Which patient would be most at risk for constipation?
a. Patient taking antibiotics for an upper respiratory infection
b. Patient taking hormones for postmenopausal symptoms
c. Patient iron supplements for anemia
d. Patient taking nonsteroidal inhalants for chronic obstructive pulmonary disease (COPD)
Question 2The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)
a. Altering their body position every 30 minutes while sitting in the chair
b. Changing incontinent products when they become soiled
c. Using a pressure-relieving device like the donut to sit on
d. Routinely checking their feet for redness and indentations
e. Patting the skin dry after a shower or bath
Question 3On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer.
Fill in the blank with the appropriate word.
Question 4What can a nurse do to encourage a normal bowel movement in an older adult?
a. Encourage the patient to decrease fluid intake.
b. Provide a warm beverage at breakfast.
c. Administer a mild laxative at bedtime.
d. Provide a warm shower each morning.
Question 5What interventions by the nurse will aid in maintaining skin integrity in the long-term care facility residents? (Select all that apply.)
a. Changing the briefs and bed linens when damp
b. Maintaining the temperature in the room at 80 degrees
c. Rinsing excess soap off the skin during a shower
d. Administering frequent pericare on the continent resident
e. Laying residents down after lunch
Question 6Which long-term care residents would benefit from a referral to a podiatrist? (Select all that apply.)
a. 90-year-old poststroke patient with right hemiparesis
b. 85-year-old diabetic patient who is 100 lb overweight
c. 80-year-old resident with phlebitis and a stasis ulcer on the left ankle
d. 75-year-old resident with congestive heart failure (CHF)
e. 70-year-old resident with chronic obstructive pulmonary disease (COPD)
Question 7A dark-complexioned African American has a suspected skin breakdown over the trochanter. What would be appropriate measures for the nurse to implement during the assessment? (Select all that apply.)
a. Use a halogen light to examine the area.
b. Palpate for local edema in the area.
c. Touch the area to feel for changes in tissue temperature.
d. Assess for localized pain.
e. Press the area to test for blanching.
Question 8What are causes of xerostomia in the older adult? (Select all that apply.)
a. Reduction in saliva
b. Allergy
c. Eating highly seasoned foods
d. Inadequate fluid intake
e. Use of diuretic medications
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