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Hyperglycemia is type 2 diabetic patients leads to ________ due to decreased blood supply to the tissue.
What is Poor wound healing?
15-minute walk through the LTCF in a post menopausal woman can improve __________.
What is bone strength?
This type of abuse is demonstrated by restraining an older adult in a recliner.
What is physical abuse?
A deficiency of _________ causes pernicious anemia.
What is vitamin B12?
A ______ attempts to explain and give some logical order to observations.
What is theory?
An acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux is to _____________.
What is eat smaller, more frequent meals?
The environment for an older adult should be modified to keep it warmer because of the decreased _________tissue.
What is subcutaneous?
A housing option for the older adult offers the privacy of an apartment with restaurant-style meals and some medical and personal care services.
What is an assisted-living center?
This is an indication of a complication of immobility. (think immobile and unable to move independently)
This type of elder abuse is demonstrated by the non-provision of medical care.
What is neglect?
The greatest risk to an older adult client in a LTCF is injury from moving without assistance if they have impaired _________; therefore, the priority action is to collect data about the client’s ________ and need for assistance with transferring and ambulating. (both blanks are the same answer)
What is mobility?
This type of elder abuse is demonstrated by a health care worker telling a nursing home resident she will be left without a call light if she continues to use it excessively.
What is emotional abuse?
When two physicians agree in writing that the criteria of this document has been met, the condition of this document will go into effect.
What is a living will?
A ____________ for health care transfers decision-making authority for health care to a designated person.
What is a durable power of attorney?
An older client complains of increase in clothing size from a 10 to barely squeezing into a size 16. The nurse knows that this is because of a decrease in muscle mass is replaced with _______.
What is adipose tissue?
________ is a clinical finding of UTIs specifically associated with the older adult client.
What is confusion?
A son who uses his mother’s checking account funds to purchase alcohol for himself could be found guilty of ______.
What is elder abuse?
In _______ therapy, rather than trying to reorient the client to reality, the nurse shows respect for the client’s reality and redirects the client by encouraging her to talk about her feelings.
What is validation?
Medicare Part ____ pays for inpatient hospital costs.
What is part A?
A client 4 hr postop from an open reduction and internal fixation of a fractured femur. The nurse should check ____________ in the affected extremity every 4 hours.
What is capillary refill?
Walker safety should include assuring the client _______the walker and advance it about 15 cm (6 in), then _______. This allows the client a wide base of support while she moves forward. (blanks are different)
What is lifts & sets it down?
A client just had cataract surgery. The nurse should assist the client to rest in a _____________ position to prevent increasing intraocular pressure.
What is semi-Fowler's?
____ and _____ is the most beneficial legislation that has influenced health care for the older adult.
What is Medicare and Medicaid?
This is discrimination against persons solely on the basis of age.
What is ageism?
This term used to classify those who were born between 1946 and 1964.
What is baby boomers?
The nurse should pinch an area of skin on the back of the forearm or on the sternum to check ____________
What is skin turgor?
A dark pigmented mole with irregular shape and border is concern for _____.
Medicare will cover extended-care facility costs for a period of _______.
What is 100 days?
The nurse should take the client to the __________ on a regular schedule to reduce the risk of the client getting out of bed, wandering at night, and falling.
What is bathroom?
A reduction of ________ is a factor that is related to heat intolerance in the older adult and attributes to why they should be monitored closely for heat prostration.
What is perspiration?
The theory that identifies an unstable molecule as the causative factor in aging is the _____ theory.
What is the Free radical?
A client with Parkinson's disease has a nursing diagnosis of nutrition, less than body requirements related to difficulty swallowing. The nurse should offer ____________ as a snack.
What is a thick, high-nutrition shake.
A nurse finds her older adult client lying on the floor next tot he bed, the nurse should ________.
What is check the client for injuries?
To decrease wondering at night the nurse could keep _________ within reach to decrease the client’s need to leave the room to search for possessions.
What is client's personal items?
Signs of dehydration include sunken eyeballs, hypotension and ________ mucus membranes.
What is Dry?
An 80-year-old teaches Sunday school each week and delivers food for Meals on Wheels. This is an example of ______ theory of aging.
What is Activity?
The shift of health care focus toward the older adult in the late 1960s was ______ practices increase longevity.
What is preventive health care?
A resident wears a large cowboy hat at all times because he likes it, this behavior demonstrates successful aging according to _________ theory.
What is Jung's?
A soothing nighttime routine can promote relaxation and rest, including providing a ________ time to go to bed and time to wake in the morning.
What is consistent?
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should monitor the client for ___________ after catheter removal?
What is temporary urinary retention?
The purpose of _______ is to give family members temporary relief from the stress of providing care for a family member. This program helps make alternative arrangements so caregivers have time off to attend to their own needs.
What is respite care?
Using good health maintenance practices, is an example of _______ aging theory.
What is wear-and-tear?
_________ is a technique used to decrease a client’s pain or anxiety. The client is instructed to imagine being in a peaceful place in order to decrease pain or anxiety.
_____________ is a service that delivers meals daily to older adults who need them, either at senior centers or directly to their homes.
What is Meals on Wheels?
Increased __________ is a manifestation of paradoxical excitement, which can occur in older adults taking lorazepam and should be reported to the provider immediately.
What is anxiety?
In this age group, the term “aged” applies.
What is 75-84 years of age?
Wartlike dark macules with distinct borders.
Seborrheic keratoses
Constipation is a serious adverse effect of opioid medications. The intended outcome of __________ therapy is to relieve constipation by producing stool that is softer in consistency and easier for the client to pass.
What is docusate?
An older client who has a history of stroke is at risk for choking and aspiration. If the client reports difficulty swallowing, data should be collected to determine the extent of dysphagia before feeding the client or administering medications. Checking the client’s ____________ is part of data collection.
What is symmetry of the soft palate and uvula?
Buck’s traction immobilizes the fractured bone to relieve _______________ at the fracture site and thereby relieve pain. Any movement of fracture fragments induces severe muscle spasms and triggers pain.
What is muscle spasms?
A patient with diabetes is found to be pale, edematous, with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. This nursing assessment indicates _________ disease.
What is Chronic kidney disease?
An elderly female can reduce the amount of the free radical lipofuscin by taking ___________ daily.
What is antioxidants?
This senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults.
What is American Association of Retired Persons (AARP)?
A red rash, _________, on the client’s abdomen, chest, neck or upper arms is a manifestation of fat embolism.
What is petechiae?
__________ is the bony enlargement of distal joints of the fingers.
What is Heberden nodes?
A 70-year-old postmenopausal woman that is taking hormone replacement therapy (HRT). This will prevent bone loss but can cause _____, ______ or _______ cancer.
What is stroke, heart attack, or breast?
According to evidence-based practice, the nurse should expect the provider to first prescribe _________ to the older adult client. Most osteoarthritis pain is manageable with an over-the-counter medication, this medication is a safer choice for the older adult client than an NSAID.
What is acetaminophen?
A client who is recovering from a left-hemispheric stroke will have some degree of aphasia and will require _______ nursing interventions and speech therapy
What is communication-focused?
When the client exerts pressure to expel feces, he uses the Valsalva maneuver, with which he contracts his abdominal muscles voluntarily and exhales against a closed airway while bearing down. When he exhales and releases the sudden pressure, __________ can occur.
What is dysrhythmias?
__________ is a symptom of inadequate insulin coverage in a patient with diabetes mellitus type I.
What is ketones in the urine?