Exam 27: Assessing the Older Adult

The client reports to the Emergency Department with complaints of severe pain.The client was diagnosed with a fractured hip.The client reported sitting down on the toilet seat and feeling his right hip break.The client asks how this could have happened.What information can be provided by the nurse?

The nurse is performing a focused interview with an elderly client.The client reports the presence of painful sores.The client states,"They wrap around in lines from my back toward my belly." During the assessment of the client's skin,the nurse discovers the sores are reddened vesicles.The nurse would suspect which of the following conditions?

The older adult male client is visiting the outpatient clinic.During the focused interview,the client admits that he is experiencing clinical manifestations associated with erectile dysfunction.Which of the following statements by the client indicate that the client may be taking a medication that could produce this problem?

The nurse is performing an assessment on a 70-year-old client.Which of the following findings will warrant further investigation?

The nurse is using the Katz Index of Independence in Activities of Daily Living tool to assess the client's level of independence.Based on the table below,calculate the client's total number of points. ___ points

The daughter of an elderly client reports that the client is experiencing a decrease in hearing ability in the client's right ear.The nurse suspects a conductive hearing loss due to the presence of dried wax in the right ear canal.In which of the following ways can the nurse best validate this suspicion?

The nurse is preparing to perform an evaluation of the older adult client's level of cognitive reasoning.The student nurse is observing.Which of the following statements by the student nurse indicates the need for further education?

The nurse is performing a head-to-toe assessment on an older adult client who was admitted to the hospital with dehydration.Which of the following findings are consistent with this condition?

The nurse is assessing an 84-year-old client.The nurse notes the presence of edema in both knees and ankles.The client complains of joint stiffness and pain upon awakening.The nurse would suspect which of the following disorders?

The nurse has provided an educational program for his peers regarding several theories of aging.Which of the following statements by a participant in the program indicates the need for further education?

The nurse is preparing to interview the older adult client and perform a head-to-toe assessment.Which of the following actions by the nurse indicate the nurse requires further education?

During a routine physical examination,a 66-year-old client reports feeling very tired throughout the day.Which of the following is the nurse's best initial action?

The nurse is planning an educational program for new nurses regarding healthcare needs of the elderly.Which of the following should be included?

The nurse is examining the eyes of an elderly client using the ophthalmoscope.The vessels of the eyes are narrow and tapered in appearance.The nurse would correctly choose which of the following actions?

The nurse is assessing the vital signs of an elderly client and obtains a temperature of 97.1 degrees Fahrenheit.Which of the following actions is most appropriate?

The nurse hears a bruit when auscultating the right carotid artery of an elderly client.The nurse would choose which of the following actions next?

The nurse is interviewing an elderly client and notes the presence of several soft,yellow plaques on the eyelids at the inner canthus.The nurse would suspect that the client has developed which of the following conditions?

The client is visiting the outpatient clinic for a routine blood pressure assessment.While speaking with the nurse,the client states,"I'm getting old and everything hurts." Which statement or question by the nurse is most appropriate?

The nurse is educating a client who has been diagnosed with stress incontinence.The nurse should include which of the following in the teaching care plan?

The nurse is counseling an elderly couple and encourages both of them to receive the pneumococcal vaccine.The nurse would understand that further teaching is necessary if which of the following statements was made by one of the clients?