During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

gather information from a family member accompanying the patient.

omit the interview and proceed to a physical examination.

repeat the questions at the end of the visit to cross check for accuracy of data.

reassure the patient that forgetfulness is a normal part of the aging process.

Answer and Explanation

The Correct Answer is A

A.   Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B.   Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C.   Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D.   While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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Correct Answer is A

Explanation

A. Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B. Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C. Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D. Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

A. Kussmaul's respirations. B. Cheyne-Stokes respirations. C. Biot's respirations. D. Hyperventilation.

Correct Answer is B

Explanation

A. Kussmaul's respirations are rapid, deep, and labored breaths often seen in metabolic acidosis, which does not match the pattern described.
B. Cheyne-Stokes respirations are characterized by a pattern of deep and fast breathing followed by periods of apnea. This pattern is seen in patients with severe conditions like heart failure or brain injury.
C. Biot's respirations are irregular, but the cycle does not have a distinct pattern of fast, slow, and apnea periods.
D. Hyperventilation refers to an increased rate of breathing but does not involve the cycles of deep, slow, and apneic phases characteristic of Cheyne-Stokes.

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During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

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