For older adults, a number of health-related concerns should be addressed. The nurse incorporates this information to meet the needs of the older adult patient
Which of the following statements accurately reflects data that the nurse should use in planning care? a. Approximately 50% of adults older than 65 years have two chronic health problems.
b. Cancer is the most common cause of death among older adults.
c. The nutritional needs of older adults are affected by older adults' levels of activity and by clinical conditions.
d. Adults older than 65 years make up the lowest percentage of users of prescription medications.
C
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A Approximately 80% of older adults living at home have at least one chronic health condition, with arthritis, hypertension, heart disease, vision impairment, and diabetes mellitus being the most common in noninstitutionalized older adults.
B Heart disease is the leading cause of death in older adults.
C The nutritional needs of older adults are affected by their levels of activity and by clinical conditions. In assessing nutrition in older adults, the nurse needs to consider sedentary activity, therapeutic diets, recovery from surgery, and dementia.
D It is untrue that adults older than 65 years make up the lowest percentage of users of prescription medications. Older adults account for 12% of the population but use as much as 40% of prescription medication; they make up the highest percentage of users of prescription medication.
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What is the most important adverse physiologic effect that the nurse would expect? A) Polycythemia B) Diminished blood pressure C) Hyperalertness and hyperreflexia D) Diminished tissue oxygenation
How should the nurse respond when the parents of a child with cystic fibrosis ask how their male child inherited this autosomal recessive disorder when neither parent has the disease?
A) "Two carriers may pass on the mutation to their child." B) "The disease often skips a generation." C) "The gene for this disorder is on the Y chromosome." D) "Are you sure there is no history of cystic fibrosis in either family?"
A patient is starting on antihypertensive medications, because two previous clinic visits showed a blood pressure reading of 166/92 . Which of the following medications would interfere with the effects of the antihypertensive drugs prescribed?
a. NSAIDs b. Calcium supplements c. Selective serotonin reuptake inhibitors d. Antibiotics
The nurse performs a vaginal examination to determine labor progress. She notes that the FHR, as indicated on EFM, rises approximately 30 beats/minute above baseline for about 60 seconds. The nurse recognizes that:
a. This is a normal response of the fetus to the vaginal examination and requires documentation only. b. This is an early sign of fetal infection and should be reported to the health care provider. c. The laboring woman must be getting a fever to cause the FHR to rise like that. d. This is an indication that the fetus may have a nuchal cord.