What findings should the nurse expect when assessing an older adult client?

Heightened sense of pain.

Increased nighttime sleeping.

Decreased sense of balance.

Nighttime urinary incontinence.

Answer and Explanation

The Correct Answer is C

As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
Choice A is wrong because older adults may actually have a decreased sense of pain.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.

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Correct Answer is D

Explanation

When a client is restrained to each extremity, it is important for the nurse to assess the client’s peripheral pulses first to ensure that circulation is not compromised.

Choice A, Elimination needs, is important but not the first priority in this situation.

Choice B, Comfort level, is also important but not the first priority in this situation.

Choice C, Skin integrity, is important but not the first priority in this situation.

A. Limb restraints. B. Blood glucose monitor. C. Oral airway. D. Supplemental oxygen supplies. E. Oral suction equipment.

Correct Answer is ["C","D","E"]

Explanation

An oral airway can help maintain an open airway during a seizure.

Supplemental oxygen supplies can be used to provide oxygen if the client’s breathing is compromised.

Oral suction equipment can be used to clear secretions from the client’s mouth and prevent aspiration.

Limb restraints: Restraints should not be used during a seizure as they can cause injury.

Blood glucose monitor: While it is important to monitor blood glucose levels in clients with seizures, it is not a priority during a seizure.

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What findings should the nurse expect when assessing an older adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is restrained to each extremity. Which of the following assessments should the nurse perform first?

Correct Answer is D

Explanation

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.).

Correct Answer is ["C","D","E"]

Explanation

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?

A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?

A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?

What findings should the nurse expect when assessing an older adult client?

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