Which assessment findings does the nurse recognize as being a normal part of aging for an older patient? Standard Text: Select all that apply.
1. Nocturia
2. Delayed urination
3. Less frequent voiding
4. New onset urinary incontinence
5. Decreased urine specific gravity
Question 2The nurse is assisting the graduate nurse in completing a plan of care for a newly admitted client. The client has a history of congestive heart failure and was admitted with shortness of breath.
Upon admission the client stated that she did not have enough money to purchase her medications. Which of the following nursing diagnoses will be of the greatest initial importance when planning care?
A) Activity intolerance related to shortness of breath
B) Fatigue related to shortness of breath
C) Ineffective management of therapeutic regime related to inability to purchase medications
D) Fluid volume overload related to shortness of breath
Question 3The graduate nurse is providing diet instructions for an older woman diagnosed with metabolic syndrome. Which example would be the best foods to include in her diet?
A) Salmon or other oily fish, walnuts, and olive oil
B) Bananas, whole-wheat toast, and dark chocolate
C) Chicken, frozen vegetables, and whole-wheat pasta
D) Eggs, soy milk, and fresh fruit
Question 4An older patient with chronic renal failure has not had a bowel movement for two days. What does the nurse realize this patient is at risk for developing?
1. Hypokalemia
2. Hyperkalemia
3. Metabolic acidosis
4. Increased serum creatinine levels
Question 5The student nurse is preparing an educational project for a women's senior citizen organization on heart disease. What information needs to be included?
A) Signs and symptoms of heart disease that are the same in men and women
B) Symptoms of heart disease in older women may include sleep disturbances, nausea, vomiting, and discomfort in the neck, back, or jaw.
C) Women who are having a heart attack seek medical treatment earlier than men
D) Exercise stress tests are more accurate in women
Question 6An older female patient asks the home care nurse what can be done to help with painful intercourse. What recommendations should the nurse make to the patient? Standard Text: Select all that apply.
1. Avoid intercourse.
2. Decrease the frequency of intercourse.
3. Use vaginal lubricants during intercourse.
4. Use the hand to guide the penis into the vagina.
5. Tolerate the problem because it is a normal part of aging.
Question 7The nurse is having difficulty inserting a urinary catheter in an older female patient. Which position should the nurse use to help facilitate the insertion of the catheter?
1. Side-lying lifting up the buttock
2. Supine with the bed flat, legs bent and apart
3. Supine with the HOB elevated at 30 degrees
4. Supine with the head of bed (HOB) elevated at 90 degrees
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