When assessing the geriatric client it is important to perform each of the following except. The maximum score in each of these components is 4.

When assessing the geriatric client it is important to perform each of the following except cherry angioma c. In assessing the aging client, it is important for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of Study with Quizlet and memorize flashcards containing terms like An instructor is describing a comprehensive nursing health assessment to a group of students. chronic medical conditions Osteoporosis is MOST accurately defined as: a decrease in bone mass and density. Men have more Answer: B. The nurse notices a reddened area on the calf of his right leg that is warm to the touch, and the nurse suspects that the client may have thrombophlebitis. " b) "I have stopped smoking cigars. The assessment of older people differs from standard medical review in three ways: (1) it In assessing the aging client, it is importnat for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) The job that the client held prior to aging d) All components of well-being, including biological function, psychological function, and social function Study with Quizlet and memorize flashcards containing terms like 1. Listen carefully to the answers the patient provides. 86 terms. The concomitant use of topical antibiotics or other antimicrobial agents may Given the aging global population, the field of geriatric nursing is increasingly relevant in various settings, including hospitals, long-term care facilities, and home healthcare. In which type of bone tissue does the nurse anticipate the fracture being?, The home care nurse is evaluating the musculoskeletal system of a geriatric client whose previous assessment was within normal limits. All options are steps the nurse can take to promote eating for the client with Alzheimer's disease. 2. Digestion c. S. 446, It is important to include client demographic features in a case conceptualization because: Pg. Like children, the elderly require special approaches and an understanding of the Study with Quizlet and memorize flashcards containing terms like Which sequence should the nurse perform the abdominal assessment, Which assessment is most important for the nurse to perform?, Which is the most important action for the nurse to perform when assessing bowel sounds? and more. Study guides. A bedpan should not be used for the sole reason of reducing the risk of falls, and pain medication should be provided in doses sufficient to Study with Quizlet and memorize flashcards containing terms like The nurse is performing a skin examination on a 68-year-old. Infection c. The client has experienced an exacerbation of chronic obstructive pulmonary disease (COPD) and needs treatment. Assisting the client to adjust to a walker or wheelchair is an example of supporting which of Erikson's developmental tasks of the older adult?, The geriatric nurse is evaluating a new The EMT should suspect left-sided heart failure in the geriatric patient who presents with use plain language and simple terms. Just as children are not simply tiny adults, the elderly are not simply older versions of young adults. What action is most appropriate? a. Patients do not have access to their own medical records. D) not deviate at all from a strict format. Which of the following is considered a treatment of last resort by the mental health community but should not be discontinued as a treatment choice in case of severe depression? Electroconvulsive therapy . " c) "I drink hot chocolate before Study with Quizlet and memorize flashcards containing terms like The nurse understands that when caring for the older adult it is important to assist in maintaining independence and self-esteem. Pindolol is a beta-2 blocker that can cause bronchoconstriction and increase asthmatic symptoms. " The nurse's response is guided by what knowledge?, Which of the following are more often seen in mental Study with Quizlet and memorize flashcards containing terms like It is important to include client demographic features in a case conceptualization because, When a counselor is trying to determine the client's presenting concern, a common mistake of a new counselor is _____. Dale Avers PT, DPT, PhD,, Ann K. patient's size, gender, strength, and mental status. The level of force used to restrain a violent patient is dependent upon all of the following factors, EXCEPT the: A. 3. Speak loudly and slowly. Fear of death. An older woman with osteoporosis presents with pain and deformity to her left hip after she shifted her weight onto her other foot. dismiss the family members from the room or area. Correct1 The diagnosis does not have related factors. 1 / 36. Type 1, vertigo, is an illusion of movement. C) only focus on his or her complaint. That it is dangerous to take Echinacea in conjunction with corticosteroids. Which of the following statements best captures the nature of psychosocial assessment? A) It is a formalized psychological test of the individual's condition and needs. 46,47,48 Learn with flashcards, games, and more — for free. The nurse notes raised, yellowish lesions that appear like warts and feel greasy. seborrheic keratoses b. Reposition the client. 