A nurse is providing care to several clients. The nurse reviews each client's diagnostic and assessment findings. Which result would warrant the nurse to investigate further?
A 78-year-old client's stomach pH is increased.
A 71-year-old client's echocardiogram reveals slight left ventricular hypertrophy.
A 78-year-old client has recently developed urinary incontinence
An 81-year-old client's glomerular filtration rate (GFR) is decreased.
The Correct Answer is D
A. A 78-year-old client's stomach pH is increased.
An increased stomach pH could indicate a disruption in gastric acidity levels, which may be associated with various gastrointestinal conditions or medications. While it could be a normal variation in some cases, especially considering age-related changes, an increased stomach pH might also suggest underlying issues such as hypochlorhydria or certain medications' effects. Further investigation may be warranted to determine the cause and potential implications of this finding, especially if it's persistent or associated with symptoms.
B. A 71-year-old client's echocardiogram reveals slight left ventricular hypertrophy.
Left ventricular hypertrophy (LVH) is a common finding, particularly in older adults with hypertension or other cardiovascular risk factors. While slight LVH might not always be clinically significant, it could indicate underlying cardiac abnormalities or increased cardiovascular risk. However, it's important to note that echocardiographic findings need to be interpreted in conjunction with the patient's clinical history and other cardiac assessments to determine the significance of the finding and the need for further investigation.
C. A 78-year-old client has recently developed urinary incontinence.
Urinary incontinence is a common problem in older adults and can have various causes, including urinary tract infections, neurological disorders, medication side effects, or pelvic floor dysfunction. While it is important to assess and address urinary incontinence, particularly considering its impact on quality of life, it may not always warrant immediate further investigation unless it's associated with other concerning symptoms or complications that require assessment or treatment.
D. An 81-year-old client's glomerular filtration rate (GFR) is decreased.
A decreased glomerular filtration rate (GFR) is indicative of impaired kidney function and may suggest underlying kidney disease or other systemic conditions affecting renal function. This finding warrants further investigation to determine the cause and severity of kidney dysfunction, assess for associated complications, and guide appropriate management. Further evaluation may include additional renal function tests, imaging studies, or referral to a nephrologist for specialized care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Explain how scientific research evidence supports medical treatment: While providing education about scientific research evidence is important in healthcare, it may not directly address ethnic diversity among clients. This option focuses more on the clinical aspect of care rather than the cultural or ethnic aspects.
B. Take a foreign language class or travel abroad: While learning a foreign language or experiencing other cultures through travel can increase cultural competence, it may not be the most direct way to address ethnic diversity among clients. Additionally, not all nurses may have the time or resources to engage in such activities.
C. Provide standardized diets that meet clients' nutritional needs: Providing standardized diets may be important for meeting clients' nutritional needs, but it does not directly address ethnic diversity. Different ethnic groups may have unique dietary preferences and cultural practices related to food.
D. Listen to the life stories of older adult clients: This is the most direct way to address ethnic diversity among clients. By actively listening to the life stories of older adult clients, nurses can gain insight into their cultural backgrounds, values, beliefs, and experiences. This can help nurses provide more culturally sensitive and individualized care tailored to the needs of each client.
Correct Answer is C
Explanation
A. Spending the day at adult day care:
While adult day care programs can offer socialization, supervision, and activities for older adults during the day, they may not directly address the safety concerns associated with the client's recent falls, especially if the falls are occurring at home. Additionally, spending the day at adult day care may not address the need for immediate assistance in case of falls or emergencies when the client is at home alone.
B. A live-in home health care provider:
Having a live-in home health care provider can provide continuous assistance and supervision for the client, which may address safety concerns and reduce the risk of falls, particularly if the falls are related to mobility issues or other health conditions. However, this option may be more intrusive and costly compared to other solutions, and it may not be necessary if the client's needs can be addressed with less intensive interventions.
C. Use of a home monitoring system:
A home monitoring system, such as a medical alert system or a fall detection device, can provide immediate assistance in the event of a fall or emergency. This option allows the client to maintain independence and continue living alone while ensuring that help is readily available when needed. It addresses the immediate safety concerns raised by the client's recent falls and provides peace of mind for both the client and their family members.
D. Relocation to an assisted living facility:
Relocating to an assisted living facility may be considered as a last resort if other options are not feasible or if the client's needs cannot be adequately addressed at home. However, this option may be overly intrusive and disruptive to the client's lifestyle, especially if they prefer to remain in their own home. It is typically reserved for situations where the client requires a higher level of care and supervision that cannot be provided in a home setting.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.