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Shassta22 Shassta22
wrote...
Posts: 82
Rep: 1 0
6 years ago
Which of the following is a normal reflex profile for an elderly patient?
 
  A) Knee: normal; arm: absent; abdomen: absent
  B) Knee: normal; arm: reduced; abdomen: absent
  C) Knee: reduced; arm: normal; abdomen: reduced
  D) Knee: reduced; arm: reduced; abdomen: absent

Question 2

A nurse conducts a class for family caregivers of elderly relatives. A woman in the audience asks about her mother's frequent urinary tract infection. What changes should the nurse suggest to the family?
 
  A) Make changes to the mother's diet to include eggs, cheese, and fish
  B) Direct the mother to perform Kegel exercise at least 10 times per day
  C) Establish a regular toileting schedule at least every 4 hours during the day
  D) Ensure that the mother has an annual Pap smear to maintain good genitourinary health

Question 3

The patient, age 32, has ulcerative colitis, and his condition is deteriorating. An ileostomy is scheduled. After the procedure, this patient may be at risk for
 
  a. Activity intolerance.
  b. Sexual dysfunction.
  c. Disturbed body image.
  d. Ineffective thermoregulation.

Question 4

Which of the following is the most common urinary problem among men aged 65 years and older?
 
  A) High urinary volume
  B) Glucose in the urine
  C) Stress incontinence
  D) Frequent urination

Question 5

An 85-year-old client with limited mobility is incontinent of urine. An expected outcome of the plan of care is to maintain skin integrity. Which of the following interventions most appropriate?
 
  A) Assess the patient for wetness every 2 hours
  B) Complete ultrasound bladder scans after each void to measure residual volume of urine
  C) Ensure the client remains free of urine odor
  D) Obtain an order for the insertion of an indwelling catheter
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Replies
wrote...
6 years ago
Answer to #1

B
Feedback:
Reflexes are lessened in the arms, are nearly totally lost in the abdomen, but are maintained in the knee.

Answer to #2

A
Feedback:
Dietary changes can prevent a variety of urinary tract problems. Acidic urine is beneficial in preventing infection and can be enhanced by ingestion of cranberries, prunes, plums, eggs, cheese, fish, and grains.

Answer to #3

C
Nursing diagnoses for the surgical patient may be focused on potential Ineffective coping, Situational low self-esteem, and Disturbed body image.

Answer to #4

D
Feedback:
Although all these conditions may occur or coexist, most common is the need for frequent urination associated with enlargement of the prostate gland. This enlargement occurs to some degree in three-fourths of men aged 65 years and older.

Answer to #5

A
Feedback:
Catheter use should be avoided. Checking the patient for wetness is critical to maintaining skin integrity and would supersede the importance of odor. Postvoid residual scans would be helpful for incomplete emptying of the bladder.
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