The nurse's assessment of an older client suspected of having Acquired immunodefi-ciency syndrome (AIDS) is based on the fact that:
a. it is often not recognized due to its low incidence in older adults.
b. many of the classic symptoms are also common to other conditions common in older adults.
c. presenting symptoms are markedly different than in younger adults.
d. AIDS progresses much slower in older adults so symptoms are not recognized easily.
Question 2When diagnosed with diverticulosis, a client asks how this problem occurred. Which assessment data identifies a risk factor for diverticulosis?
a. Drinks a quart of whole milk daily.
b. Takes an over the counter laxative twice weekly.
c. History of a Helicobacter pylori infection.
d. Maintains a diet low in fiber.
Question 3What is the first step in developing a plan to reduce risk for injury for a client diag-nosed with chronic obstructive pulmonary disease (COPD)?
a. Evaluating the client's understanding of the pathophysiology of the disease.
b. Assessing the client's ability to cope with the physical changes the disease will cause.
c. Determining the degree of acceptance the client has for the suggested lifestyle changes.
d. Monitoring the client for signs of depression and hopelessness regarding the future.
Question 4Which outcome regarding the effects of touch on the skin is not supported by current research?
a. Brings about sensory stimulation.
b. Help relieves physical and psychosocial pain.
c. Known to reduce anxiety and tension.
d. Improves skin integrity.
Question 5An older adult reports being dizzy when getting up too quickly from a sitting posi-tion. Which intervention will be appropriate in monitor the client's blood pressure.
a. Positioning the client in a supine position for the assessment
b. Taking 3 blood pressure assessments 5 minutes apart
c. Arranging for the client to have ambulatory blood pressure monitoring
d. Taking the blood pressure both manually and electronically to compare read-ings
Question 6A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best evaluate the management plan prescribed for this client?
a. A yearly funduscopic examination by an ophthalmologist
b. Regular foot examinations by a podiatrist
c. Quarterly hemoglobin A1C
d. Biannual cholesterol testing
Question 7A 77-year-old patient had an acute myocardial infarction and subsequently coronary artery bypass graft (CABG) surgery. The multi-disciplinary team recommends that the patient attend a cardiac rehabilitation program. The client tells the nurse, I don't se
a. cardiac rehabilitation programs typically begin with light activity and progress in intensity with the supervision of a nurse or physical therapist.
b. cardiac rehabilitation programs are only useful for individuals who are typi-cally sedentary and would not exercise otherwise.
c. cardiac rehabilitation programs are only offered in long-term care settings.
d. cardiac rehabilitation programs are more effective in men than in women.
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