Exam 27: Assessing the Older Adult

The nurse is assessing an older adult client who has come to the outpatient clinic with complaints of fatigue.The nurse believes that the client is exhibiting clinical manifestations associated with hypothyroidism.Which of the following findings are consistent with the presence of this condition?

The nurse is assessing the older adult client who has been admitted to the hospital following a fall.The nurse is using the Fulmer SPICES framework to assess the client for predicting and preventing problems that the client may experience.Rank the following assessment questions by the nurse in order of occurrence based on this framework. A)"Do you have any concerns about your memory?" B)"It looks like you've lost some weight since your healthcare provider last saw you.How are your teeth?" C)"Can you tell me about how well you are sleeping?" D)"Have you had any problems holding your urine?" E)"I noticed that you have a large bruise on your knee.Did you fall recently?"

The nurse is examining the oral cavity of an elderly client with complaints of mouth soreness.Red,cracked skin is noted at each corner of the mouth.Which of the following findings is most consistent with this client's condition?

The nurse is assessing the older adult client's waist-to-hip ratio to determine the client's risk for developing hypertension.The client's hip circumference is 72 centimeters.The client's waist circumference is 81 centimeters.Calculate the client's waist-to-hip ratio.Round to the hundredths place.

The nurse is performing a focused interview with an older adult client.Which of the following statements indicate the client has an increased risk of developing depression?

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

The nurse is assessing the older adult client.As the nurse completes the nursing care plan for the client,which of the following places the client at risk for infection?

A 76-year-old client presents to the outpatient clinic with complaints consistent with influenza.During the interaction,the nurse notes the client's clothing appears too large.Which of the following actions by the nurse should be performed first?

The nurse is assessing the elderly client's respiratory system.Upon auscultation,rales are detected bilaterally in both lower lobes.Scattered rales are heard in the upper lung fields.These adventitious sounds do not clear with a cough.The nurse percusses the client's lung fields and determines the presence of dull sounds.The nurse would correctly suspect which of the following?

The nurse is conducting a focused interview with an elderly client.The client states that she is concerned about "All of these little bumps on my neck and chest." Moist,brownish,wart-like lesions are noted on the neck and chest.The nurse would suspect which of the following conditions?

While performing an integumentary assessment on a 72-year-old male client,the nurse notes the presence of tenting.Which of the following actions is indicated by the nurse first?

During a routine physical examination,a client reports a close relative recently died from complications related to heart disease.The client requests information about her own risk for the development of heart disease.The nurse reviews the client's risk factors for the development of the disease.Which of the following risk factors associated with heart disease is modifiable?

During the assessment of a 66-year-old client's apical pulse,the nurse notes the presence of a faint murmur.The nurse documents that a grade 3 murmur can be auscultated without radiation.The client denies ever having been diagnosed with any heart problems.Based upon your knowledge,which of the following statements is most correct?

The older adult client had been experiencing nocturia and decided to voluntarily restrict fluid intake during the day to help avoid the problem.Which of the following statements by the client's daughter indicates that the client may be experiencing a complication associated with this practice?

The nurse is performing a focused interview with an elderly client.The client says,"My mouth is always so dry.Sometimes,I feel like my tongue has grooves in it." The nurse inspects the client's tongue and discovers that it is red and dry with the presence of furrows.Based on the client's most likely condition,the nurse expects to learn which of the following?

The nurse is interviewing an older adult client prior to performing a head-to-toe assessment.Which of the following statements by the client indicate that the client's skin may appear more damaged than another person this client's age?