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NUR 130 Exam One Questions With Correct Detailed Answers.
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NUR 130 Exam One Questions With Correct Detailed Answers.
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NUR 130 Exam One Questions WithCorrect Detailed Answers.
A nurse working with older adults in the community plans programming to improve
morale and emotional health in this population. What activity would best meet this goal?
- ANSWER- Exercise program to improve physical function
A nurse caring for an older client on a medical-surgical unit notices the client reports
frequent constipation and only wants to eat softer foods such as rice, bread, and
puddings. What assessment should the nurse perform first? - ANSWER- Perform an
oral assessment
A nursing faculty member working with students explains that the fastest growing subset
of the older population is which group? - ANSWER- Old old
A nurse is working with an older client admitted with mild dehydration. What teaching
does the nurse provide to best address this issue? - ANSWER- Having something to
drink every 1 to 2 hours
A nurse caring for an older adult has provided education on high-fiber foods. Which
menu selection by the client demonstrates a need for further review? - ANSWER- White
rice
A home health care nurse is planning an exercise program with an older client who lives
at home independently but whose mobility issues prevent much activity outside the
home. Which exercise regimen would be most beneficial to this adult? - ANSWER-
Building strength and flexibility
An older adult recently retired and reports being depressed and lonely. What
information should the nurse assess as a priority? - ANSWER- Role of work in the
adults life
A nurse is assessing coping in older women in a support group for recent widows.
Which statement by a participant best indicates potential for successful coping? -
ANSWER- I have had the same best friends for decades
A home health care nurse has conducted a home safety assessment for an older adult.
There are five concrete steps leading out from the front door. Which intervention would
be most helpful in keeping the older adult safe on the steps? - ANSWER- Installing
contrasting color strips at the edge of each steps
,An older adult is brought to the emergency department because of sudden onset of
confusion. After the client is stabilized and comfortable, what assessment by the nurse
is most important? - ANSWER- Determine if there are new medications
An older adult client takes medication three times a day and becomes confused about
which medication should be taken at which time. The client refuses to use a pill sorter
with slots for different times, saying Those are for old people. What action by the nurse
would be most helpful? - ANSWER- Putting color coded stickers on the bottle caps
An older adult client is in the hospital. The client is ambulatory and independent. What
intervention by the nurse would be most helpful in preventing falls in this client? -
ANSWER- Keeping the light on in the bathroom
An older client had hip replacement surgery and the surgeon prescribed morphine
sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms.
When the nurse calls the surgeon, which medication should he or she suggest in place
of the morphine? - ANSWER- Hydromorphone hydrochloride (Dilaudid)
A nurse admits an older client from a home environment where she lives with her adult
son and daughter-in-law. The client has urine burns on her skin, no dentures, and
several pressure ulcers. What action by the nurse is most appropriate? - ANSWER-
Report the findings per agency policies
A nurse caring for an older client in the hospital is concerned the client is not competent
to give consent for upcoming surgery. What action by the nurse is best? - ANSWER-
Discuss concerns with the health care team
A nursing student working in an Adult Care for Elders unit learns that frailty in the older
population includes which components? (Select all that apply.) - ANSWER- Exhaustion,
slow physical activity, weakness
A home health care nurse assesses an older client for the intake of nutrients needed in
larger amounts than in younger adults. Which foods found in an older adults kitchen
might indicate an adequate intake of these nutrients? (Select all that apply.) - ANSWER-
1% milk, carrots, oranges, vit D supplements
A nurse working with older adults assesses them for common potential adverse
medication effects. For what does the nurse assess? (Select all that apply.) - ANSWER-
constipation, dehydration, weakness
A nurse manager institutes the Fulmer Spices Framework as part of the routine
assessment of older adults in the hospital. The nursing staff assesses for which factors?
(Select all that apply.) - ANSWER- confusion, incontinence, sleep disorders
A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since
last months visit. Which actions should the nurse perform first? (Select all that apply) -
, ANSWER- assess the clients ability to drive or transportation alternatives, determine in
the client has dentures that fit properly, have a client complete a 3-day diet recall
A hospitalized older adult has been assessed at high risk for skin breakdown. Which
actions does the registered nurse (RN) delegate to the unlicensed assistive personnel
(UAP)? (Select all that apply.) - ANSWER- keep clients skin clean and dry, obtain
pressure relieving mattress, turn client every two hours
A nurse admits an older client to the hospital who lives at home with family. The nurse
assesses that the client is malnourished. What actions by the nurse are best? (Select all
that apply.) - ANSWER- perform braden scale assessment, request a dietary consult,
request high protein oral supplement between meals
A nurse assesses a client recovering from coronary artery bypass graft surgery. Which
assessment should the nurse complete to evaluate the clients activity tolerance? -
ANSWER- Vital signs before, during, and after activity
A nurse teaches a client with a past history of angina who has had a total knee
replacement. Which statement should the nurse include in this clients teaching prior to
beginning rehabilitation activities? - ANSWER- let me know if you experience shortness
of breath, chest pain or fatigue
A rehabilitation nurse prepares to move a client who has new bilateral leg amputations.
Which is the best approach? - ANSWER- utilize a mechanical lift
A nurse performs passive range-of-motion exercises on a semiconscious client and
meets resistance while attempting to extend the right elbow more than 45 degrees.
Which action should the nurse take next? - ANSWER- only move the joint to which
resistance is met
A nurse cares for a client with decreased mobility. Which intervention should the nurse
implement to decrease this clients risk of fracture? - ANSWER- perform weight bearing
activities
A rehabilitation nurse cares for a client who has generalized weakness and needs
assistance with activities of daily living. Which exercise should the nurse implement? -
ANSWER- Active range of motion
A nurse plans care for a client who is bedridden. Which assessment should the nurse
complete to ensure to prevent pressure ulcer formation? - ANSWER- Nutritional intake
and serum albumin levels
A nurse teaches a client about performing intermittent self-catheterization. The client
states, I am not sure if I will be able to afford these catheters. How should the nurse
respond? - ANSWER- you can reuse these at home. clean technique rather then sterile
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