The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased risk for which reason?
1. The physiological deficits of aging increase the surgical risk for older adults.
2. The older adult has increased kidney function.
3. The older adult has an increase in sensory function.
4. The older adult will turn, cough, and deep-breathe more effectively.
Correct Answer: 1
Rationale 1: The older adult has more physiological deficits, such as decreased kidney function and decreased thirst, and is at greater risk for fluid and electrolyte imbalances.
Rationale 2: The older client has decreased kidney function.
Rationale 3: The older client has a decline in sensory functioning.
Rationale 4: The older client may not be able to follow directions or understand instructions as well as a younger client.
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An elderly man tells you that his wife died 14 months ago and that he cannot stop grieving over his loss. What should you encourage the patient to consider?
A) Improve his nutritional intake. B) Make an appointment at a wellness clinic. C) Walk on a daily basis. D) Increase his interaction with his social network.
During an assessment an older male patient states that he has not been happy in life because he does not deserve to be loved. The nurse realizes that this patient believes love has been withheld because of which criteria? (Select all that apply.)
A) Productivity B) Social position C) Education level D) Physical condition E) Material possessions
To enhance drug absorption in providing drug therapy to elderly clients, when possible the nurse should:
a. administer liquid dosage forms. b. administer sustained-release dosage forms. c. administer drugs in a suppository dosage form. d. use capsule instead of tablet dosage forms.
What are the elements included in the health system in the chronic care model? Select all that apply
1. Decision support 2. Delivery system design 3. Self-management support 4. Primary providers 5. Clinical information systems