A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include?

(Select all that apply.).

Avoid crossing your legs when sitting.

Wear compression stockings.

Drink caffeinated beverages.

Change positions slowly.

Increase your salt intake.

Answer and Explanation

Correct Answer : A,B,D

The correct answer is A, B, and D. These are some of the strategies to prevent orthostatic hypotension, which is a sudden drop in blood pressure caused by a change in posture, such as when a person stands up quickly.

Some explanations for the other choices are:.

• Choice C is wrong because drinking caffeinated beverages can cause dehydration, which can worsen orthostatic hypotension by reducing the fluid volume in the blood vessels.

• Choice E is wrong because increasing salt intake can raise blood pressure, but it can also cause fluid retention, which can strain the heart and kidneys. People with hypertension, heart failure, or kidney disease should limit their salt intake.

Some normal ranges for blood pressure are:.

• Systolic blood pressure (the top number) should be less than 120 mmHg for most adults.

• Diastolic blood pressure (the bottom number) should be less than 80 mmHg for most adults.

• Orthostatic hypotension is diagnosed when there is a drop of 20 mmHg or more in systolic blood pressure or 10 mmHg or more in diastolic blood pressure within 2 to 5 minutes of standing.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The correct answer is A.“Do you drive your own car or use public transportation?.” This question is appropriate for the domain ofmode of transportation, which is one of the eight areas of occupational performance assessed by the Lawton Instrumental Activities of Daily Living (IADLs) Scale.The scale evaluates a person’s ability to engage in more complex activities thought necessary for functioning in community settings.

Choice B is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofability to use a telephone.The scale asks about the person’s ability to operate a telephone, dial numbers, and answer calls.

Choice C is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofshopping.The scale asks about the person’s ability to take care of all shopping needs independently, shop for small purchases, or need assistance with shopping.

Choice D is wrong because it is not related to the domain of mode of transportation, but rather to the domain ofmobility.The scale does not assess mobility directly, but it may be inferred from the person’s ability to travel by public transportation or car.

The Lawton IADLs Scale has a summary score that ranges from 0 (low function, dependent) to 8 (high function, independent) for women, and 0 to 5 for men.The score identifies areas of need in regard to care and support.

A. Decreased immune system function with aging. B. Lack of knowledge or awareness about STIs. C. Reduced use of condoms or other barrier methods. D. Increased number of sexual partners or casual encounters. E. Increased vaginal dryness or atrophy with menopause.

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

Explanation

The correct answer isA, B, C and D.

These are all factors that can increase the risk of sexually transmitted infections (STIs) in older adult clients.

A. Decreased immune system function with aging.This can make older adults more susceptible to infections and less able to fight them off.

B. Lack of knowledge or awareness about STIs.

Older adults may not have received adequate education or information about STIs, their symptoms, prevention and treatment.They may also have misconceptions or stigma about STIs that prevent them from seeking help or testing.

C. Reduced use of condoms or other barrier methods.

Older adults may not perceive themselves as at risk of STIs or may not know how to use condoms correctly or consistently.They may also face barriers such as cost, availability, embarrassment or partner resistance to using condoms.

D. Increased number of sexual partners or casual encounters.

Older adults may have more opportunities for sexual activity due to factors such as divorce, widowhood, online dating, travel or retirement.They may also engage in sexual behaviors that expose them to multiple or unknown partners, such as sex work, drug use or group sex.

Choice E is wrong becauseincreased vaginal dryness or atrophy with menopauseis not a risk factor for STIs in older adult clients.

While this condition can cause discomfort, pain or bleeding during sexual intercourse, it does not increase the likelihood of acquiring or transmitting an STI.However, it may affect the quality of life and sexual satisfaction of older women and their partners, and may require medical attention or lubrication products.

: Johnson BK.

Sexually transmitted infections and older adults.J Gerontol Nurs 2013;39(11):53-60.: World Health Organization (WHO).

Sexually transmitted infections (STIs).2022 Aug 22.: Journal of Gerontological Nursing (JGN).

Sexually Transmitted Infections and Older Adults.

2013 Sep 18.

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A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a functional status assessment for an older adult client using the Lawton Instrumental Activities of Daily Living (IADLs) Scale. The nurse asks the client about his ability to use transportation. Which of the following questions is appropriate for this domain?

Correct Answer is A

Explanation

A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients. Which of the following factors should the nurse consider? (Select all that apply.).

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

Explanation

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A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include?

(Select all that apply.).