The nurse discusses nutritional health with an 89-year-old client whose total protein level is 5 (abnormally low).
Which of the following physiological changes should the nurse interpret as a potential pathological process rather than a normal age-related change? A) Decreased amounts of pepsinogen released in the stomach
B) Decreased peristalsis of the esophagus and stomach
C) Decreased taste sensations, decreasing food intake
D) Decreased teeth and chewing ability
Question 2A patient, age 79, fell at home and suffered an intracapsular fracture of his left hip. The orthopedic surgeon inserted a prosthetic implant for a bipolar hip replacement. The physician has instructed the nurse to turn him every 2 hours.
The nurse understands that the correct nursing intervention is to keep the legs a. together so they don't separate while turning.
b. from rubbing together.
c. abducted so the prosthesis does not become dislocated.
d. abducted to prevent additional pain for the patient with turning.
Question 3A government study investigated the incidence of diseases and their probable causes in elderly Native Americans as compared with all elderly Americans.
Study results showed that Native American seniors have twice the incidence of which of the following diseases? A) Arthritis
B) Cancer
C) Heart disease
D) Diabetes
Question 4Which of the following statements by older adult clients should the nurse interpret as a potential pathological process rather than a normal age-related change?
A) Food just doesn't seem to have as much taste as it did when I was younger..
B) I feel like it takes so much longer to digest my meals than it used to..
C) Even when I have a bowel movement it often doesn't feel like it's complete..
D) I tend to regurgitate a lot of my food after a meal these days..
Question 5A patient, age 89, has had a right below-the-knee amputation. He is progressing well but continues to complain of pain in the toes on his right foot. The physician told him that he is suffering from phantom pain in his amputated extremity.
He asks the nurse to explain phantom pain. The most appropriate response would be a. Phantom pain does not exist except in your mind.
b. I can't answer that. You'll have to ask the physician.
c. Phantom pain occurs because the nerve tracts that register pain in the amputated limb continue to send a message to the brain.
d. Phantom pain occurs when you start thinking about your loss. It's best to keep your mind occupied with other things.
Question 6Nurse A works with Native American patients at a reservation health care center. She advises a new staff member to be especially observant of these patients and tolerant of their health care requests because Native American patients:
A) May demand special rituals during sickness and at death
B) Use services from agencies as a last resort because such assistance conflicts with their belief in the Great Creator
C) Link the typical nursing assessment process to evil forces or to punishment
D) Show their absence of feeling, caring, or discomfort by appearing calm and controlled
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