A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for
a. aspiration from fistula formation.
b. hemorrhage.
c. incompetence of the suture line.
d. dumping syndrome.
Question 2With aging the skin becomes thinner and more fragile. The thinning of the skin's subcutaneous fat layer makes older adults more sensitive to:
A) Cold
B) Heat
C) Pain
D) Pressure
Question 3The nurse interviews a 65-year-old client with the onset of nocturia. The client gets up two times and sometimes three times a night to void. Which of the following physical changes most likely contributes to this phenomenon?
A) Hypertrophy of the bladder muscle interferes when the client is standing for long periods.
B) Improved kidney circulation occurs when the client is lying down for a few hours.
C) Decreased ability for the bladder to expand reduces its capacity.
D) The nocturia is related to the client's development of dementia.
Question 4An ileostomy was performed on a patient for the treatment of debilitating ulcerative colitis disease. A problem the nurse should watch for in patients after this surgery is
a. fluid imbalance.
b. sexual activity restriction.
c. skin excoriation.
d. the collecting appliance being bulky and large.
Question 5It is important to measure and record fluid input and output accurately because this information is used in evaluating a patient's fluid balance and in planning care and treatment. Dehydration is a significant risk for the elderly because:
A) The number of body cells is less, and fewer cells are functioning in the body.
B) Total body fat as a proportion of the body's composition increases with age.
C) Cellular solids and bone mass decrease with age affecting the ability to balance.
D) Extracellular fluid remains constant, but intracellular fluid decreases with age.
Question 6The nurse teaches a 90-year-old male patient these steps he can take to minimize urinary retention: ensure good fluid intake, massage the bladder area, and run water while he is voiding.
The primary reason for this teaching is prevention of which of the following? A) Urinary incontinence
B) Urinary tract infections
C) Constipation
D) Prostatic hypertrophy
Question 7A 56-year-old patient with diverticulitis has been admitted to the medical unit. The nurse will most likely document which assessment in the charting?
a. Chest pain
b. Pain in the upper right quadrant
c. Pain in the left lower quadrant
d. Progressive weight loss
Question 8Which of the following phenomena most likely accounts for the progressive loss of hearing that an 83-year-old man is experiencing?
A) Multiple changes in the structures of the inner ear.
B) The effect of cognitive changes on the interpretation of auditory stimuli.
C) Cellular atrophy of the cells in the outer and middle ear.
D) Age-related deterioration of the neural pathways associated with hearing acuity.
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