Which conditions are likely to cause an older adult chronic pain? (Select all that apply.)

Low back pain

Hypoproteinemia

Headaches

Osteoarthritis

Hip replacement

Answer and Explanation

Correct Answer : A,D,E

Choice A reason: Low back pain is a common condition that affects many older adults, as it can be caused by degenerative changes in the spine, disc herniation, spinal stenosis, osteoporosis, or muscle strain. Low back pain can be chronic, meaning it lasts for more than three months, and can interfere with daily activities and quality of life.

Choice B reason: Hypoproteinemia is a condition where the level of protein in the blood is abnormally low, which can be caused by malnutrition, liver disease, kidney disease, or inflammation. Hypoproteinemia can cause symptoms such as edema, fatigue, weakness, or hair loss, but it does not usually cause chronic pain.

Choice C reason: Headaches are a common symptom that can affect people of any age, but they are not necessarily chronic or related to aging. Headaches can be caused by various factors, such as stress, dehydration, sinus infection, migraine, or medication. Headaches can be acute, meaning they last for a short time, or chronic, meaning they occur for more than 15 days a month.

Choice D reason: Osteoarthritis is a degenerative joint disease that affects many older adults, as it causes the cartilage that cushions the joints to wear away, resulting in pain, stiffness, swelling, and reduced mobility. Osteoarthritis can affect any joint, but it is more common in the knees, hips, hands, and spine. Osteoarthritis can be chronic, meaning it worsens over time, and can limit the ability to perform daily tasks and enjoy life.

Choice E reason: Hip replacement is a surgical procedure that replaces a damaged or diseased hip joint with an artificial one, which can improve pain, function, and quality of life. However, hip replacement can also cause chronic pain, either due to complications, such as infection, dislocation, or loosening of the implant, or due to persistent inflammation, nerve damage, or scar tissue.

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Correct Answer is A

Explanation

Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.

Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.

Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.

Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.

A. Regular exercise should not exceed 30 minutes three times a week. B. A walking program is not recommended for an older adult with diabetes. C. Insulin can most probably be discontinued if the individual adheres to the walking program. D. The walking regimen needs to be done on a regularly scheduled basis.

Correct Answer is D

Explanation

Choice A reason: Regular exercise should exceed 30 minutes three times a week, not not exceed. Exercise helps lower blood glucose levels and improve insulin sensitivity.

Choice B reason: A walking program is recommended for an older adult with diabetes, not not recommended. Walking is a low-impact, moderate-intensity exercise that can benefit people with diabetes.

Choice C reason: Insulin can not be discontinued if the individual adheres to the walking program, not most probably. Insulin is a vital hormone that regulates blood glucose levels and prevents complications from diabetes. Exercise alone is not enough to replace insulin therapy.

Choice D reason: The walking regimen needs to be done on a regularly scheduled basis. This is the correct answer because it helps the individual maintain a consistent blood glucose level and avoid hypoglycemia or hyperglycemia. It also helps the individual plan their insulin doses and meals accordingly.

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Which conditions are likely to cause an older adult chronic pain? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Correct Answer is A

Explanation

An older adult diagnosed with Type II DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this client?

Correct Answer is D

Explanation

An older client who was recently admitted to the sub-acute setting after having a knee replacement, is very anxious and refuses to get out of bed, stating that it is too painful. Which intervention will the nurse implement?

An older adult diagnosed with Type II DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this client?

The older adult who is diagnosed with type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?

In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

The nurse administers an opioid analgesic to an older adult postoperative client in the surgical unit. Which is the most important intervention for the nurse to implement before leaving the client’s room?

An older adult reports symptoms of xerostomia. Which of the following interventions should the nurse implement for this patient? (Select all that apply.)

After completing an admission assessment on a client who recently experienced a stroke, the nurse should choose which of the following nursing diagnoses as a priority?

Which conditions are likely to cause an older adult chronic pain? (Select all that apply.)