A nurse assesses an 82-year-old client who states, That waiting room is so cold Which of the following systems should the nurse assess to determine the source of the clients sensations? (Select all that apply.)
A) Bowel sounds
B) Capillary refill time
C) Oral temperature
D) Respiratory rate
E) Skin temperature
Question 2A nurse monitors a group of older adults. Which of the following older adults is a high risk for functional consequences of altered thermoregulation? (Select all that apply.)
A) 78-year-old adult with heart failure
B) 75-year-old adult with a urinary tract infection
C) 80-year-old adult with vascular-type dementia
D) 71-year-old participant in a wellness center
E) 72-year-old adult with peptic ulcer disease
Question 3An older adult at home uses earplugs to diminish street noise at night. Which of the following statements by the nurse is appropriate?
A) Using earplugs during sleep can damage your hearing.
B) I suggest a smoke alarm with blinking lights.
C) Your neighbors must be really loud.
D) This apartment sounds really unsafe.
Question 4A nurse discusses sleep patterns with an older adult. The client states, I feel like all I do is lie in bed awake each night. Which response by the nurse is most appropriate?
A) How long do you lie there each night?
B) Describe your pillow and mattress to me.
C) Do you have a history of sleep apnea?
D) What have you tried to get a better nights rest?
Question 5A nurse presents an overview of sleep to older adults at an activity center. Which of the following risk factors for sleep problems should the nurse include in the presentation? (Select all that apply.)
A) Boredom
B) Chronic discomfort
C) Dehydration
D) Exercise
E) Lack of light
F) RLS
Question 6An older adult client states that he has lately been taking up to 2 hours to fall asleep at night, despite avoiding caffeine during the day and going for a brisk walk after lunch each day. Which of the following statements by the nurse is most appropriate
A) We can request a prescription for a sleeping pill from your primary care provider.
B) I suggest a 'nightcap' before bed, as long as it's not beer or wine.
C) It will benefit you to get up at the same time each morning, even if you are tired.
D) Move your daily walk to the late evening to make yourself tired before bed.
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