An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine whether this wom-an is experiencing pain?
a. Holds abdomen tightly. c. Is not verbalizing.
b. Has stable vital signs. d. Moves during sleep.
Question 2An older man who resides in a nursing home has total cholesterol of 245 mg/dl. Which nursing intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suita-ble foods.
Question 3The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg.
He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse im-plement? a. Administer an opioid medication by IV route.
b. Check the surgical dressing for bleeding.
c. Report the vital signs to the health care provider.
d. Ask if he has about discomfort at the sur-gical site or any other location.
Question 4Compared with acute pain, which of the following statements is true of persistent pain?
a. Leads to significantly altered vital signs.
b. Is usually described as a burning pain.
c. Is generally gone within 4 months.
d. Can bring about long term changes in lifestyle.
Question 5Which statement is true about Medicare for older adults?
a. Medicare covers home care expenses if skilled nursing services are required.
b. Medicare enrollees spend under 1500 annually out of pocket for chronic ill-nesses.
c. Complementary and alternative medicines (CAM) are not covered by Medicare.
d. Medicare covers care for those who have trouble with activities of daily living.
Question 6Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly worship service.
b. Wheels ambulatory adults to exercise when running late.
c. Assigns female nurses to older women who are Islamic.
d. Allows older adults in a nursing home to eat meals alone.
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