A nurse completes an assessment of an older adult who comes to
the clinic for the first time. During the interview the patient
responds inappropriately to some questions and begins to
withdraw from the conversation. The patient also reports a
history of diabetes and ringing in the ears. The nurse's
assessment best indicates:
1. A visual deficit
2. A hearing deficit
3. Sensory overload
4. Sensory deprivation Correct Answer 2. A hearing deficit
A nurse determines, after completing an assessment that an
expected outcome for a patient with potential for altered skin
integrity will be that the skin:
A. remains dry and intact
B. has increased erythema
C. tingles in areas of pressure
D. demonstrates increased diaphoresis Correct Answer A.
remains dry and intact
A nurse has been assigned to work in a very busy medical unit
in the hospital. It is important for the nurse to employ time
management skills. The nurse implements to plan to:
A. have all the patients major needs met in the early morning
hours
B. anticipate possible interruptions by therapists and visitors
,C. complete assessments and treatments for each patient at
different times of the day
D. leave each day unstructured to allow for changes in
treatments and patient assignments Correct Answer B.
anticipate possible interruptions by therapists and visitors
A nurse is aware that older adults are more susceptible to
infection as a result of:
A. thickening of the dermal and epidermal skin layers
B. increased production of digestive juices
C. increased production of T lymphocytes
D. drying of the oral mucosa Correct Answer D. drying of the
oral mucosa
A nurse is caring for an older adult paint in an extended care
facility. The patient wears dentures, and the nurse delegated
thier care to the NAP. The nurse instructs the NAP that the
patient's dentures should be:
A. cleaned in hot water
B. left in place during the night
C. brushed with a soft toothbrush
D. wrapped in a soft towel when not worn Correct Answer C.
brushed with a soft toothbrush
A nurse is helping a patient with a visual impairment walk.
Which statement correctly describes how to guide a person with
visual impairments?
1. Provide an electric wheelchair.
, 2. Stand on the patient's weaker or injured side.
3. Walk one step ahead and in front of the patient.
4. Ask the patient to grasp your elbow or upper arm. Correct
Answer 4. Ask the patient to grasp your elbow or upper arm.
A nurse is planning patient assignment with a NAP. In
delegating the morning care for a patient, the nurse expects the
NAP to:
A. cut the patient's nails with scissors
B. use soap and wash the patient's eyes
C. wash the patient's legs with long strokes from ankle to knee
D. place the unconscious patient in high Fowler's position to
provide oral hygine Correct Answer C. wash the patient's legs
with long strokes from ankle to knee
A nurse is preparing a room for a patient with TB. The specific
aspect of this tier of Standard Precautions that is different from
their 1 is that care should include:
A. a private room with negative air flow
B. hand hygiene after gloves are removed
C. eye protection
D. disposal of sharps in a puncture-resistant container Correct
Answer A. a private room with negative air flow
A nurse is preparing a teaching plan for the hepatitis B virus.
The nurse informs them that this virus may be transmitted by:
A. mosquitos
B. droplet nuclei
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.