An older patient has a blood pressure reading of 150/88. The patient reports no other symptoms or medical history of illness. What should the nurse instruct the patient to do?
1. Have the blood pressure rechecked in a month.
2. Do nothing since this is a normal variant of aging.
3. Go to the emergency department for further evaluation and treatment.
4. Contact the primary care provider for further evaluation and treatment.
Question 2During a blood pressure screening at a pharmacy an older person experiences a fluttering in the chest. What should the nurse interpret this finding as being?
1. Hypothyroidism
2. Exercise intolerance
3. Nonspecific cardiac changes with aging
4. Underlying illness that requires a medical evaluation
Question 3A client reports he has been gargling with hydrogen peroxide to manage halitosis. He questions the nurse about the amount and frequency of gargling. What information should be provided to the client?
A) Advise the client to suspend the practice.
B) Advise the client to gargle with the hydrogen peroxide only one time per day to reduce irritation.
C) Advise the client to dilute the hydrogen peroxide solution with water prior to gargling.
D) Encourage the client to mix the hydrogen peroxide with mouthwash for gargling.
Question 4An older female patient is experiencing fatigue, nausea, vague complaint of intermittent chest discomfort, and not sleeping well. How should the nurse interpret these symptoms?
1. Signs of anemia
2. Pancreatic disease
3. Myocardial infarction
4. Normal changes of aging
Question 5A client diagnosed with oral candidiasis has voiced concerns about why she has gotten this disorder. She reports she has not been ill. What response by the nurse is indicated?
A) Candidiasis is a bacterial infection that may be transmitted by contact with dirty utensils.
B) The candidiasis infection is caused by a virus.
C) Candidiasis is an infection that results when there is an alteration in the normal flora of the mouth.
D) Candidias is often caused by eating spicy or irritating foods.
Question 6A recently licensed nurse has been hired by a long-term care facility. During orientation, the nurse remarks to her preceptor about the number of residents who have halitosis.
What is the likely underlying cause of the condition? Select all that apply.
A) The number of medications being administered
B) The limited amount of fluid intake
C) Limited attention to hygiene caused by problems with manual dexterity
D) Stomach disorders
Question 7The nurse working in a long-term care facility notes a client has been listless for the past few days. When questioned, the client reports mouth pain. The nurse looks into the client's mouth and assesses the teeth, gums, and tongue.
What actions should the nurse should take at this time? Select all that apply.
A) Encourage the client to gargle.
B) Review vital signs.
C) Assess respiratory status.
D) Review the client's tooth brushing routine.
Question 8The nurse is planning a teaching session for nursing assistants regarding effective communication with hearing-impaired patients. Which principles should be included in the program? Standard Text: Select all that apply.
1. Use gestures if appropriate.
2. Raise voice pitch when talking.
3. Pause at the end of each sentence.
4. Stand 1 to 2 feet away from the patient.
5. Speak in a normal tone of voice during the interaction.
Question 9When assessing the tympanic membrane of an older patient, the nurse notes the presence of two jagged white lines. What does this finding indicate to the nurse?
1. The tympanic membrane appears to be ruptured.
2. This is a sign of chronic infection of the tympanic membrane.
3. The white lines are consistent with a past history of a tympanic rupture.
4. The presence of these markings is consistent with the presence of an infection.
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