During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

"Are you able to feed yourself?"

"Do you do your own laundry?"

"Do you shop for groceries?"

"Do you manage your own money?"

Answer and Explanation

Correct Answer : B,C,D

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

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Correct Answer is B

Explanation

A. Anterior chest: While the anterior chest examination is important, axillary palpation is more specific to the breast area.

B. Breasts: Palpation of the axillae is part of the breast examination to check for lymph nodes or masses.

C. Heart: The heart is assessed through auscultation and palpation of the chest, not the axillae.

D. Neck: The neck examination does not typically involve palpation of the axillae.

A. Gallops B. Murmurs C. Bruits D. Normal findings

Correct Answer is C

Explanation

A. Gallops: Gallops are additional heart sounds heard with a stethoscope that are not related to the carotid artery.

B. Murmurs: Murmurs are abnormal heart sounds related to the heart valves and are typically heard over the precordium rather than the carotid artery.

C. Bruits: Bruits are abnormal, high-pitched swooshing sounds caused by turbulent blood flow in an artery, often indicative of arterial narrowing or blockages.

D. Normal findings: High-pitched swooshing sounds over the carotid artery are not normal and typically warrant further investigation for potential vascular issues.

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During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would palpate the axillae during examination of which area?

Correct Answer is B

Explanation

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Correct Answer is C

Explanation

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