Solutions - Chapter 23 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

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2CTC. Alice Green, a 78-year-old female, has had a bone density scan as part of a regular physical exam and has been told that she has severe osteoporosis. Her primary care provider has ordered a new experi-mental medication that is supposed to maintain bone mass in clients with osteoporosis. She lives alone in her own home and is able to perform ADLs independently.
What risk factors related to osteoporosis should be included in an assessment of Mrs. Green?
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2TYK. A nurse in a long-term care facility is caring for several older adults with noticeable hearing losses. Which is the best way for the nurse to communicate with these clients?
1.  Speak slowly using the proper volume and as few words as possible.
2.  Write the information using large lettering.
3.  Speak in a low and distinct voice tone.
4.  Have the client increase the volume in the hearing aid.
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3CTC. Alice Green, a 78-year-old female, has had a bone density scan as part of a regular physical exam and has been told that she has severe osteoporosis. Her primary care provider has ordered a new experi-mental medication that is supposed to maintain bone mass in clients with osteoporosis. She lives alone in her own home and is able to perform ADLs independently.
Which of the risk factors are modifiable or can be altered by a change in lifestyle?
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3TYK. The nurse observes that an 85-year-old man at an adult day care center fondly shares stories about traveling on the “orphan trains” and his subsequent adoption. Following a behavioral assessment, the nurse should perform which interventions?
1.  Refer him for a geriatric psychiatric evaluation.
2.  Listen and ask him questions about his life.
3.  Distract him and change the conversation.
4.  Involve him in more social activities.
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4CTC. Alice Green, a 78-year-old female, has had a bone density scan as part of a regular physical exam and has been told that she has severe osteoporosis. Her primary care provider has ordered a new experi-mental medication that is supposed to maintain bone mass in clients with osteoporosis. She lives alone in her own home and is able to perform ADLs independently.
What medication teaching is essential when a client is taking medications to increase or maintain bone mass in osteoporosis?
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4TYK. The home health nurse evaluates an older adult for depression. The client’s daughter is present and comments, “I don’t see the need for this evaluation. Aren’t all older people depressed?” Which is the nurse’s best initial response?
1. “How many losses has your mother had?”
2.  “Your mother looks so depressed.”
3.  “How long has she been depressed?”
4.  “Depression is not a normal part of aging.”
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5CTC. Alice Green, a 78-year-old female, has had a bone density scan as part of a regular physical exam and has been told that she has severe osteoporosis. Her primary care provider has ordered a new experi-mental medication that is supposed to maintain bone mass in clients with osteoporosis. She lives alone in her own home and is able to perform ADLs independently.
What preventive measures should be taught to decrease risks of fractures and to maintain bone mass?
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5TYK. While being admitted to a rehabilitation unit, an 82-year-old woman mentions to the nurse that she “has trouble holding her water,” adding “if I could have that tube back in me like I had in the hospital, I wouldn’t have so many accidents.” What is the nurse’s best response?
1.  “Don’t worry, the staff will bring plenty of pads to keep you dry.”
2.  “I’ll put the tube back in you so you will stay dry.”
3.  “Tell me more about your problem.”
4.  “Just call the staff and we’ll help you to the bathroom in time.”
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7TYK. A healthy 78-year-old woman who is considering marriage to a healthy 79-year-old neighbor tells the nurse that she wonders if they will be able to have sexual intercourse. Which is the nurse’s most appropriate response?
1.  “Sexual activity may be too demanding for your heart.”
2.  “Older women maintain sexual function, but most older men are impotent.”
3.  “Most older people are not interested in sexual activity.”
4.  “Both of you may have slower responses to sexual stimulation.”
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8TYK. The client complains of having difficulty clearly seeing the words in the newspaper unless he holds the newspaper an arm’s length away. The nurse uses which terminology to document this assessment?
1.  Presbycusis
2.  Xerostomia
3.  Presbyopia
4.  Presbyesophagus
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9TYK. The nursing student is planning care for an older adult who had a total knee replacement yesterday evening. Which nursing intervention would be most appropriate?
1.  Ask the client how much of his bath he can independently perform.
2.  Ask the client if he has any questions regarding discharge from the hospital.
3.  Tell the client that he needs to decide when he wants his medications.
4.  Tell the client that he needs to rest and will be given a complete bed bath.
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