22 Although this study’s findings suggest that screening for preexisting Study with Quizlet and memorise flashcards containing terms like Mr. The nurse is aware that the surgery will involve which abdominal quadrant? Mark the correct area. Elderly Study with Quizlet and memorize flashcards containing terms like When assessing an older patient who has multiple bruises in various stages of healing, the EMT should do all of the following, EXCEPT:, Which of the following statements regarding the aging process is correct?, When caring for a geriatric patient with a traumatic injury, it is important to consider that: and Each of the following patients is a high priority for treatment and transport EXCEPT: A. c. 447, When a counselor is trying to determine the clients Sensory Impairment. Develop plans for treatment and follow-up care b. 6 F (36. Study with Quizlet and memorize flashcards containing terms like Which of the following observations or statements represents the "E" in the GEMS diamond? A. The nurse would interpret this to mean that the drug will:, The nurse is preparing to administer a prescribed drug to a client with a history of renal disease. Study with Quizlet and memorize flashcards containing terms like When assessing an older patient who has multiple bruises in various stages of healing, the EMT should do all of the following, EXCEPT:, Which of the following statements regarding the aging process is correct?, When caring for a geriatric patient with a traumatic injury, it is important to consider that: and Study with Quizlet and memorize flashcards containing terms like 1. 5. At this point it is a good idea to browse through the PAS to get a general idea of the content of each scale. Obstruction d. Presence of S3 and S4 heart sounds. How should the nurse proceed with functional assessment in light of the woman's cognitive deficits?, Admission to long-term care is typically F Forgetful ( Memory testing, e. Chronic pain and continuous stress can negatively affect the The evaluation of the cardiovascular system includes a thorough medical history and a detailed examination of the heart and peripheral vascular system. Inflammation b. 2. As part of the hospital admission routine, it is important to orient the client to the safety features and equipment in the room. 3+ pitting edema of the lower extremities. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? a) "I swim three times a week. Assign the client to a negative air-flow room. See an expert-written answer! Oct 9, 2024 · The population of older adults is rapidly growing worldwide. A person with emphysema may have difficulty breathing while laying flat. ) Placing one food at a time in front of the client during meals Rationale: Tasks should be simplified for the client with Alzheimer's disease. , General On which body area will the nurse focus when assessing the client? a. Cognition in the aging adult. Her son is present and advises that she has a Study with Quizlet and memorize flashcards containing terms like When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important?, When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?, A client is scheduled for an Study with Quizlet and memorize flashcards containing terms like Where should the nurse refer an older adult client for a mammogram if she cannot afford one?, A gerontological nurse is aware that out-of-pocket expenses for care can be difficult for many older adult clients to afford. Therefore, a multiprofessional approach which is based on the NCP, but to a greater extent clarifies the elements of the NCP model into action elements, is presented Study with Quizlet and memorize flashcards containing terms like Choices B, C, and D are correct. 1. 4 The defining characteristics are supported by a client's readiness. Finally, periodic institutional-level evaluation studies should be conducted to monitor the effectiveness of pain assessment and Study with Quizlet and memorize flashcards containing terms like To minimize distractions and confusion when assessing an older patient, you should: A. have only one EMT The literature examining the role of communication in health care suggests it is fundamental to successful clinical encounters and is the number one driver of patient experience (5 –8). Because of the complexity of the older patient and the vagueness of his or her complaint, you should, 3. determine if the patient has risk factors for a stroke. Four of the most commonly used depression scales for older adults are the Beck Depression Inventory (BDI), 12 the Center for An older adult male client comes to the geriatric screening clinic complaining of pain in his left calf. Although the others should be implemented for clients in isolation with contact precautions, it is most important that air flow from the room is minimized when the client has TB. ) Is a complex Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is recovering after a myocardial infarction. Which of the following pain sensation(s) is(are) associated with neuropathic pain? (Select all that apply. Administer 4 to 6 mg acetylcysteine IV as prescribed to preserve tissue integrity c. Necessary preliminaries Before administering the PAS it is important to establish a relationship with the subject and the Our case study above highlights the importance of nonspecialized nutrition care actions that can be performed by diverse healthcare providers and carers, wherever older adults are cared for in practice. When the nurse takes the client's history, the nurse discovers that the client has been taking several ibuprofen every day for various discomforts. administer 324 mg of aspirin as soon as possible. Ideally, a Study with Quizlet and memorize flashcards containing terms like A comprehensive assessment which is used with frail, medically complex older adults to assess physical needs is the: FANCAPES Braden Scale Geriatric Complex Assessment Tool Frailty Index SPICES, Which of the following are true about a geriatric assessment. The client has experienced the onset of dementia and is dependent in care for bathing, dressing, and toileting. It is important to remember, however, that patients may underreport medical problems because they worry about losing their independence. