse's assessment of the client would recognize which of the following factors as most likely contributed to the suspected injury? A) Bone remodeling in long bones ceases in the seventh or eighth decade.
B) Bone minerals and mass are reduced as part of the aging process.
C) Bone marrow production of cellular components declines with age.
D) Thinning disks and shortened vertebrae are common assessment findings in older adults.
Question 7Among the most common fractures in older women are _______fractures.
Fill in the blank(s) with correct word
Question 8A 77-year-old client has presented to the primary care provider with a complaint of recent hematuria. Which of the following aspects of the client's history would most clearly signal to the care provider a risk of bladder cancer?
A) The client has been a heavy drinker as an adult.
B) The client has poor nutritional status and eats a high-salt diet emphasizing processed foods.
C) The client has been a smoker since the age of 15.
D) The client has a history of recurrent urinary tract infections.
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