A nurse in an extended-care facility is reinforcing teaching for with a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)

More difficulty seeing due to a greater sensitivity to glare

Decreased systolic blood pressure

Decreased bladder capacity

Decreased cough reflex

Dehydration of intervertebral discs

Answer and Explanation

Correct Answer : A,B,C,D,E

A.   Age-related changes can cause difficulty seeing, particularly with glare sensitivity.
B.   Systolic blood pressure tends to decrease with age.
C.   Bladder capacity decreases with age, leading to increased frequency of urination.
D.   The cough reflex weakens with age, increasing the risk of aspiration.
E.   Intervertebral discs can become dehydrated with age, contributing to a loss of height and increased risk of disc herniation.

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Correct Answer is C

Explanation

A. Seeking a second opinion suggests the client may be exploring different treatment options, indicating some level of hope for improvement.
B. Expressing plans to stop treatment may indicate frustration or dissatisfaction but does not necessarily reflect acceptance of the prognosis.
C. Expressing a desire for symptom relief (in this case, discomfort) is indicative of an understanding and acceptance of palliative care.
D. Stating that the treatment is making the client stronger every day may reflect a positive attitude but does not necessarily indicate acceptance of the prognosis.

A. Instruct the client on use of call light. B. Apply an ambulation alarm to the client’s leg. C. Apply restraints to the client PRN. D. Raise the four side rails of the client’s bed. E. Check on the client hourly

Correct Answer is ["A","B","D","E"]

Explanation

A. Instructing the client on the use of the call light allows them to easily summon assistance when needed.
B. Applying an ambulation alarm helps monitor the client's movement, especially if there is a risk of falls or wandering.

C. Applying restraints is not the first-line intervention and should only be used when less restrictive measures are ineffective, and the client is at risk of harm to themselves or others.
D. Raising the four side rails of the client’s bed is a safety measure to prevent falls and ensure the client's protection.

E. Checking on the client hourly is an essential intervention to monitor the client’s mental status and ensure safety. Frequent assessments allow for early identification of complications related to opioid use, such as respiratory depression or increased sedation.

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A nurse in an extended-care facility is reinforcing teaching for with a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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