NU627 Week 4 Exam Latest 2022

A 62-year-old who has worked on an assembly line since he was 24 years old began taking aspirin for arthritis 6 months ago. The client presents to the nurse with hearing problems and ringing in the ears. Which of the following problems should the nurse suspect?

A)Tinnitus

B)Vertigo

C)Ototoxicity

D)Impacted cerumen

 

A new nursing assistant asks the nurse how best to approach a hearing-impaired older adult. Which of the following

approaches should the nurse recommend?

A)Raise the volume of your voice.

B)Leave the radio on to calm the older adult.

 C)Lower the tone of your voice.

D)Use exaggerated lip movements.

 

A nurse who regularly visits an adult daycare center has noted evidence of a hearing deficit in a man who has no documented history of hearing loss. Which of the following factors should the nurse consider when attempting to ascertain the etiology of the man's hearing loss? (Select all that apply.)

A)Genetic factors

B)Environmental conditions

C)Fluid and electrolyte imbalances

D)Ototoxic medications

 E)Atherosclerosis or thrombotic events

 

The incidence of hearing loss in a long-term care facility is high, especially among white men. What strategy should care providers adopt when communicating with older adults who have hearing loss?

A)Use less complex concepts when communicating with hearing- impaired older adults.

B)Use a high, consistent tone and pitch when speaking to adults with hearing loss.

C)Speak at a high volume directly into the less affected ear when talking to an older adult with a hearing deficit.

D)Make eye contact before and during a conversation with hearing- impaired adults.

 

A nurse has been caring for an 83-year-old resident of a nursing home for 2 years and has developed a high level of trust with the resident. Which of the following recent changes in the resident's behavior may signal the possibility of hearing loss?

A)The resident's statements occasionally suggest that he is not oriented to time.

B)The resident had a recent episode where he became visibly angry at a nursing assistant.

C)The resident's attention span is short and he is easily distracted.

D)The resident has become increasingly disagreeable and terse in his demeanor.

 

A nurse teaches an older adult about risks related to ototoxic medications. Which of the following medications should the adult minimize or avoid?

A)Nonsteroidal anti-inflammatory agents

 B)Osmotic stool softeners

 C)Over-the-counter sleep aids

D)Penicillin-type antibiotics

 

A nurse is providing an educational program about age-related macular degeneration (AMD) to a group of older adults. Which of the following statements by an older adult indicates the need for further teaching?

A)"Smoking is a risk factor for AMD."

B)"Macular degeneration causes a loss of central vision."

C)"People with macular degeneration should have any sudden changes evaluated."

D)"The dry type of macular degeneration occurs rapidly."

 

Which of the following methods can be used to informally assess an older adult's visual skills? (Select all that apply.)

A)Ask the person to look out a window and describe certain details.

B)Perform a standard confrontation test to assess central vision.

C)Place good illumination and ask the person to read printed material with various type sizes.

D)Perform a standard vision test, testing each eye separately and allowing the person to cover the other eye with a hand.

 

Which of the following are crucial when assessing visual function in an older adult? (Select all that apply.)

A)Asking the older adult to read the fine print on a medicine bottle without a magnifying aid

B)Asking the older adult whether he or she can drive without difficulties at night

C)Observing the older adult functioning in his or her normal environment

D)Observing the older adult while he or she is reading a newspaper without glasses

 

A nurse knows teaching has been effective when the client states the following:

A)"If my sensitivity to glare decreases and my contrast sensitivity increases, I will be evaluated for cataracts."

B)"I wear sunglasses and a wide-brimmed hat when I am in the sun to protect my eyes and prevent the development of cataracts."

C)"Having Alzheimer disease increases one's risk of developing macular degeneration."

D)"If I take ototoxic medications, this will increase my risk for developing cataracts."

 

After a scheduled trip to her optometrist, a 70-year-old has been told that the pressure in her eye is high and she needs to be monitored and treated to prevent damage to the optic nerve.

What is this person's diagnosis? A)

Cataracts B)

Glaucoma C)

AMD D)

Presbyopia

 

A nurse assesses risk factors for vision loss in a 71-year-old client. Which question should the nurse include in this assessment?

A)"Do you have high blood pressure or diabetes?"

B)"Did your parents wear glasses or have cataracts?"

C)"How much red meat do you usually eat?"

 D)"Do you have high cholesterol?"

 

A 78-year-old client states, "I often have dry eyes, it is bothersome and irritating." What intervention should the nurse recommend?

