The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased risk because:
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 instruction as well as a younger client.
You might also like to view...
A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional roller-coaster.". Which response by the nurse would be most appropriate?
A) "How often has this been happening to you?" B) "Maybe you need some medication to level things out.". C) "Mood swings are completely normal during pregnancy.". D) "Have you been experiencing any thoughts of harming yourself?"
A client with ankylosing spondylitis has severe kyphosis. The nurse planning care for this client would provide priority interventions to
a. create a safe environment. b. consult with physical therapy for an exercise regimen. c. encourage a high-calorie diet with vitamin supplements. d. use meticulous technique when changing surgical dressings.
Mrs. Reilly brings her 6-year-old daughter in with complaints of a foul vaginal discharge noted in her underpants. The most common cause of a foul vaginal discharge in children is a(n):
a. accident. b. foreign body. c. infection. d. ruptured hymen.
Nurses use medical asepsis in practice to reduce the number and transfer of pathogens. Which of the following are principles of this practice? Select all that apply
A) Carry soiled items close to the body to prevent transfer of pathogens into the environment. B) Place soiled bed linen or any other items on the floor, instead of the bed or furniture. C) Move equipment close to you when brushing, dusting, or scrubbing articles. D) Clean the least soiled areas first and then move to the more soiled ones. E) Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms. F) Shake out linens and patient clothing before placing them back on the bed.