NR 576 Week 1 Quiz 1

6. A nurse caring for a client who has Alzheimer’s disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to perform ADLs with minimal supervision. Which of the following actions should the nurse take? Answer: Ask the client to express her reason for refusing the medication and document the event. 7. A nurse is assessing an older adult client for signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process? Answer: Decreased creatinine clearance Elevation of urine specific gravity is an unexpected finding that could indicate dehydration. 8. A nurse is providing discharge instructions about calcium supplements to an older adult female client who has osteoporosis and a recent repair of a fracture in her right hip. Which of the following instructions should the nurse include? Answer: “You should take your calcium supplement with a large glass of water.” Taking calcium supplements with a large glass of water, with or after meals, will promote absorption of calcium. 9. A nurse is caring for an older adult client who has pneumonia. Which of the following physiologic changes associated with aging places the client at risk for pneumonia? Answer: Decreased number of cilia A decreased number of cilia is a physiologic change associated with aging. 10. A nurse is planning care for a client who had a stroke. Which of the following goals should the nurse identify as the priority for this client? Answer: The client’s airway will remain clear, as evidenced by clear breath sounds. 11. A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? Answer: Allow sufficient time for the client to respond to the questions. Answer: Review the medical record for a client history of glaucoma. Diphenhydramine is contraindicated for narrow-angle glaucoma because it dilates pupils, while glaucoma medications constrict pupils to facilitate the circulation of aqueous humor. 19. A nurse is developing a plan of care for a client who had a recent stroke and has a history of gastroesophageal reflux (GERD). For which of the following disorders should the nurse plan to monitor this client? Answer: Aspiration pneumonia 20. A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract. Which of the following client reports should the nurse recognize is consistent with cataracts? Answer: Halos when looking at lights 21. A nurse is teaching a newly hired assistive personnel about her role in helping older adult clients with activities of daily living. The nurse should explain that which of the following is the most common factor that affects a client’s performance of ADLs? Answer: Chronic physical disability 22. A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements. Which of the following statements about the role of folic acid should the nurse make? Answer: “Adequate folic