An older male patient recovering from a myocardial infarction (MI) asks the nurse if future sexual activity is now contraindicated. Which statement should the nurse use to respond to the patient?
A) Sexual activity after MI is usually contraindicated.
B) Medications can be used to enhance sexual function.
C) There are positions that produce the least strain on the heart during sexual activity.
D) Current research suggests that sexual activity does not require modification following MI.
Question 2Although the immune system is affected by the aging process, the elderly are not the only individuals who have autoimmune disorders. These occur in populations of all ages because autoimmune disorders involve:
A) An attack of antibodies on body cells
B) An overproduction of T cells in bone marrow
C) A decrease in the weight of the thymus gland
D) An increase in the amount of lipofuscin in the blood
Question 3The nursing staff at a nursing home works closely with the staff in the Endocrinology Department at a local hospital.
This relationship is maintained for the welfare of the nursing home residents, because a failing immune system in the elderly might account for: A) A decline in the rate of growth hormone production
B) The increased incidence of cancer among the aged
C) The oxidative activity of free radicals
D) Changes in brain activity and nervous system function
Question 4The nurse debriding a wound explains the purpose of debridement is to:
a. increase the effectiveness of the skin graft.
b. prevent infection and promote healing.
c. promote suppuration of the wound.
d. promote movement in the affected area.
Question 5Which interventions would be appropriate for the nurse to use to improve the tissue perfusion of an older patient? (Select all that apply.)
A) Reminding about frequent position changes
B) Ensuring an adequate body temperature
C) Encouraging physical activity when possible
D) Assessing for and preventing sources of pressure on the body
E) Limiting exercise and ensuring adequate rest between periods of exertion
Question 6An older patient recovering from surgery is experiencing left calf edema and the area is red and painful to touch. Which actions should the nurse anticipate to be prescribed for this patient?
A) Bed rest and administration of nitroglycerine as ordered
B) Massaging the affected leg and providing analgesia as ordered
C) Mobilizing the client and providing an ice pack for the affected leg
D) Application of elastic stockings and administration of anticoagulants as ordered
Question 7Which of the following statements underlie both the error theory of aging and the free radical theory of aging?
A) Biochemical damage accumulates over time, leading to cell death.
B) The rate of cellular death is genetically programmed.
C) The aging body produces fewer growth and repair hormones.
D) Environmental agents such as radiation and heavy metals damage DNA.
Question 8A patient has been walking in the woods. He complains of severe pruritus. The nurse notes an erythematous area on his lower legs. The first nursing intervention for dermatitis venenata would be to
a. administer Benadryl, 50 mg IM.
b. wash area with copious amounts of water.
c. apply cool compresses continuously.
d. expose area to heat and air.
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