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jwyatt82 jwyatt82
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Posts: 313
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6 years ago
Older adults are at a greater risk for infection because of decreased skin elasticity and age-related skin dryness.
 
  Indicate whether the statement is true or false

Question 2

Mr. Anderson, who is 69 years old and obese, reports feeling tired all the time, even in the morning when he awakens. His wife reports that he snores loudly. What disorder should you suspect?
 
  a. Nocturnal myoclonus
  b. Dementia
  c. GERD
  d. Sleep apnea

Question 3

It is common for an older adult to feel colder and have decreased diaphoresis, even with an elevated body temperature.
 
  Indicate whether the statement is true or false

Question 4

The psychological and social impact of incontinence on an older person includes all of the following except
 
  a. Withdrawal from social activities
  b. Dementia
  c. Depression
  d. Diminished self-concept

Question 5

When first interviewing an elderly patient, a nurse should include questions about
 
  a. Nutrition
  b. Family history
  c. Chronic diseases
  d. All of the above

Question 6

John Robinson, 74 years old, complains of insomnia and of always feeling tired. He has been diagnosed with gastroesophageal reflux disease (GERD) and congestive heart failure. What would you suggest to help him sleep better?
 
  a. Take a long-lasting analgesic before bed
  b. Take antacids before bed to relieve acid reflux
  c. Raise the head of the bed so that the upper body is elevated
  d. Tell him to lie only on his side
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Replies
wrote...
6 years ago
Answer to #1

T
Age-related skin dryness and decreased elasticity increase the risk of skin breakdown and skin tears, leading to increased potential for injury and infection.

Answer to #2

D
The classic symptom of sleep apnea is fatigue on awakening and throughout the day. People with sleep apnea are very tired all the time. Sleep apnea occurs when the patient's airway is partially obstructed during sleep. Many people with sleep apnea are overweight. Responses A, B, and C are also causes of insomnia but are usually described with different symptomsnocturnal myoclonus, with sudden movements of the legs; dementia, with nighttime wandering; and GERD, with acid reflux.

Answer to #3

T
A normal age-related change is a reduction in subcutaneous fat, often leading an older adult to feel cold and to ask for sweaters. This reduction in subcutaneous fat and decreased sweat production may also cause an older adult not to exhibit diaphoresis even with a fever.

Answer to #4

B
Urinary incontinence does not cause dementia, but many demented older adults have problems with incontinence. Responses A, C, and D are noted with older adults who are incontinent.

Answer to #5

D
The presence of any chronic diseases, the nutritional status of the person, and family history, which can play a role in the development of certain diseases and in life span, all are important parts of the initial assessment of an elderly adult.

Answer to #6

C
Patients with acid reflux (GERD), congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD) should sleep with the head of the bed elevated. The head of the bed can be raised by placing blocks under the head end or by other means. Response A is incorrect; Mr. Robinson did not complain of pain. Response B may be appropriate if prescribed by a physician, but simple measures should always be tried first. Lying on the side may help but is unrealistic as a long-term solution.
jwyatt82 Author
wrote...
6 years ago
Makes tons more sense now! Vote with confidence people, these are all correct
wrote...
6 years ago
Slight Smile Feeling super proud now
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