1. The nurse in the medical surgical
1. The nurse in the medical surgical unit checks the temperature of an older adult diagnosed with pneumonia. The client’s temperature is 100.8. The nurse provides oral hydration to the older adults and encourages fluid intake. Four hours later, the nurse rechecks the temperature and notes that it is 100.8. which nursing action should the nurse take at this time. a. Document the temperature b. Increase the intravenous fluids c. Notify the healthcare provider d. Continue hydration and check temperature in 4hrs 2. A nurse is caring for an older adult client who is disoriented with a history of falls. Which action(s) should the nurse take select all that apply a. Raised all side rails on the client’s bed b. Obtain a prescription to restrain the clients as needed c. Check on the client hourly d. Instructs the client in the use of the core lights 3. A nurse is planning health promotion education for a group of older adult client’s which instruction would most benefit the older adult? a. Eating a healthy diet b. strategies to maintain independence c. preservation of social interactions d. promoting financial stability 4. Which statement describes the nurse’s best analysis regarding cautious use of sedatives in clients over 65 years of age? a. Older clients have decreased therapeutic effects from sleeping medication b. Older clients have an increased risk of nephrotoxicity and ototoxicity related to sedative use c. Older clients are more prone to the effect of fluid and electrolyte imbalances d. People over 65 years of age are more prone to addition and dependence 5. A nurse is providing education to a class of adult about the expected physiologic changes of aging which changes should be included in the discussion? select all that ap apply a. Dehydration of intervertebral disc b. Decrease systolic blood pressure c. Increased bladder capacity d. Increased cough reflex e. More difficulty seeing due to a greater sensitivity to glare 6. A nurse is preparing a presentation at a Senior Center about age-related musculoskeletal changes which change should the nurse plan to include? a. Decreased muscle mass b. Thickened vertebral disks c. Reduced chest width d. Increased force of isometric contraction 7. A nurse is caring for an older adult with a fractured hip. The client will require rehabilitation care and the client’s family asks the nurse for more information about this type of care. Which explanation should the nurse provide? a. this type of care assists a person to achieve the highest possible level of functioning after illness or injury b. this service focuses on instructing the primary caregiver to meet the client’s needs c. the emphasis is on the client’s complete recovery from the illness or injury d. the service is always centered in long-term care facilities 8. A nurse working for a home health agency is assessing an older adult client. Which finding is the priority for the nurse to address? a. Swollen gums b. Pruritus c. urinary hesitancy d. dysphagia 9. A nurse in a long-term care facility is working with an older adult client. Which nursing action promotes autonomy for the client? a. Planning meals b. decorating the room c. scheduling haircut appointment d. allowing the client to choose social activities 10. A nurse on a medical surgical unit is reviewing digoxin therapy for an older adult client. the client is at risk for which of the complication? a. Decreased absorption of digoxin b. Increased risk for digoxin toxicity c. Decreased therapeutic effects of dioxin d. Increased risks for side effects related to digoxin.
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