Exam 10: Chronic Disease in Late Life

An elderly man has been admitted to the hospital for prostate surgery.He has a history of hypertension for which he is on medication.He also reports a recent fall at home.The nurse should perform which assessment?

Treatment of a cerebrovascular accident (CVA)with thrombolytic therapy:

You are caring for a client with a newly diagnosed chronic illness.In answering her questions,your most accurate response will include phrasing to the effect that:

As the nurse plans to instruct a chronically ill older adult about the changes needed to maintain his health,what statement is most appropriate to consider in establishing goals for behavior change?

You are conducting a blood pressure screening at a local senior center.A 90-year-old client of the center has a blood pressure reading of 150/88.He reports no other symptoms,and no acute medical illness.You should instruct him to:

An older adult with pneumonia often:

A 79-year-old male client with chronic obstructive pulmonary disease (COPD)is seen in the respiratory clinic.What intervention is most important when developing his plan of care to address the long-term goal of promoting healthy respiratory aging?

A client is diagnosed with diverticular disease from a routine colonoscopy.She meets with the registered dietitian for diet teaching.What would indicate that she needs additional teaching:

You are assisting your elderly client with chronic obstructive pulmonary disease (COPD)in self-care activities.Which direction provided by you will best help her achieve the goal of being able to perform self-care activities?

A 77-year-old client is newly diagnosed with type 2 diabetes mellitus.What is a priority goal for her?

What is written in measurable terms on the care plan of your elderly client who has heart failure?

A 77-year-old patient had an acute myocardial infarction and subsequently coronary artery bypass graft (CABG)surgery.The interprofessional team recommends that the patient attend a cardiac rehabilitation program.He tells the nurse,"I don't see why I can't go home.I will go to my gym every day.I don't see what the difference is between that and the rehab." The nurse bases her response on the knowledge that:

Type 2 diabetes mellitus is often difficult to diagnoses in older adults because:

You are developing a class on stroke prevention for a local senior citizens center.What would be an important focus when teaching stroke prevention directed at modifiable risk factors?

The major difference between a transient ischemic attack (TIA)and a cerebrovascular accident (CVA)is that:

An 86-year-old woman is diagnosed with diverticulosis on her routine colonoscopy.She asks you how she got this problem.You base your answer on the knowledge that the risk factors for diverticulosis include: