Test Bank Medical Surgical Nursing 7th Edition Ignatavicius All Chapters | Passing Grades

Which behavior exhibited by an older adult client alerts the nurse to the possibility that the client is experiencing delirium? a. Becoming confused within 24 hours after hospital admission b. Displaying a cheerful attitude despite a poor prognosis c. Becoming withdrawn and sleeping most of the day d. Beginning to use slurred speech and losing coordination A client with Alzheimer’s disease has been hospitalized for dehydration. In making an assessment, the nurse notes the presence of a cluster of bruises on the client’s buttocks. What is the nurse’s priority action? a. Call the local police to report a crime. b. Notify the client’s physician and social worker. c. Confront the client’s caregiver with the suspicions. d. Alert security to prevent visits by the client’s caregiver. An older adult client is suspected of being neglected by the caregiver. What assessment provides the nurse with the best information about this possibility? a. Inspect skin in the “bathing suit zone” for bruises. b. Assess the client for orientation to person, place, and time. c. Compare the client’s current weight with prior recorded weights. d. Perform orthostatic pulse and blood pressure readings. A nurse is caring for an older adult client who lives alone. Which economic situation presents the most serious problem for this client? a. Stock market fluctuations b. Increased provider benefits c. Social Security as the basis of income d. Costs of creating a living will An older adult client is in the hospital. To what government resource would the nurse refer the client to help meet the cost of health care? a. Preferred provider organizations b. Health maintenance organizations c. Medicare Part A d. Medicare Part B A nurse is assessing a client at risk for dehydration. Which statement by the client indicates that more education by the nurse is required? a. “I try to limit coffee to one cup in the morning and one cup in the early evening.” b. “During the day I drink at least six to seven glasses of water.” c. “Alcohol causes me to frequently urinate so I cut it out of my diet.” d. “I stop drinking fluids in the afternoon to avoid bathroom trips at night.” An older adult recently had a hysterectomy and has requested some medication for pain. The physician leaves an order for meperidine (Demerol). Which action by the nurse is most appropriate? a. Assess the client’s pain 1 hour after giving the medication. b. Call the physician and request a different pain medication. c. Assess the client’s respiratory rate often after administering the Demerol. d. Ensure that the client does not receive iron supplements at the same time. A nurse manager is planning a comprehensive care plan for older clients admitted to the medical-surgical unit. To decrease hospital stays and lessen the pain that older clients experience, which standard intervention should the manager include in the care bundle for this population? a. Assess all clients for depression. b. Obtain a dietary consult for nutrition assessment. c. Perform medication reconciliation on admission. d. Screen all clients for alcohol and drug use. MULTIPLE RESPONSE What conditions predispose an older adult client to acute confusion or delirium? (Select all that apply.) a. Alcoholism b. Chronic pain c. Acute infection d. Electrolyte imbalances e. Multi-infarct cerebrovascular disease f. Change in drug regimen An older adult client has been admitted to a skilled nursing facility following surgery. What interventions should the nurse add to this client’s care plan to assist with adjusting to this situation? ((Select all that apply.) a. Make sure the client has hearing aids and glasses. b. Offer the anxiolytic that the physician has prescribed. c. Encourage the family to bring in favorite pictures. d. Ask where the client wants the room furnishings placed. e. Encourage the client to eat meals alone in his or her room. f. Set a daily schedule for the client that includes group activities.