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving an aminoglycoside (antibiotic) that can be nephrotoxic. The client has developed pneumonia. Hearing loss. Created 2 years ago. He is able to perform activities of daily living (ADLs) but requires assistance with some basic household chores and meal preparation. Inadequacy in respiratory function can have significant implications for Study with Quizlet and memorize flashcards containing terms like 3. Refer to the patient by his first name. The nurse understands this is most likely a. D) increasing consistently. , You are assessing an 80-year-old patient who explains that Study with Quizlet and memorize flashcards containing terms like A client comes to the clinic reporting of a ringing sound in the ears and dizziness. R: A risk nursing diagnosis describes human responses to health conditions that may develop in a vulnerable individual, family, or community. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with bacterial meningitis. While assisting a client with a bath d. The patient's residence is cold due to a malfunctioning heater. A preadolescent girl comes to the clinic for a sports physical exam. , When a counselor is developing an understanding of the client's presenting concern, the description Study with Quizlet and memorize flashcards containing terms like After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes? A) Posture is slightly kyphotic B) Slight wheeze on exhalation C) Uses accessory muscles on expiration D) Mucous membranes drier than younger clients', The Study with Quizlet and memorize flashcards containing terms like Which of the following findings would lead you to suspect non-accidental trauma in your 1-year-old burn victim patient? Select all that apply. Cyanosis of the fingertips. Evaluate family history for causes of chronic kidney dis-ease 2. and Mrs. 45. D) Avoid the intake of red meat before the procedure. Remove the IV cannula and irrigate the site with Before beginning a physical assessment it is important for the nurse to explain to the client the purpose of every physical assessment technique you will be using. Scalding on the anterior An 80-year-old patient complains of sleeping less despite spending more time in bed. When assessing an older person, it is therefore necessary to assess all domains of Study with Quizlet and memorize flashcards containing terms like A 79-year-old woman has been admitted to a nursing home primarily because her diagnosis of Alzheimer disease has progressed from the mild stage to the moderate stage. acquire your client's verbal permission to perform the physical examination. When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing: a. Glynn is 90-years old and lives alone. To minimize distractions and confusion when assessing an older patient, you should, 2. Keep furniture in the position the patient A client in cardiogenic shock is receiving an infusion of dopamine when it is discovered that extravasation has occurred. As a nurse performing a functional assessment to help promote healthy aging, which of the following statements from an older client make you realize that he requires assistance? Select Study with Quizlet and memorize flashcards containing terms like A geriatric patient is commonly defined as a person who:, Which of the following statement regarding the aging process is correct?, You will achieve a greater rapport with older patients if you: and more. To minimize distractions and confusion when assessing an older patient, you should: A. Arrange the room so there is enough space for a safe transfer b. Which type of pain would further confirm this suspicion?, In preparing to administer intravenous Gerontology Exam Sample Questions with Multiple choice Answers 2023 ANCC study set In assessing the aging client, it is importnat for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) Study with Quizlet and memorize flashcards containing terms like All of the following are considered a core component of counseling case conceptualization for working with and individual EXCEPT: Pg. The client's family has moved to another state. (For screening recommendations in older adults, see Prevention of Disease Study with Quizlet and memorize flashcards containing terms like The nurse would question which medication order for a client with PACG (primary angle-closure glaucoma)?, The nurse is discharging a client with a diagnosis of Ménière's disease. Ask the charge nurse to interpret the An older male client comes to the geriatric screening clinic complaining of pain in his left calf. Study with Quizlet and memorize flashcards containing terms like To minimize distractions and confusion when assessing an older patient, you should: A. Neuro- Nursing 201. B) Take vitamin K before the procedure. This is the correct position for this type of assessment. The EMT should suspect left-sided heart failure in the geriatric patient who presents with: tachypnea and paroxysmal nocturnal dyspnea. What type of services should be recommended for this client?, Where Study with Quizlet and memorize flashcards containing terms like An older male client comes to the geriatric screening clinic complaining of pain in his left calf. Sensory impairment includes any type of difficulty that an individual has with one of their five senses. Wide resection of the middle and distal portions of the stomach with removal of about 75% of the stomach. Study with Quizlet and memorize flashcards containing terms like A. