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older adults exam 2 Questions And Correct Answers New Update
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older adults exam 2 Questions And Correct AnswersNew Update
An older patient is diagnosed with osteoarthritis. How should the nurse explain this health problem to
the patient?
1. A metabolic bone disease
2. Occurs from synovial inflammation
3. Most common in thin, small-built female patients
4. Involves erosion of joint cartilage with new bone formation in joint spaces - Answer - 4
An older patient is brought to the emergency department with a suspected fractured hip. For which
diagnostic test will the nurse prepare the patient to confirm the diagnosis?
1. Bone scan
2. X-ray of the hip
3. Bone mineral density (BMD)
4. Magnetic resonance imaging (MRI) of the hip - Answer - 2
An older patient is prescribed the medication alendronate (Fosamax). How should the nurse instruct the
patient about this medication? Select all that apply.
1. Take the medication with breakfast.
2. Take the medication with 8 ounces of milk.
3. Take the medication with 8 ounces of water only.
4. Take the medication with a calcium supplement at the same time.
,5. Remain in an upright position for 30 minutes after taking the medication. - Answer - 3, 5
An older patient with osteoarthritis is prescribed acetaminophen (Tylenol) for pain. What should the
nurse teach the patient about this medication?
1. Excessive acetaminophen can cause gastrointestinal irritation.
2. Taking acetaminophen around-the-clock will slow the progression of osteoarthritis.
3. Acetaminophen cannot be used with nonsteroidal anti-inflammatory drugs (NSAIDs).
4. The maximum amount of acetaminophen should not exceed 4 grams in a 24-hour period. - Answer -
4
An older patient wants to prevent the onset of osteoporosis. How can the nurse instruct the patient at
this time? Select all that apply.
1. Stop smoking and reduce caffeine intake.
2. Ingest adequate amounts of calcium every day.
3. Have an annual bone mineral density (BMD) test.
4. Increase the intake of beverages containing phosphorous.
5. Perform isometric exercises for 30 minutes at least 3 times a week. - Answer - 1, 2. 3
While walking in an assisted living facility an older patient falls. Which assessment finding indicates to
the nurse that the patient has sustained a hip fracture?
1. Pain relieved by moving the affected extremity
2. Redness, tenderness, and severe swelling at the hip joint
3. Position with the injured leg shortened and externally rotated
4. Bending the injured leg at the knee and internally rotating the leg - Answer - 3
The patient with a fractured hip is often in extreme pain and assumes a position with the leg shortened
on the affected side and externally rotated because of gravity and the pull of the muscles.
At the completion of an assessment the nurse determines that an older patient is at risk for the
development of osteoporosis. What did the nurse assess in this patient?
1. Obese with hip pain with ambulation
2. Ingests three glasses of skim milk daily
3. Eats three to five servings of shrimp and liver per week
, 4. Takes corticosteroids for 10 years for chronic pulmonary disease - Answer - 4
While making a visit to an older patient the nurse screens the home environment for potential hazards
that could precipitate a fall. What should the nurse urge the patient to eliminate in the home? Select all
that apply.
1. Throw rugs
2. Night-lights
3. The use of a cane
4. Railings on the stairway
5. Telephone with a long cord - Answer - 1, 5
An older patient is concerned that many friends are having joint replacements and wants to know what
can be done to prevent having to have one as well. Which modifiable risk factor should the nurse
suggest the patient focus on at this time?
1. Physical inactivity
2. Cigarette smoking
3. Alcohol consumption
4. Body mass index (BMI) - Answer - 4
The nurse is planning an education program for senior community members on the benefits of exercise.
What information will the nurse provide about regular exercise?
1. It increases the need for analgesic medications.
2. If performed in excess as a young adult it will lead to osteoporosis.
3. It prevents muscle atrophy and improves mobility which reduces the risk of falls.
4. It should be avoided in those with rheumatoid arthritis because it causes inflammation. - Answer - 3
The nurse identifies the diagnosis of impaired physical mobility as being appropriate for an older patient.
What defining characteristics did the nurse most likely assess in this patient? Select all that apply.
1. Impaired coordination
2. Difficulty with self-care
3. Limited range of motion
4. Decreased muscle strength
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