A nurse in a long-term care facility has noticed that many residents of the facility spend a large ...

A nurse in a long-term care facility has noticed that many residents of the facility spend a large amount of time in bed yet frequently complain of fatigue and sleep deprivation.
 
  What change in the facility's environment is most conducive with helping residents achieve adequate amounts of restful sleep?
 
  A) Keeping the lights at a consistent, low level throughout the day and night
  B) Allowing residents to awake/sleep according to their own routines
  C) Maintaining the facility at a temperature of 78F to 80F during the night
  D) Checking on each resident every 2 hours during the night to ensure safety

Question 2

A nurse plans the care for an older adult man who consumes two alcoholic beverages each evening. Which of the following should be included in the plan of care?
 
  A) Allow for a later bedtime.
  B) Encourage the client to cease all alcohol intake.
  C) Monitor for nocturnal awakenings.
  D) Watch for an increased rapid eye movement (REM) sleep.

Question 3

A nurse is responsible for the care of group of older adults on an acute medical unit. Which of the following clients should the nurse monitor closely at night for worsening symptomatology?
 
  A) A client with a diagnosis of chronic obstructive pulmonary disease (COPD)
  B) A client with diagnoses of osteoarthritis and failure to thrive
  C) A client with a diagnosis of foot cellulitis secondary to diabetic neuropathy
  D) A client with chronic anemia receiving transfusions of packed red blood cells

Question 4

A nurse monitors older adults at an assisted living facility for pressure ulcers. Which of the following older adult is at highest risk for a pressure ulcer?
 
  A) The obese older adult with continuous positive airway pressure (CPAP) mask
  B) The frail older adult with a hearing aid
  C) The older adult undergoing therapy for a weak hand
  D) The older adult preparing to walk a half marathon

Question 5

A nurse assesses residents of the acute care facility for pressure ulcers. Which older adult should the nurse monitor closely for pressure ulcers?
 
  A) The Asian with multiple nevi on extremities
  B) The Ethiopian former store clerk
  C) The fair-skinned Caucasian woman
  D) The wrinkled face Hispanic ranch worker

Question 6

A nurse assesses older adults at risk for pressure ulcers. Which of the following assessment tools should the nurse use to identify those who might benefit from interventions? (Select all that apply.)
 
  A) Braden Scale
  B) Norton Scale
  C) PUSH Scale
  D) Reverse staging
  E) Waterloo Scale