A)Daily rinses with tap water

B)A medication vacation to determine if medications are the cause

 C)Use of over-the-counter artificial tears

D)Keeping eyes closed for 3 to 5 minutes each hour

 

A resident of a nursing home has experienced a progressive loss of vision over the past several months as a consequence of diabetes. How should the nurse accommodate the resident's loss of visual acuity?

A)Provide the resident with brightly colored grooming utensils.

B)Replace the resident's tube television with a flat-screen TV.

C)Remove books from the resident's room to avoid reminding her of her vision loss.

D)Have the walls in the resident's room painted a neutral color that matches the color of the flooring.

 

A nurse gives a presentation regarding eye health at a wellnessclinic. Which of the following interventions should the nurse include in the teaching?

A)Avoid reading under halogen lights

B)Cardiovascular exercise three times a week

C)Get 8 to 10 hours of sleep each night

D)Wearing sunglasses with UV-absorbing lenses

 

A nurse assesses a 79-year-old adult noting the presence of a white ring around the iris bilaterally. What is the correct term for this?

A)Glaucoma

B)Arcus senilis

C)Arthritis

D)Presbyopia

 

A 70-year-old client with urosepsis is admitted to a nursing unit. The labs include elevated sodium, blood urea nitrogen, hematocrit, and albumin. Which of the following nursing diagnoses is priority for this client?

A)Constipation

B)Fluid volume deficit

C)Imbalanced nutrition: less than body requirements

D)Impaired tissue perfusion

 

A nurse plans the diet for an older adult with congestive heart failure. Which of these nursing interventions would be most successful to encourage optimal nutrition?

A)Encourage calorie supplements.

B)Provide 55% of calories from complex carbohydrates.

C)Teach older adults to sit upright for 2 hours after a meal.

D)Use moderate to large amounts of flavor enhancers.

 

A nurse teaches a health education class for older adults about constipation. Which of the following points should the nurse stress?

A)Older adults who do not have a daily bowel movement should use a laxative.

B)Older adults should limit their intake of high-fiber foods because of a risk of lactose intolerance.

C)If older adults need a medication to promote bowel regularity, a laxative or enema should be given.

D)If older adults need a medication to promote bowel regularity, a bulk-forming agent is needed daily.

 

A nurse assesses an older adult in the assisted living facility who has presbyphagia. Which of the following systems should the nurse auscultate?

A)Abdomen for bruit

B)Bowel sounds

C)Heart tones

D)Lung sounds

 

A nurse counsels an older adult regarding nutritional requirements. Which of the following teaching points is priority when discussing age-related changes in nutritional requirements?

A)"If possible, try to eliminate animal fats from your diet."

B)"You should try to eat less meat and proteins than you did when you were younger."

C)"Overall, you don't need to take in as many calories as you used to."

D)"As an older adult, you don't need to eat as many starches and complex carbohydrates."

 

A nurse manager of the long-term care facility develops plans to reduce nutritional deficits. Which of the following interventions is appropriate to include in the plan?

A)Encourage residents to eat in their rooms to minimize distractions.

B)Offer four to five small meals a day rather than three larger meals.

C)Promote oral care for residents multiple times each day.

D)Provide incentives for residents to eat all the food on their trays.

 

A nurse evaluates the plan of care for a client who experienced an ischemic stroke. Which of the following assessment findings should signal the nurse to the possibility that the client has developed dysphagia?

A)The client complains of being excessively hungry.

 B)The client drinks large amounts of water with meals.

C)The client pockets food in the affected cheek during meals.

 D)The client prefers to sit in a high Fowler's position after eating.

 

A nurse admits a 90-year-old client to the hospital with a diagnosis of failure to thrive. Which of the following laboratory data should the nurse expect?

A)Low albumin and red blood cells

B)Elevated white blood cells (WBCs) and low potassium

C)Low platelets and low prothrombin time (PT)

D)Elevated calcium and magnesium

 

A nurse working for human services visits a long-term care facility. Which resident assessment finding indicates poor quality care?

A)BMI of 29

B)Indentured mouth

 C)Serum albumin of 3.5

D)Unintentional weight loss

 

A nurse plans care for a client who states that food is no longer appealing. The nurse notes a dry mouth and teeth in poor condition. Which interventions should the nurse include in the plan of care? (Select all that apply.)

A)Eight-ounce bottle of water between each meal

B)Hard toothbrush

C)Ice cold water at bedside

D)Meals in the common room

 E)Oral care before each meal