A nurse is reinforcing teaching about the aging process with an older adult client. Which of the following Information should the nurse Include?

A majority of older adults have dementia.

Most older adults are isolated from family and friends.

There is an increased rate of depression in older adults.

Older adults have decreased interest in sexual activity.

Answer and Explanation

The Correct Answer is C

A. A majority of older adults have dementia: Dementia is not a normal part of aging and does not affect the majority of older adults. While the risk of cognitive impairment increases with age, most older adults maintain functional cognitive abilities. Presenting dementia as typical aging reinforces misconceptions and stigma.

B. Most older adults are isolated from family and friends: Although some older adults experience social isolation, many maintain active relationships with family, friends, and community groups. Social engagement varies widely and is influenced by health status, mobility, and support systems rather than age alone.

C. There is an increased rate of depression in older adults: Older adults may have an increased risk for depression due to factors such as chronic illness, bereavement, reduced independence, and social role changes. Depression in this population is often underdiagnosed because symptoms may overlap with medical conditions.

D. Older adults have decreased interest in sexual activity: Sexual interest and activity can continue throughout the lifespan. While physiologic changes may alter sexual response, desire does not universally decline with age. Many older adults remain sexually active and value intimacy.

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Correct Answer is B

Explanation

A. Allow the infant to have soft foods: After cleft palate repair, oral intake is typically restricted to prevent trauma to the surgical site. Soft or solid foods can disrupt sutures and increase the risk of bleeding or infection. Oral intake is usually limited to clear liquids or specially prepared feeds until healing is sufficient.

B. Maintain elbow restraints on the infant: Elbow restraints (arm splints) help prevent the infant from touching or putting fingers or objects in the mouth, which could damage the surgical site. This intervention protects the integrity of the repair during the critical postoperative healing period and reduces the risk of complications such as dehiscence or infection.

C. Instruct the parents to feed the infant with a spoon: Spoon feeding can apply pressure to the palate and sutures, potentially causing trauma to the repair site. Feeding is often done using specialized devices such as a syringe, cup, or soft-tipped feeders designed to minimize contact with the surgical area.

D. Tell the parents to avoid brushing the infant's teeth for two weeks: Oral hygiene is still important after cleft palate repair, but brushing must be gentle to avoid trauma. Complete avoidance is unnecessary; instead, the nurse should instruct parents to use soft-bristled brushes and avoid the immediate surgical site while maintaining overall oral cleanliness.

A. Pull the auricle upward and outward. B. Pull the auricle downward and backward. C. Pull the auricle upward and backward. D. Pull the auricle downward and outward.

Correct Answer is C

Explanation

A. Pull the auricle upward and outward: While pulling the auricle upward helps straighten the external auditory canal in adults, directing it outward does not fully align the canal’s natural S-shaped curve. Proper straightening requires a backward motion to allow the medication to flow toward the tympanic membrane effectively.

B. Pull the auricle downward and backward: Pulling the auricle downward and backward is the technique used for children younger than 3 years of age. In young children, the ear canal is more horizontal, and this maneuver helps straighten it appropriately. This method is not correct for adults.

C. Pull the auricle upward and backward: In adults, the external auditory canal curves upward and posteriorly. Pulling the auricle upward and backward straightens the canal, facilitating proper instillation of the medication and ensuring it reaches the intended area near the tympanic membrane.

D. Pull the auricle downward and outward: This technique does not effectively straighten the adult ear canal. Incorrect positioning can result in medication pooling in the outer canal rather than reaching the deeper structures where therapeutic action is needed.

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A nurse is reinforcing teaching about the aging process with an older adult client. Which of the following Information should the nurse Include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse Include?

Correct Answer is B

Explanation

A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following methods should the nurse plan to use?

Correct Answer is C

Explanation

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