A Complete Test Bank for Medical-Surgical Nursing; Concepts for Inter-professional Collaborative Care, 2-Volume Set 9th Edition By Ignatavicius

A Complete Test Bank for Medical-Surgical Nursing; Concepts for Inter-professional Collaborative Care, 2-Volume Set 9th Edition By Ignatavicius

2. A home health care nurse assesses an older client for the intake of nutrients needed in larger amounts than in younger adults. Which foods found in an older adults kitchen might indicate an adequate intake of these nutrients? (Select all that apply.) a. 1% milk b. Carrots c. Lean ground beef d. Oranges e. Vitamin D supplements ANS: A, B, D, E Older adults need increased amounts of calcium; vitamins A, C, and D; and fiber. Milk has calcium; carrots have vitamin A; the vitamin D supplement has vitamin D; and oranges have vitamin C. Lean ground beef is healthier than more fatty cuts, but does not contain these needed nutrients. DIF: Applying/Application REF: 30 KEY:Nutrition|nutritionalrequirements|olderadults MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Basic Care and Comfort 3. A nurse working with older adults assesses them for common potential adverse medication effects. For what does the nurse assess? (Select all that apply.) a. Constipation b. Dehydration c. Mania d. Urinary incontinence e. Weakness ANS: A, B, E Commonadversemedicationeffectsincludeconstipation/impaction, dehydration, andweakness. Maniaand incontinence are not among the common adverse effects, although urinary retention is. DIF:Remembering/KnowledgeREF: 34 KEY: Medications| adverse effects MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies 4. A nursemanager institutes the Fulmer Spices Framework aspartof the routine assessmentofolder adults in the hospital. The nursing staff assesses for which factors? (Select all thatapply.) a. Confusion b. Evidence of abuse c. Incontinence d. Problems with behavior e. Sleep disorders ANS: A, C, E SPICES stands for sleep disorders, problems with eating or feeding, incontinence, confusion, and evidence of falls. DIF:Remembering/KnowledgeREF: 40 KEY: SPICES| older adult MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Reduction of Risk Potential 5. A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last months visit. What actions should the nurse perform first? (Select all thatapply.) a. Assess the clients ability to drive or transportation alternatives. b. Determine if the client has dentures that fit appropriately.