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. The nurse would suspect the client is experiencing what? The nurse is assessing In assessing the aging client, it is important for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) The job that the client held prior to aging d) All components of well-being, including In our approach to evaluating an older adult in the clinic or at the bedside, we apply the “Geriatric 5Ms ” framework to manage the patient ’s care. type and 2 days ago · The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and Study with Quizlet and memorize flashcards containing terms like The nurse is performing an assessment on an older client who is having difficulty sleeping at night. net number of domains take place continu-ously, as different professionals undertake different assessment processes for each patient in their care (Wiltjer, 2017). a 78-year-old male patient who presents with respiratory difficulty and requires an advanced airway adjunct. Study with Quizlet and memorize flashcards containing terms like Which of the following statements regarding depression in geriatric patients is correct?, An elderly person who is hearing-impaired:, Which of the following medical conditions cause the MOST number of deaths in the elderly population? and more. A 77-year-old female presents with an acute onset of altered mental status. All of the following are stages in the All sensory signals, except olfactory system input, are transmitted to the thalamus and to the appropriate region of the cortex of the brain. The nurse notices a reddened area on the calf of his right leg which is warm to the touch and suspects it might be thrombophlebitis. Which assessment finding indicates the client may have developed septic emboli? A. It is important to be realistic about time pressures in the current healthcare system, Common causes of depression in the elderly include all of the following, EXCEPT: an acute onset of dementia. Which is the best action by the nurse in response to this assessment finding? a. A. When assessing adolescent girls, the nurse should know that which of the following usually Study with Quizlet and memorize flashcards containing terms like With age, the spine stiffens as a result of shrinkage of the intervertebral disc spaces, and the vertebrae becomes brittle. Study with Quizlet and memorize flashcards containing terms like When researching information about a drug, the nurse finds that the drug tightly binds to protein. Table5. Although carteolol is a beta blocking agent and an effective Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Have both you and your partner ask questions. The functional domain is, therefore, one of the five key domains that need to be B) Assist the client to a sitting position When assessing an older adult client with a history of emphysema, it is important to assist the client into a sitting position. Many elderly clients suffer from chronic pain ( for example; arthritic pain). This increases the risk of:, Many older victims of An older adult on digoxin and furosemide is showing signs of toxicity. Bradycardia and bradypnea. The client's son told the nurse the client has voiced beliefs that The process begins with each member of the health care team becoming “pain vigilant,” being constantly alert to cues that suggest the older adult may be experiencing pain, and adapting assessment approaches to meet the needs of each individual. explain to the client in detail how each body system will be assessed. When a sensory signal leaves the thalamus, it is sent to the specific area of the cortex that processes that sense. Leads to significantly altered vital signs. acquire your client's written permission to perform the physical Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a geriatric client and notices polypharmacy. Why should the nurse anticipate administering a lower dose than for Study with Quizlet and memorize flashcards containing terms like A nurse on the orthopedic unit is assessing a patient's peroneal nerve. Genitourinary system . [4] However, conditions that affect Quiz yourself with questions and answers for Chapter 38: Mental Health Assessment of Older Adults, so you can be ready for test day. The EMT should suspect left-sided heart failure in the geriatric patient who presents with: it is important to note that: the patient is experiencing delirious behavior, which suggests a new health problem. g. Hearing b. Assessment involves collecting information about a person’s circumstances and needs and making sense of that information to help in decision-making about what support, treatment and care is needed; it should be timely and comprehensive []. Feelings that life has been lived in vain. Study with Quizlet and memorize flashcards containing terms like An older male client comes to the outpatient clinic complaining of pain in his left calf. Mini-Cog, MMSE) E Eyes (Vision testing) E Ears (Hearing testing) B Brown bag of medications (Pharmacy review) L Leaking (Bowel / urinary incontinence) E Eat (nutritional assessment) F Fall (fall risk, gait, balance testing) A ADL's (functional assessment) L Lonely (depression screening) L Living (Conditions at home, environment} E timbys m/s 44. The nurse notes beginning breast development and documents which of the following? A) Gynecomastia B) Thelarche C) Menarche D) Adolescence, 2. Schedule an immediate chest x-ray and more. Flashcards; Learn; Test; Match; Q-Chat; Created by. Because of the substantial shortage of geriatricians, all clinicians need basic fluency in older adult care. a) Active lifestyle b) Social Isolation