A nurse works in a gerontology clinic. What age-related changes cause the nurse to alter standard assessment techniques from those used for younger adults? (Select all that apply.)
a. Dentition deteriorates with more cavities.
b. Nail beds may be thickened or discolored.
c. Progressive loss of hair occurs with age.
d. Sclerae begin to turn yellow or pale.
e. Skin becomes dry as the client ages.
ANS: B, C, E
Common findings in older adults include thickened or discolored nail beds, dry skin, and thinning hair. The nurse adapts to these changes by altering assessment techniques. Having more dental caries and changes in the sclerae are not normal age-related changes.
You might also like to view...
In human beings, the physiologic response to a stressor includes the
A) Sympathetic nervous system slowing the heart rate B) Hypothalamus secreting adrenocorticotropic hormone C) Hypothalamus secreting thyroid-stimulating hormone D) Epinephrine increasing the blood-glucose level
Auscultation of the lung fields provides the nurse with information on the type of breath sound the patient is exhibiting
While listening over the manubrium, the nurse auscultates loud expiratory sounds that last longer than inspiratory sounds. The nurse will document her findings as: A) Vesicular breath sounds B) Bronchovesicular breath sounds C) Bronchial breath sounds D) Tracheal breath sounds
The staff development trainer has been asked to prepare a program on the latest approach to health care. In which order should the trainer review the identified concepts?
1. Holistic health 2. Integrative medicine 3. Alternative medicine 4. Complementary and alternative medicine
A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has reached how many weeks of gestation?
1. 4 2. 14 3. 24 4. 34