Older Adult A
A nurse is using the Katz Activities of Daily Living tool to assess an older adult's functional status. Name two questions in the tool.
bathing, dressing, going to toilet, transferring, feeding, and continence.
A nurse is teaching deep breathing exercises to a preoperative client. Please demonstrate the technique.
Exhale gently and completely before inhaling.
You are providing postoperative care of a patient. Her BP is progressively decreasing from the baseline. You notify the health care provider for possible of
internal bleeding.
What changes in version comes with age?
Macular degeneration
What changes in blood pressure comes with age?
systolic blood pressure increases
The PACU nurse has received a semiconscious client from the operating room and reviews the chart for orders related to positioning of the client. There are no specific orders on the chart related to the client's position. In this situation, in what position will the nurse place the client?
side-lying position
The nurse is assessing a client for postoperative complications. What is the priority to assess in postanesthesia recovery peroid?
Respiratory obstruction
A nurse completes a Geriatric Depression Scale for an older adult client. The nurse determines that the client is not depressed by which score?
0-9
The nurse is performing a general survey on an older adult client. What are included in the general survey? Name two of them.
physical appearance, body structure, mobility, and behavior
An 83-year-old client who wears glasses is scheduled for surgery. When will you remove the glasses?
Until just before anesthetic is administered.
What physiologic factor that puts infants at greater risk from surgery than adults?
lower total blood volume
An elderly patient has been diagnosed with orthostatic hypotension. Which area would the nurse emphasize as most important related to safety?
Prevention of falls
When assessing the cognitive function of an elderly female client, what assessment should the nurse be conducted first?
Sensory
A nurse is caring for a client who is scheduled to undergo a breast biopsy. What tasks do the nurse perform during the preoperative period? Name two.
Obtain a signature on the consent form/ Review the surgical checklist./ Conduct a nursing assessment.
The nurse monitors the urine output of a postoperative client. The results of this assessment allow the nurse to monitor for signs of what complication?
Impaired tissue perfusion
An otherwise healthy elderly client develops the sudden onset of confusion, lethargy, anorexia, and nocturia. The nurse should obtain an order for what lab test to assess this sudden change in health status?
Urinalysis for the onset of a urinary tract infection
What are the postoperative complications in skin intergrity for patient with obesity? Name one.
infection risk, slow healing
Explain the reason for older adults having difficulty with driving at night.
With aging, the pupils do not respond to light as quickly, so they have difficulty driving at night.