A client, age 75, voices frustration at receiving a new, stronger prescription for a pair of glasses. He states, My vision just seems to be getting worse with each year. The nurse asks additional questions for clarification.
The client indicates his chief complaint is visual acuity. Which of the following statements by
the nurse is most accurate at this time?
A) I certainly understand your frustration.
B) Perhaps you should be evaluated for an underlying medical problem that may be causing these drastic visual problems.
C) The visual problems you are reporting become increasingly common after age 70.
D) The problems you are experiencing are likely the early stages of glaucoma.
Question 2The nurse is planning care for an older patient with heart failure who is experiencing shortness of breath. Upon assessment the patient stated the inability to purchase medication because of financial limits.
Which nursing diagnoses will be of the greatest initial importance when planning care? 1. Fluid Volume Excess
2. Fatigue related to shortness of breath
3. Activity Intolerance related to shortness of breath
4. Ineffective Management of Therapeutic Regime related to inability to purchase medications
Question 3An older patient with valvular disease is scheduled for an echocardiogram. What should the nurse teach the patient about this diagnostic test?
1. Determines the risk for metabolic syndrome
2. Analyzes the reasons for high blood pressure
3. Visualizes the heart valves as they open and close
4. Measures the amount of blood flowing through arteries
Question 4A client is moving into a long-term care facility. During the data collection, the nurse is collecting information concerning his visual acuity. The nurse notes the client is wearing glasses.
When performing the assessment, what actions by the nurse are most appropriate?
A) Ask the client to remove the glasses during the assessment.
B) Allow the client to choose whether or not to remove the glasses during the assessment.
C) If the client reports wearing the glasses more than 25 of the time, the glasses should be worn during the assessment.
D) Ask the client to wear the glasses.
Question 5An older patient diagnosed with pneumonia does not understand why the health problem occurred since respiratory problems have never been experienced. How should the nurse respond to this patient? Standard Text: Select all that apply.
1. Back joints are stiffer.
2. Less oxygen is used with aging.
3. Ciliary function decreases with age.
4. Retention of carbon dioxide occurs with aging.
5. Decreased immune function occurs with aging.
Question 6When asking an older person to make environmental changes in the home to improve safety, which nursing strategy has the highest priority?
A) making a list of safety hazards to call workers to correct problems
B) assess lighting in dining area and the degree of contrast to find areas for improvement
C) discuss each suggestion with client and mutually agree before instituting the plan
D) reframe problems to be more positive to increase acceptance of assistive devices
Question 7During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?
1. Shovel the steps only.
2. Avoid shoveling at this time.
3. Shovel for 30 minutes at a time.
4. Shovel for 10 minutes and then stop.
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