An older patient in the internal medicine clinic reports usually being able to walk 1 mile without complaint
However, in the past 2 weeks, after walking just mile, the patient's legs begin to ache. The pain goes away with rest. What action by the nurse is most appropriate?
a. Elevate the patient's legs
b. Assess the pedal pulses
c. Take the patient's blood pressure
d. Measure the patient for TED hose
Question 2The nurse is planning to teach an older patient about diverticulitis. What topic does the nurse include?
a. Dietary fiber and fluids will reduce the symptoms.
b. It is unusual to see diverticula in older persons.
c. Abdominal cramping and severe diarrhea should be reported.
d. Diverticulosis rarely reoccurs once it has been treated.
Question 3An older patient has been diagnosed with metabolic syndrome. What action by the nurse takes priority?
a. Educate the patient on medications.
b. Teach lifestyle changes the patient can manage.
c. Encourage 60 minutes of aerobic activity daily.
d. Instruct the patient on a low-fat diet.
Question 4A patient has been taught about nutrition related to COPD. Which menu selection may indicate a need for further teaching?
a. Bagel and cream cheese
b. Broiled chicken breast
c. Beans and peas
d. Tofu stir-fry
Question 5The nurse explains to ancillary staff that caffeine abuse is difficult to diagnose in the older adult patient because caffeine intoxication symptoms
a. can be confused with normal effects of aging.
b. often mimic those of some cardiac dis-orders.
c. produce fewer symptoms in older adults than in younger adults.
d. resemble the side effects of several anti-hypertensive drugs.
Question 6An older adult with chronic obstructive pulmonary disease (COPD) asks why he should quit smoking now. What response by the nurse is best?
a. It will keep your disease from getting worse.
b. There are many benefits to quitting even now.
c. It will decrease the risk of getting cancer too.
d. You're right; there really isn't a reason to quit.
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