After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes?
A) Posture is slightly kyphotic
B) Slight wheeze on exhalation
C) Uses accessory muscles on expiration
D) Mucous membranes drier than younger clients'
Question 2A nurse who practices in a long-term care facility is providing care for a 101-year-old black female.
The nurse's coworker states, It's gratifying that black people in this country are finally reaching the same levels of health that white people are enjoying.. How can the nurse best respond? A) Actually, the difference in life expectancy between black people and white people is growing, not shrinking..
B) We've not yet arrived at a place where the life expectancies are equal between black and white people, but the gap is decreasing gradually..
C) Black women do tend to live longer than white women, but the overall life expectancies when men are included are not yet equal..
D) You're right. Since the 1980s the life expectancies of black and white Americans have remained nearly the same..
Question 3Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be
a. Impaired verbal communication.
b. Impaired gas exchange.
c. Deficient knowledge, postoperative.
d. Acute pain.
Question 4A public health nurse who directs a homecare program that serves an area with a large population of older adults is conducting a long-term strategic plan.
Which of the following phenomena should the nurse take into account when planning for the future? A) While life expectancy will continue to rise, the percentage of older adults in the United States relative to the overall population will decrease.
B) By 2020, it is expected that over one-third of Americans will be over the age of 65.
C) Both life expectancy and the percentage of people over 65 in the population will increase in coming decades.
D) Chronic conditions, such as diabetes, are expected to bring a gradual decrease in the number of older adults by 2020.
Question 5An older patient admitted to the hospital with renal failure is overheard asking his family to bring in the bag of red licorice from the kitchen. The nurse is concerned because licorice can cause which adverse effects? (Select all that apply.)
A) Edema
B) Bradycardia
C) Hypokalemia
D) Hypertension
E) Hypernatremia
Question 6A patient will have an incision in the lower left abdomen. Which intervention by the nurse will help decrease discomfort in the incisional area when she coughs postoperatively?
a. Apply a splint directly over the lower abdomen.
b. Keep the patient flat with feet flexed.
c. Turn her on her right side.
d. Apply a splint above and below the incision.
Question 7An older patient is prescribed nicotinic acid to correct cholesterol imbalances. For which side effects of this medication should the nurse instruct the patient? (Select all that apply.)
A) Gas
B) Itching
C) Tingling
D) Flushing
E) Muscle pain
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