Question 1

The nurse administers an antibiotic and naproxen, an anti-inflammatory medication, to an older female adult.Which laboratory test result should the nurse monitor to gauge if this older person's kidneys are able to metabolize the medication?

Accepted Answer

A

Question 2

An older person who recently had surgery complains of pain at a level of 3 out of 10 and constipation during the postoperative primary care visit.Which intervention should the nurse implement to first facilitate elimination in this older person?

Accepted Answer

Reviewing the medication list is crucial as medications can often contribute to constipation, especially in older adults. Adjusting or changing medications may alleviate the constipation without the need for additional interventions.

Question 3

During a nursing assessment, an older person tells the nurse about increasing loss of balance.Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance?

Accepted Answer

B

Question 4

Common health promotion advice for older persons is to not smoke, or to stop smoking.What other health teaching should the nurse provide to promote healthy lungs in an older person?

Accepted Answer

Obtaining an annual influenza immunization is important for older adults to protect against respiratory infections, which can severely impact lung health.

Question 5

An older person is reading a large-print magazine and states that reading is difficult for her in the evening.Which following intervention should the nurse implement?

Accepted Answer

By putting a high-intensity lamp at the head of the bed, the nurse can improve lighting conditions for reading and reduce difficulty in reading. However, this intervention should be implemented after assessing the patient's potential for glare and the need for other adjustments like magnifiers. B, C, and D are not relevant or effective in addressing the patient's difficulty in reading at night.

Question 6

Which age-related change contributes to anorexia and weight loss in the older person?

Accepted Answer

As people age, they tend to have fewer taste buds, which can lead to a decreased sense of taste and appetite. This can contribute to anorexia and weight loss in older adults. Excessive saliva, wearing dentures, and softened tooth enamel are all age-related changes that can impact oral health but are not directly linked to anorexia and weight loss.

Question 7

Decreased functioning of which physical structure is likely to result in decreased metabolism in older persons?

Accepted Answer

The thyroid gland is responsible for producing hormones that regulate metabolism. As we age, the activity of the thyroid gland tends to decrease, leading to a decrease in metabolism. This can contribute to weight gain and other health issues in older adults.

Question 8

The nurse cares for an older person who appears to be malnourished and short of breath and has an infection in a large wound on his coccyx.Which intervention is the nurse's priority?

Accepted Answer

Maintaining oxygen saturation above 95% is the priority intervention in this case, as the patient is short of breath and likely experiencing respiratory distress. This should be addressed immediately to prevent further deterioration of the patient's condition. Monitoring temperature and leukocytes, providing assistance with meal planning, and providing high-quality protein in the diet are also important interventions, but they are secondary to addressing the patient's respiratory distress.

Question 9

An older person has been diagnosed with a nutrition imbalance.Which age-associated intestinal problem should the nurse be aware of when planning goals and interventions to improve this older person's nutritional status?

Accepted Answer

The answer of An older person has been diagnosed with...

Question 10

Which theory of aging suggests that the adverse physical effects of aging result from gradual loss of control mechanisms in the pituitary and hypothalamus?

Accepted Answer

The Neuroendocrine theory suggests that the physical effects of aging are a result of gradual loss of control mechanisms in the pituitary and hypothalamus. This theory suggests that changes in hormonal regulation contribute to aging-related decline and dysfunction.

Question 11

An older-person male who spray-paints houses for a living has had a myocardial infarction (MI).Which intervention should the nurse implement to prevent adverse health effects from his occupational history?

Accepted Answer

Promoting coughing and deep breathing is essential for someone who has been exposed to inhalants like spray paint, as it helps clear the lungs of any residual toxins and can prevent respiratory complications, which are crucial after a myocardial infarction to ensure adequate oxygenation.

Question 12

The nurse designs a group exercise program at an older-person centre.Which room should the nurse choose for the program?

Accepted Answer

A room with an old hardwood floor and large windows overlooking a garden area would be the best choice for an exercise program for older adults because it provides a comfortable and inviting environment with natural light and views of the outdoors. The hardwood floor allows for safe and stable movement, and the large windows create a pleasant atmosphere for exercising. Additionally, the garden area may provide extra motivation and enjoyment for participants.

Question 13

Which change in the skin is abnormal in an older person?

Accepted Answer

A tear in the skin after being assisted with transferring from the bed indicates that the skin is abnormally fragile and susceptible to injury. While thinning of the skin (A), mottled pigmentation and greater number of freckles (C), and loss of hair on the extremities (D) are common changes in older adults, they are not necessarily abnormal.

Quiz 6: Biological Theories and Physical Changes of Aging