Question 1

The nurse is administering medications to a group of older residents and monitors them for adverse reactions. The nurse recognizes that an age-related reduction in liver enzyme production affects medication metabolism in which of the following ways? (Select all that apply.?

Accepted Answer

An age-related reduction in liver enzyme production affects medication metabolism by decreasing the metabolism of substances, which can result in higher drug levels and increased risk of adverse reactions. Therefore, medication dosage may need to be reduced in older adults to avoid toxicity. Option A and D are incorrect because decreased liver enzyme production can lead to decreased detoxification and elimination of substances. Option B is incorrect because higher medication dosage may increase the risk of adverse reactions in older adults.

Question 2

The nurse is contributing to a staff education program on grooming techniques for older adults. Which of the following methods should the nurse recommend to use to groom the resident's nails to reduce the potential for nail infections? (Select all that apply.?

Accepted Answer

Filing nails with an emery board can help maintain the integrity of the nails and reduce sharp edges without causing splits or cracks that could lead to infections. Using the resident's own grooming equipment minimizes the risk of cross-contamination between residents, which can also reduce the potential for nail infections.

Question 3

The nurse is contributing to the plan of care for an older adult. Which of the following would the nurse recognize as being age-related changes in the integumentary system when planning interventions? (Select all that apply.?

Accepted Answer

Age-related changes in the integumentary system include decreased sweat production, increased growth of nose, ear, and facial hair, increased dryness of the skin, and thinning of scalp hair. The increase in nail growth rate and increased subcutaneous fat layer of skin are not age-related changes in the integumentary system.

Question 4

The nurse is collecting data for a patient who has a developing pressure ulcer. Which of the following would the nurse expect to identify as early manifestations of a pressure ulcer? (Select all that apply.?

Accepted Answer

Early manifestations of a pressure ulcer include redness (A), burning sensation (B), and tenderness (E) at the site due to inflammation and irritation of the skin.

Question 5

The nurse makes recommendations for sleep needs to an older patient's plan of care. Which of these does the nurse recognize as characteristic of sleep patterns in the older adult? (Select all that apply.?

Accepted Answer

Sleep needs remain unchanged in older adults, although the quality and patterns of sleep may change.

Question 6

The nurse is contributing to the plan of care for an older adult. Which of the following would the nurse recognize as being age-related changes in the cardiovascular system when planning interventions? (Select all that apply.?

Accepted Answer

Age-related changes in the cardiovascular system include an increase in irregular heartbeats, decreased cardiac output, and less efficient leg veins. These changes can affect the overall cardiovascular function in older adults.

Question 7

Of people over 65 years old, the fastest-growing segment is the group older than ________________years old.

Accepted Answer

The answer of Of people over 65 years old, the...

Question 8

Pressure ulcers in an older adult can result from continuous pressure on a site of the body within ________________minutes.

Accepted Answer

The answer of Pressure ulcers in an older adult can...

Question 9

The nurse is contributing to a staff education program about the Joint Commission's National Patient Safety Goals. Which of the following would the nurse recognize as a Joint Commission National Patient Safety Goal? (Select all that apply.?

Accepted Answer

The Joint Commission's National Patient Safety Goals include monitoring individual risk for pressure sore development (B), decreasing the incidence of influenza by establishing vaccination protocols (C), identifying patient fall risk and instituting measures to reduce risk of falls (D), and using at least two patient identifiers before providing medications (E). Promoting healthy lifestyle choices by encouraging participation in genetic testing (A) is not one of the Joint Commission's National Patient Safety Goals.

Question 10

The nurse is contributing to a staff education program about aging changes. Which of these would the nurse include as a common change in the skeletal system of an older adult? (Select all that apply.?

Accepted Answer

Shortening in height is a common change in the skeletal system due to changes in the vertebrae and decreased disc height. Eroded cartilage is also common in older adults due to wear and tear on joints, leading to conditions such as osteoarthritis. Osteoporosis, or decreased bone density, is a significant concern for older adults, and can lead to an increased risk of fractures. Increased flexibility and thickening of bone are not typically seen in the aging skeletal system.

Question 11

The nurse is contributing to the plan of care for an immobile patient. Which of the following would the nurse recognize as increasing the patient's risk of developing a pressure ulcer on the heels? (Select all that apply.?

Accepted Answer

The answer of The nurse is contributing to the plan...

Question 12

After drawing blood from an older adult and withdrawing the needle, the nurse should apply light pressure to the needle puncture site for at least ________________minutes.

Accepted Answer

The answer of After drawing blood from an older adult...

Question 13

Which of these manifestations, if reported by the patient who is diabetic and sleep deprived, would the nurse recognize as likely being related to sleep deprivation? (Select all that apply.?

Accepted Answer

The answer of Which of these manifestations, if reported by...

Quiz 15: Nursing Care of Older Adult Patients