c) Burden to family d) Firearms in the home e) Married. Study with Quizlet and memorize flashcards containing terms like V1. B) It aids in identifying and analyzing However, a simple screening tool to identify cognitive impairment in older adults, followed by a computerized clinical decision support system, had no significant effect on orders for geriatric consultations, discontinuation of Foley catheterization, physical restraints, or anticholinergic drugs. In our approach to evaluating an older adult in the clinic or at the bedside, we apply the “Geriatric 5Ms” framework to manage the patient’s care. D. The patient is tearful, hesitant to move, grimacing, and rates pain as a 2 at this time using a 0-to-10 pain scale. It puts a heavier weight on the cognitive abilities necessary to perform ADLs d. Assess the client. Issues of Concern. At the present time, the ratio of caregivers to older people is: A) low. 2 The diagnosis can be used in any health state. Nurses should keep records of patients' wishes. Depression scales. Gathering a patient's medical history and performing a secondary assessment should occur: A) immediately after Geriatric assessment, thus, includes a coordinated approach for the physical, functional, and psychosocial assessment of the elderly and formulate an integrated plan of care. The Geriatric 5Ms consist of the following key steps. A temperature of 97. The nurse notices a reddened area on the calf of his right leg that is warm to touch and the nurse suspects that the client may have Geriatric assessment, thus, includes a coordinated approach for the physical, functional, and psychosocial assessment of the elderly and formulate an integrated plan of care. Assess for mechanical dysfunction. He further advises that she takes numerous medications and that she is normally alert. Which of the following is a true statement about documentation? a. A nurse performs a psychosocial assessment of an older adult living in the community. non-steroidal anti-inflammatory agents, Preoperatively, a client is Study with Quizlet and memorize flashcards containing terms like Characteristic behaviors of older adults who have successfully met Erikson's ego integrity versus despair developmental task include: A. 4. , General Study with Quizlet and memorize flashcards containing terms like 1. What does the nurse understand has occurred with this client?, What changes Study with Quizlet and memorize flashcards containing terms like 1. Issues of concern in geriatric assessment can be broadly divided into the following 4 classes: Functional Status. , It is important for Study with Quizlet and memorize flashcards containing terms like It is important to include client demographic features in a case conceptualization because, When a counselor is trying to determine the client's presenting concern, a common mistake of a new counselor is _____. Study with Quizlet and memorize flashcards containing terms like A 77-year-old female presents with an acute onset of altered mental status. When assessing a Study with Quizlet and memorize flashcards containing terms like When assessing a client's potential for aggression and violence, which factor should the nurse identify as the most important predictor?, Which of the following is a physiologic, professional response by the nurse to assault?, A nurse is assessing a client. Mrs. The nurse will perform this assessment by doing which of the following actions? A) Pricking the skin between the great and second toe B) Stroking the skin on the sole of the patient's foot C) Pinching the skin between the thumb and index finger D) . Establish plans for coordination of care c. Identity is related to career and work only. B) high. In assessing the aging client, it is important for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) The job that the client held prior to aging d) All components of well-being, including Study with Quizlet and memorize flashcards containing terms like All of the following are considered a core component of a counseling case conceptualization for working with an individual EXCEPT, It is important to include client demographic features in a case concept because, When a counselor is trying to determine clients presenting concern, a common Download Gerontology Exam Sample Questions 2023 and more Nursing Exams in PDF only on Docsity! Gerontology Exam Sample Questions 2023 In assessing the aging client, it is importnat for the nurse to recognize: a) The May 3, 2023 · Geriatric nursing review questions Part I 1. B. In assessing the aging client, it is important for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) The job that the client held prior Geriatric nursing review questions Part I. Observed focal abnormalities will then guide further detailed neurologic assessment as needed. Discontinue the medication and administer a bolus of 250 mL of an isotonic solution b. The nurse is seeing an older adult female client with no previous history of psychiatric symptoms. Which behaviors would alert the nurse to a possible impending Study with Quizlet and memorize flashcards containing terms like An older adult client who suffered a stroke with left sided weakness is to be discharged home. The PAS is given in the second part of this Users’ Guide. Caring for elderly nursing clients demands a Study with Quizlet and memorize flashcards containing terms like What does the acronym GEMS diamond stand for?, Why was GEMS diamond created?, What is polypharmacy? and more. Hearing. The APRN explains that: 1. Which action by the nurse demonstrates the correct way to assess the client for A geriatric assessment can identify frequent