Which of the following assessment data will the nurse anticipate finding on the older adult? Select all that apply.
Slower reaction time
Decreased intestinal motility
Increased risk for respiratory infections
Increased bladder capacity
Decalcification of bones
Correct Answer : A,B,C,E
Choice A reason: This is a correct answer. Slower reaction time is a common finding on the older adult, as the nervous system becomes less efficient and responsive with age. The older adult may have difficulty processing information, responding to stimuli, or performing complex tasks. The nurse should assess the older adult's cognitive and sensory function, and provide them with safety and assistance as needed.
Choice B reason: This is a correct answer. Decreased intestinal motility is a common finding on the older adult, as the digestive system becomes slower and weaker with age. The older adult may have problems with constipation, indigestion, or malabsorption. The nurse should assess the older adult's bowel habits, dietary intake, and nutritional status, and provide them with education and intervention as needed.
Choice C reason: This is a correct answer. Increased risk for respiratory infections is a common finding on the older adult, as the immune system becomes less effective and protective with age. The older adult may have more susceptibility to viruses, bacteria, or fungi that can cause pneumonia, bronchitis, or tuberculosis. The nurse should assess the older adult's respiratory function, symptoms, and history, and provide them with prevention and treatment as needed.
Choice D reason: This is not a correct answer. Increased bladder capacity is not a common finding on the older adult, as the urinary system becomes smaller and less elastic with age. The older adult may have problems with urinary incontinence, retention, or infection. The nurse should assess the older adult's urinary habits, output, and quality, and provide them with education and intervention as needed.
Choice E reason: This is a correct answer. Decalcification of bones is a common finding on the older adult, as the skeletal system becomes less dense and strong with age. The older adult may have problems with osteoporosis, fractures, or arthritis. The nurse should assess the older adult's bone health, mobility, and pain, and provide them with education and intervention as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Patient-centered care is a model of care that respects the client's preferences, values, and needs. By involving the client in problem-solving and decision-making, the nurse empowers the client and promotes their autonomy and dignity.
Choice B reason: This is not a good answer. Delivering all requests made by the client may not be feasible, ethical, or beneficial for the client. The nurse should assess the client's requests and determine if they are appropriate and aligned with the client's goals of care.
Choice C reason: This is a poor answer. Disregarding visiting hours is not patient-centered care, but rather a violation of the health care facility's policies and procedures. Visiting hours are established to ensure the safety and comfort of all clients and staff.
Choice D reason: This is a bad answer. Using only the decisions you feel are best for the client is not patient-centered care, but rather paternalistic care. Paternalistic care is a model of care that assumes the nurse knows what is best for the client and imposes their decisions on the client without their consent or input.
Correct Answer is D
Explanation
Choice A reason: This is not a statement that indicates an issue with self-concept. The client acknowledges their difficulty with the colostomy appliance, but also shows that they have family support and assistance. This suggests that the client has a positive self-concept and coping skills.
Choice B reason: This is not a statement that indicates an issue with self-concept. The client expresses their willingness to communicate with their relative who has a colostomy. This indicates that the client has a positive self-concept and social support.
Choice C reason: This is not a statement that indicates an issue with self-concept. The client recognizes that learning to manage the colostomy may take some time and practice. This implies that the client has a positive self-concept and realistic expectations.
Choice D reason: This is the statement that indicates an issue with self-concept. The client expresses a negative and hopeless attitude towards the colostomy. This suggests that the client has a poor self-concept and low self-efficacy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.