Deck 7: Managing Basic Physiological Needs

Question 1

In implementing your nursing care plan for your client with constipation,what will you include in your plan?

A) Bedrest
B) Limiting fluids
C) Increased fiber in the diet
D) Aluminum-containing antacids

Answer 1

Increased fiber in the diet

Question 2

Older adults with sleep apnea:

A) experience excessive deep sleep.
B) are often slim and underweight.
C) have an increased risk for sudden death and stroke.
D) experience excessive tension in the muscles of the throat and soft palate.

Answer 2

have an increased risk for sudden death and stroke.

Question 3

It is 3:00 AM.You are the night shift charge nurse on the east wing of a hospital.You are busy verifying that yesterday's orders were correctly transcribed when an elderly female patient who has ambulated to the desk calls your name.She seems upset when she says,"I can't sleep.I haven't gotten more than two consecutive hours' sleep since I was admitted the other day." Your response is:

A) "That's very unusual,older people tend to sleep a lot more."
B) "I will call the doctor and have him order some sleeping pills for you."
C) "Just be glad you aren't the patient in the next room.She was just diagnosed with cancer.Now that's something to lose sleep over!"
D) "Let's get some warm milk and talk about it."

Answer 3

"Let's get some warm milk and talk about it."

Question 4

A 78-year-old client in your home care agency has a history of congestive heart failure and arthritis.She lives alone in a two-story home; the bathroom is on the first level,and her bedroom is on the second level.She reports that she has something "very upsetting" to tell you,and reports that she has been wetting the bed at night.What type of incontinence does she most likely have?

A) Urge incontinence
B) Functional incontinence
C) Iatrogenic incontinence
D) Stress incontinence

Question 5

In evaluating interventions for your client's problem of constipation,what best indicates progress toward resolution of the problem?

A) Small,liquid bowel movements once to twice per day
B) Moderate discomfort with every-other-day evacuation
C) Fluid intake of 1 L/day with a low-residue diet
D) Normal bowel movements 1 to 3 days apart

Question 6

You are a nurse on the Acute Care for the Elderly unit in a large academic medical center.One of the performance improvement projects of your unit is to implement a protocol to decrease the use of indwelling urinary catheters.The major reason for the choice of this project is that:

A) urinary catheters are very costly.
B) long-term catheter use increases the risk of urinary tract infections.
C) long-term catheter use causes pain in older adults.
D) intermittent catheterization is very time consuming.

Question 7

When beginning an exercise program,an elderly client should first be assessed.What is important to include in the initial assessment for older adults of all ages?

A) Exercise tolerance testing (ETT)
B) Echocardiogram
C) Medical history and physical examination
D) Pulmonary function tests (PFTs)

Question 8

A 77-year-old woman reports that she has difficulty sleeping.The nurse asks her for a history of her sleep problems.What instruction should the nurse include in suggestions to improve her sleep?

A) Take several daytime naps if you cannot sleep at night.
B) Try a glass of wine at bedtime.
C) Include 10 minutes of moderately strenuous exercise before going to bed.
D) Use the bed only for sleep or sex.

Question 9

An older adult has Alzheimer's disease.His wife says he gets up at night and wanders around the house.What suggestion given by the nurse would be most appropriate?

A) "Ask your physician to prescribe strong sedatives."
B) "Increase his daily activity by taking him on frequent walks."
C) "Try using a restraint jacket at night."
D) "He needs his rest,so make sure he takes a nap during the day."

Question 10

What client statement might encourage you to add the nursing diagnosis of constipation to the client's care plan?

A) "I only have a bowel movement every 2 days."
B) "I have to have my morning cup of coffee before I can move my bowels."
C) "If I don't eat enough prunes or other fruit,I sometimes have trouble."
D) "I had a bowel movement 3 days ago,but it wasn't much,and it was very hard."