The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

69-year-old with peripheral vascular disease who is visited by home health care weekly.

73-year-old with a history of chronic bronchitis who lives with family.

86-year-old who lost a spouse and is moving into an assisted living facility.

79-year-old with moderate Alzheimer disease who requires assistance with all activities of daily living (ADLs)

Answer and Explanation

The Correct Answer is D

A.   Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B.   Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C.   This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D.   Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.

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Correct Answer is D

Explanation

A. While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B. This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C. While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D. While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.

A. Lack of energy B. Lack of time C. Pain with movement D. Fear of falling

Correct Answer is D

Explanation

A. While lack of energy can be a barrier to exercise, it is not as specific to the fear of falling.
B. This is a common barrier to exercise for many people, but it does not specifically address the fear of falling.

C. If the patient is experiencing pain with movement, it is important to address this before starting an exercise program. However, fear of falling is a more specific concern related to osteoporosis.
D. Osteoporosis is a condition characterized by decreased bone density, which can increase the risk of fractures. A walking program can help improve bone health and reduce the risk of falls. However, many people with osteoporosis may be reluctant to start a walking program due to fear of falling.

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The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

Correct Answer is D

Explanation

A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

Correct Answer is D

Explanation

The nurse most effectively implements guided reminiscence during a patient interview by

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

The nurse receives an order to administer 100 mg of gentamycin sulfate to a patient as an IM injection. The nurse has on hand gentamycin sulfate 60 mg/1.5 mL. How many mls should the nurse prepare to administer to the patient?

A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:

A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first: