Which of the following statements by the daughter of an 87-year-old resident of a nursing home would the nurse most likely want to correct or clarify?
A) It seems like more and more people are living well into their 80s like my mom..
B) My mom has a house worth loads of money but little cash flow, like many older adults..
C) It seems like heart disease is getting more common even though people live longer than they used to..
D) There are more women living to my mother's age than there are men..
Question 2In preparation for the return of the surgical patient, the patient's bed and equipment should be in what position?
a. Lowest position with side rails elevated with oxygen and suction equipment available
b. Highest position with side rails elevated with IV pole and pump at bedside
c. Lowest position with side rails down on the receiving side
d. Highest position with the side rails down on receiving side and up on opposite side
Question 3Which clinical guideline should the nurse follow when providing oxygen therapy to older adults?
A) Oxygen therapy should be utilized with older adults only as a last resort
B) Oxygen therapy should be used with caution to prevent CO2 retention and narcosis
C) Inhaled or nebulized medications are contraindicated with ongoing oxygen therapy
D) Oxygen therapy can safely be used with patients experiencing or at risk for developing lung disease
Question 4The family of an 85-year-old man who has been admitted to hospital with exacerbation of his chronic obstructive pulmonary disease (COPD) has expressed concern about their ability to pay for his present and future care.
Which of the following statements most accurately conveys the reality of payment for care services by older adults? A) The high value of assets owned by older adults makes the financial burden of care minimal for most older adults.
B) Payment for long-term care of adults is most often covered by private insurers.
C) Most older adults have their basic care needs provided in a long-term facility.
D) Overall, federal money pays for more care than do older adults themselves or private insurers.
Question 5Ideally, preop teaching should be done
a. immediately before surgery to eliminate fear.
b. 2 months in advance so the patient can prepare.
c. 1 to 2 days before the surgery when anxiety is not as high.
d. in the surgical holding area.
Question 6The nurse educator is instructing new graduate nurses on the differences in presentation and course of pneumonia in older adults. What differences should the educator include in this teaching?
A) Older adults often do not experience chest pain or exhibit a high fever
B) Older adults often develop sepsis before symptoms of pneumonia are evident
C) Older adults more often develop lung consolidation rather than production of secretions
D) Pneumonia in older adults is most often linked to exposure to environmental toxins over the course of a lifetime
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