Question 1

A patient suffers a cerebrovascular accident (CVA) caused by a bleeding blood vessel. The nurse identifies this type of CVA as a(n)

Accepted Answer

A bleeding blood vessel is characteristic of a hemorrhagic stroke, which occurs when a weakened blood vessel in the brain ruptures and causes bleeding into the brain tissue. A transient ischemic attack (A) is a temporary blockage of blood flow to the brain, while an ischemic stroke (C) is caused by a clot or blockage in a blood vessel. Myocardial infarction (D) refers to a heart attack, which is not related to a CVA.

Question 2

An elderly patient is going through drug and alcohol withdrawal, suffering from hallucinations followed by loud emotional outbursts. A nurse identifies this condition as

Accepted Answer

The condition described in the scenario is delirium, a state of acute confusion that is often a result of drug or alcohol withdrawal. Hallucinations and emotional outbursts are common symptoms of delirium. Dementia is a chronic condition characterized by a decline in cognitive function, while depression is a mood disorder that does not always cause confusion or hallucinations. Confusion is a symptom that could be present in any of these conditions but does not fully explain the scenario.

Question 3

Older adults are considered easy prey for scams and crime, as they are less skeptical about solicitations for money than younger individuals. Which of the following should a nurse do to protect older adults from becoming victims?

Accepted Answer

Teaching older adults never to give out personal information over the telephone (C) and cautioning them not to allow anyone they are not expecting into their home (E) are effective measures to protect them from scams and crime. These practices help safeguard their personal and financial information, reducing the risk of becoming scam victims.

Question 4

A student is providing assistance with meals for residents in a long-term care facility. Which of the following actions would be included in the care?

Accepted Answer

The answer of A student is providing assistance with meals...

Question 5

A patient has a temporary decrease in the blood supply to the brain that causes dizziness, blurred vision, weakness, numbness in the left arm, and difficulty swallowing that lasts for about 10 minutes. The nurse identifies that this patient has suffered a(n)

Accepted Answer

The symptoms described are indicative of a transient ischemic attack, which is a temporary decrease in blood supply to the brain.

Question 6

A nurse is providing care for an elderly patient who has not had a bowel movement in 3 days. The nurse recognizes that which of the following may be contributing to the patient's constipation?

Accepted Answer

Decreased activity, multiple medications, and longer retention of feces in the intestines are common factors contributing to constipation in the elderly.

Question 7

A nurse teaches a patient about the availability of systems that can activate flashing lights for smoke detectors, ringing telephones, and doorbells. This patient is most likely experiencing a body system deficit known as

Accepted Answer

The patient is likely experiencing impaired hearing, as they require systems that can activate flashing lights for smoke detectors, ringing telephones, and doorbells.

Question 8

A nurse is providing discharge instructions for an elderly patient with multiple new medication orders. Which of the following should be included in the discharge teaching?

Accepted Answer

The discharge teaching should include the reason for taking the medication (A), the time it should be taken (C), foods and drinks to avoid (D), and potential side effects (E) to ensure the patient understands how to properly manage their medications and avoid complications. The generic name (B) is less critical for understanding and adherence.

Question 9

An older patient is suffering from an inadequate oxygen supply during physical activity. Which of the following nursing actions would be inappropriate?

Accepted Answer

Encouraging the patient to increase activity as tolerated to improve stamina may exacerbate the inadequate oxygen supply and put the patient at risk for further complications. The patient's activity should be limited and monitored to prevent further injury. The other options are appropriate nursing actions for monitoring and managing the patient's oxygen supply.

Question 10

Which of the following assessments are performed on long-term care patients in addition to the traditional head-to-toe physical assessment?

Accepted Answer

The answer of Which of the following assessments are performed...

Question 11

A patient suffers from an eye disease characterized by increased intraocular pressure, which affects the optic nerve and can lead to blindness. The nurse identifies this condition as

Accepted Answer

The symptoms listed in the question (increased intraocular pressure, optic nerve damage, risk of blindness) are characteristic of glaucoma. Age-related macular degeneration affects the macula of the eye, cataracts involve clouding of the lens, and presbycusis involves hearing loss with aging.

Question 12

A student nurse is providing care to a patient in a long-term care facility on a Monday. The patient's assigned bath day is Wednesday. Which of the following should the student assist the client in washing while providing morning care?

Accepted Answer

The answer of A student nurse is providing care to...

Question 13

The most important thing a nurse can teach patients to help them avoid possible complications from polypharmacy is

Accepted Answer

Carrying a complete list of all medications and dosages helps ensure that healthcare providers are aware of all medications a patient is taking, reducing the risk of drug interactions and complications from polypharmacy.

Question 14

A nurse is caring for patients in a long-term care facility. Unless a patient is symptomatic or injured, the nurse should generally perform a head-to-toe assessment

Accepted Answer

The answer of A nurse is caring for patients in...

Question 15

A nurse encounters a patient who is depressed about getting older. The nurse explains that there are many positive aspects of aging, including which of the following?

Accepted Answer

B) Older people have experienced many things that others have yet to experience.
C) Older people have so much knowledge to share with younger generations.
E) Older people have learned from their own mistakes. These are all positive aspects of aging that the nurse could explain to the patient to help them feel better about getting older. Option A and D are not accurate as older people still need to take care of themselves and may still need to drive themselves places.

Question 16

A nurse is providing care for a resident of a long-term care facility who is incontinent of bowel and bladder. Which of the following actions taken by the nurse will help minimize skin breakdown?

Accepted Answer

All of the listed actions can help minimize skin breakdown in an incontinent resident. Applying barrier ointment to the perineal area can protect the skin from moisture and irritation. Changing soiled clothing as quickly as possible can prevent prolonged exposure to urine or feces. Changing the resident's position in bed or chair every 1 to 2 hours can reduce pressure on certain areas of the skin. Assessing for soiling every 1 to 2 hours can allow for timely intervention if necessary. Limiting fluid intake with meals may not be appropriate for all residents and could lead to dehydration.

Question 17

A nurse is developing a plan of care for an individual in long-term care with urinary incontinence who is confined to a wheelchair or bed. The nurse will include which of the following measures in the plan of care?

Accepted Answer

The answer of A nurse is developing a plan of...

Quiz 32: Care of Elderly Patients