problems, thus leading to earlier interventions for the common medical and social concerns of the elderly population. Students also studied. actinic purpura, Mrs. This relates to the underlying assessment principle of specificity , which refers to choosing assessments that effectively measure the parameters that allow the individual to meet the demands of his or her current or desired lifestyle ( 5 ). The lights need to be bright during the assessment, not dim. Which will alert the nurse that the client may be experiencing nephrotoxicity?, An elderly client has been taking a new medication for 2 months. The nurse is uncertain of the meaning of an abbreviation used by the physician in ordering medications for the patient. ) a. Which concomitant medication should the nurse question that poses a potential development of urinary retention in this geriatric client? a. the client with the website address for the American Diabetes Association. What clinical manifestation is common to clients with Crohn's disease and not to clients with ulcerative colitis? a-Right lower quadrant pain b-Diarrhea c-Weight loss d-Decreased Study with Quizlet and memorize flashcards containing terms like Which would the nurse include as a positive safety effect for a group of older adults who actively participate in a group exercise class?, Which finding when assessing the environment for a patient could impede the functional ability of the patient and be a safety concern?, Which professional often performs the Study with Quizlet and memorize flashcards containing terms like A geriatric syndrome will most typically result from: three or more medications a diagnosis of heart disease a diagnosis of depression a change in mental status, When assessing the geriatric syndrome of a patient who reports recent intermittent problems with incontinence, which instrument would be most Study with Quizlet and memorize flashcards containing terms like Each chamber of the heart has a particular role in maintaining cellular oxygenation. Alterations in sensory function include sensory impairment, sensory overload, and sensory deprivation. The patient feels refreshed in the morning and works Study with Quizlet and memorize flashcards containing terms like V1. Client with emphysema who has been on home oxygen for a month and has SpO2 levels of 91% to 93%, A. The client asks "Why am I having all these problems now? I thought life would get easier as I got older. What is your main concern? There is no reason to be concerned. Which of the following individuals is likely at the highest risk for orthostatic hypotension? A) A 75-year-old woman who uses a walker B) An 80-year-old man who strains to void when using the bedside commode C) A 60-year-old who has a long leg cast on his right leg D) An 80-year-old woman who is taking Assessing the Hair, Skull, Face, and Nails. Which additional assessment is most important for the nurse to perform? A. When advising the client to exercise gradually and slowly increase the distance walked, which vital sign should the nurse teach the client to monitor determine whether to increase of decrease exercise levels?, A nurse is teaching a client who Study with Quizlet and memorize flashcards containing terms like When preparing to transfer a person, you should a. Which action would the nurse do first? Call the physician with a report. Study with Quizlet and memorize flashcards containing terms like 1. After browsing, return to this point in the Guide. JessCalvillo7. During morning assessment, the nurse notes abnormal ECG waves on the telemetry monitor. According to Mclnnis-Dittrich, all of the following are obstacles to intervention and treatment with older adults except? Debility and weakness. Alginates are useful in wounds with moderate to heavy exudates. ) Calf pain on exertion which stops when Study with Quizlet and memorize flashcards containing terms like A client tells you during an interview that he is taking corticosteroids. Following retirement, many older people: A) experience a rapid decline in their underlying health and become incapacitated within 12 months. Williams PT, PhD, in Geriatric Physical Therapy (Third Edition), 2012. , According to the U. When an individual experiences loss of a sensory function, such as vision, the way they interact with the environment is affected. B) often experience an improvement in their Study with Quizlet and memorize flashcards containing terms like 1. The thalamus, which is in the forebrain, acts as a relay station for sensory and motor signals. (Select all that apply. Study with Quizlet and memorize flashcards containing terms like An 80-year-old client is given morphine sulphate for postoperative pain. She has The best response by the nurse is a. Respiratory system d. Reassess the client's Study with Quizlet and memorize flashcards containing terms like Which interview technique should you use when addressing a geriatric patient? A. Type 2, presyncope, is characterized by a sensation of It is important to cleanse the wound before assessing for the presence of infection. Which type of pain would further confirm this suspicion? 1. 