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Nursing - NR 222 Exam 3-2 study guide
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Nursing - NR 222 Exam 3-2 study guide Nursing - NR222 Exam 3-2 study guide
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A 50-year-old man is initiating an exercise program to help improve his cardiovascular health. What aresome of the recommended guidelines that the nurse should instruct him on? (select all that apply)
A. Every adult over the age of 50 should start with a daily running program.
B. Overexertion should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
D. Adults over the age of 50 benefit from intense strength training.
E. Suggested activities include walking, jogging, swimming and bicycling.
B. Overexertion should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
E. Suggested activities include walking, jogging, swimming and bicycling.
Some suggested activities for the middle-aged adult include brisk walking, jogging, swimming, bicycling,
and skipping rope as well as walking or biking to work. Activities that focus on skill and coordination
should be attempted by the adult over age 40 rather than activities necessitating speed and strength.
Moderation is important for all groups of individuals. Caution is recommended for adults nearing age 65
to prevent muscle strains and/or falls, etc. Overexertion, as evidenced by dizziness, chest pressure or
chest pain, and unresolved shortness of breath should be avoided. Also, in hot weather, strenuous
exercise should be balanced with rest periods and increased intake of fluids to prevent heat stroke.
Reference: p. 571
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of insomnia.
What are some measures the nurse should educate her about? (select all that apply)
A. Insomnia is common for this age group.
B. Engage in activity 1 to 2 hours before bed to encourage sleep.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
D. Occasional napping should be avoided.
E. Have a regular schedule for waking and sleep.
A. Insomnia is common for this age group.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
E. Have a regular schedule for waking and sleep.
, Insomnia is a common finding in this age category. This condition may be the result of overstimulation
resulting from drinking too much caffeinated beverages, strenuous exercise within two hours of
bedtime, not having a regular schedule for waking and sleep in a 24-hour period (National Sleep
Foundation, 2012). Frequently-occurring insomnia can lead to distractibility and irritability and fatigue
during the daytime hours. Rest is essential to allow restorative functions of the body to occur. The
effects of insomnia can be counteracted by regularly scheduled, high-quality sleep and occasional
napping when fatigued.
Reference: p. 572
Common visual conditions which may occur in middle-aged adults include which of the following?
(select all that apply)
A. Presbyopia
B. Glaucoma
C. Cataracts
D. Macular degeneration
E. Presbycusis
A. Presbyopia
B. Glaucoma
C. Cataracts
D. Macular degeneration
Presbyopia (farsightedness) is common in middle-age adults, even in individuals who have had no
previous problems with their vision. Glaucoma occurs as a result of increased intraocular pressure,
which can damage the optic nerve. Cataracts, an opacity of the lens, can develop and cloud the vision in
later years of middle age. Macular degeneration is a progressive deterioration of the maculae of the
retina and choroid structures of the eye (Mosby, 2008). Presbycusis is an impairment in auditory acuity.
Reference: p. 573
The nurse provides anticipatory guidance to people during middle age to meet developmental tasks of:
(select all that apply)
A. helping children become responsible, happy adults.
B. rediscovering new satisfaction in the relationship with one's spouse.
C. developing an affectionate but independent relationship with aging parents.
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