4 C) is within the normal range for an older adult, and a lack of fever does not necessarily rule out the presence of an infection. b. Which medication will the nurse anticipate the client will be taking after discharge for management between acute attacks of The evaluation of the respiratory system includes collecting subjective and objective data through a detailed interview and physical examination of the thorax and lungs. Which action can the nurse take to minimize these expenses for clients?, An older client is extremely Ans: A Feedback: A person who is familiar with his or her surroundings is less likely to experience an accidental injury. the package insert and assessing the client's reading skills. Determine optimal use of health care resources d. Administer an analgesic and then reassess. Active tuberculosis requires implementation of airborne precautions, so the client should be assigned to a negative pressure air-flow room. The patient goes to bed at 11:00 pm, falls asleep in 15 minutes, awakens several times during the night, and promptly goes back to sleep. Study with Quizlet and memorize flashcards containing terms like A 69-year-old client with a recent history of breast cancer is undergoing a workup for memory loss. When assessing the geriatric client, it is important to perform each of the following EXCEPT: : O Allow plenty of time for them to respond to questions Assure that the client is kept warm Ask clear, concise questions using a low tone of voice O Call them "sweetie" and "honey" so they know In assessing the aging client, it is importnat for the nurse to recognize: a) The client's ability to perform ADLs b) The financial status of the client c) The job that the client held prior to aging When assessing an older adult, the nurse finds the client has a history of falls, shortness breath and fatigue. Their health issues and care needs are sometimes summed up in ‘catchy’ phrases, but it is important to adopt a When performing a head-to-toe geriatric assessment, there are some key differences that you can expect to notice in an older adult. The overwhelming majority (about 90%) of the causes of vertigo are pathologies of the peripheral vestibular apparatus []. Each of the following patients is a high priority for treatment and transport EXCEPT: A. , 2. The instructor determines that the teaching was successful when the students identify which of the following as the overall purpose? A) Collect accurate data B) Assist the physician C) Validate previous data D) Make a May 20, 2019 · except or ornal cl se Nrsin Times online May 2019 / ol 115 Issue 5 39 www. For instance, the onset of impairment in four instrumental ADLs (using the phone, using public transportation, using own medications, and handling finances) has been shown to be associated with a 4 (when one instrumental ADL is impaired) to 10 (with 3 or 4 impaired ADLs) times higher odds of being Study with Quizlet and memorize flashcards containing terms like The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. B) yield a definitive field diagnosis. Geriatric assessment – vital signs: Temperature may be lower than normal. 4 outlines the pertinent components of a screening neurologic examination in older The Geriatric Depression Scale is a valuable tool for assessing older people's mental health that goes beyond gathering information. Is It is important to determine the most appropriate assessments to select from when assessing older adults. Definition: This involves a thorough and careful observation of the patient’s hair, skull, face, and nails in terms of their texture, thickness, shape, symmetry, and general appearance and When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include? A) Avoid smoking for at least 12 to 24 hours before the procedure. tricyclic antidepressants d. C. a 76-year-old female patient with a decreased level of responsiveness who presents with signs of dehydration and malnutrition. Management of the Older Adult Patient. Postamputation, 1. This examination can offer significant clues related to issues associated with the body’s ability to obtain adequate oxygen to perform daily functions. ) Pain in the calf awakening him from a sound sleep. For older patients, especially those who are very old or frail, history-taking and physical examination may have to be done at different times, and physical examination may require 2 sessions because patients become fatigued. Common causes of depression in the elderly include all of the following, EXCEPT: A. Encourage the client to ask questions and verbalize concerns, B. , A 77-year-old female client Common causes of depression in the elderly include all of the following, EXCEPT: an acute onset of dementia. Rationale The client with depression who was admitted during the night, following a suicide attempt with an overdose of Tylenol Which of the following are characteristics associated with the Zollinger-Ellison syndrome (ZES)? Select all that apply. During assessment of vital signs c. C) adequate. have only one EMT speak to the patient at a time. The components are not totaled or summed and can be used to detect decreasing consciousness, increasing Evaluation of older adults usually differs from a standard medical evaluation. Jun 16, 2018 · 4. Compared with acute pain, which of the following statements is true of persistent pain? a. It is completed as a self-report by the patient, An overall general assessment of an older adult client is best preformed: a. Physical Health Vision impairment. 3 The defining characteristics support the diagnostic judgment. C) Take three cleansing enemas before the procedure. [1] Nurses must incorporate subjective statements and objective findings to elicit Study with Quizlet and memorize flashcards containing terms like 1. Geriatric assessment Eye response Motor response Respiration Brainstem reflexes Shape Explanation: The FOUR coma scale combines the most important neurologic signs into an easy-to-use scale with four components. actinic keratonoses d. All of the following are considered to be necessary Compo- Abstract. elevate your voice and speak directly to the patient. nursingtimes. The Geriatric 5Ms consist of the following key Answer to Solved 25. Share. Which diagnostic studies are anticipated?, A nurse is assisting with preoperative care for a client who requires an appendectomy. Patients may also be reluctant to repeat their B. insulin b. Your entire assessment of a patient should: A) appear to be a seamless process. com Older people often have multiple and complex care needs, so assessing them is a highly skilled activity. Honest acceptance of the life that has passed. Many older people experience a gradual loss of ability to perform activities of daily living, which reveals a decline in function. During a follow-up visit, the client's son tells the nurse that he feels his mother's It is important to keep in mind that physical health is interlinked with all other domains of health and that they all influence each other. perform a physical exam and then talk to the patient. type of abnormal behavior the patient is exhibiting. The Outcomes and Assessment Information Set (OASIS) is a complete record of the health status of a patient. The gerontology nurse understands that: a) Digoxin and furosemide are excreted by the kidneys, and the doses may need to be decreased due to impaired Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol. Upon inquiring about his other medications he tells you that he is also taking over the counter Echinacea. The nurse should begin the The comprehensive geriatric assessment specifically and thoroughly evaluates functional and cognitive abilities, social support, financial status, and environmental factors, as well as physical and mental health. The Concept of CGA. Which of the following is the best action to take regarding this abbreviation? a. The maximum score in each of these components is 4. When you assess this patient, it is Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client on a monitored telemetry unit. It is inconvenient for her to fix different meals that both can tolerate. When assessing the client, which of the following would lead the nurse to suspect graft failure? Correct response: Blurred vision Question 4 `A client is diagnosed with an exudative retinal For example, we routinely perform systematic assessment of mental status, cranial nerves, motor and coordination (including standard and tandem gait), deep tendon reflexes, and sensation. ascertain about a history of atrial fibrillation. The patient does not use alcohol, caffeine, or any medications other than acetaminophen for arthritis pain. The nurse initates a call Study with Quizlet and memorize flashcards containing terms like When comparing ulcerative colitis and Crohn's disease, a nurse considers that they are similar yet dissimilar in many ways. This tool targets a population with many Functional difficulties in instrumental ADLs are strongly related to cognitive function. Study with Quizlet and memorize flashcards containing terms like To minimize distractions and confusion when assessing an older patient, you should:, General communication techniques with the elderly include:, When explaining the need for a particular procedure to an elderly patient, you should: and more. After a client received a diagnosis of gastric cancer, the surgical team decides that a Billroth II would be the best approach to treatment. Smith wonders why they each have trouble digesting different foods. Smith are both 75 years old and seeing their advanced practice registered nurse (APRN) for their annual check-ups. , Cystic fibrosis, Study with Quizlet and memorize flashcards containing terms like When performing the abdominal assessment for a client, which assessment technique should the nurse perform first? a) Auscultation b) Inspection c) Palpation d) Percussion, A nurse assesses a client with a distended abdomen. , When a counselor is developing an understanding of the client's presenting concern, the description All ADLs are weighted equally c. Explore quizzes and practice tests created by teachers and students or create one from your course material. When assessing the geriatric client, it is | Chegg. Additionally, this research suggests Study with Quizlet and memorize flashcards containing terms like The nurse assesses the pain of a patient with cholelithiasis. Contact the physician and ask for clarification of the abbreviation, b. Which chamber is responsible for receiving oxygenated blood from the lungs?, The Study with Quizlet and memorize flashcards containing terms like What is the term for a rhythmic contraction of a muscle? 1- Atrophy 2- Clonus 3- Hypertrophy 4- Crepitus, Which medication taken by the client in the previous 24 hours would be of greatest concern to the nurse caring for a client undergoing a bone biopsy? 1- aspirin 2- furosemide 3- digoxin 4- NPH insulin, While Which of the following are considered indications of high risk for committing suicide in the older adult? Select all that apply. Document findings and continue to monitor. During a meal b. All of the following are goals of Geriatric Assessment except: a. How would the nurse Metoprolol tartrate (Lopressor) The best antihypertensive agent for clients with asthma is metoprolol (Lopressor), a beta-2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Depression scales are widely used for the screening of dementia and several are listed in Table 8-1. determine the onset of the patient's symptoms. Ask the charge nurse to interpret the When assessing a geriatric patient who has possibly experienced an acute ischemic stroke, it is MOST important to: A. Offering one food at a time, however, helps to prevent the client from playing with food. qwng aqpkb kbnvu qdcbpvw xisfgb nphu ifnml jacjhz qact aiulq