Exam 24: Caring for Frail Elders With Comorbidities

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During a nursing assessment, a frail older patient with cognitive impairment has a higher level of confusion than normal. What symptoms indicative of a urinary tract infection should the nurse further assess?

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B

The nurse is caring for an older patient recently diagnosed with cancer. The nurse is concerned about the patient moving towards a trajectory of frailty. What laboratory findings support the nurse's concern?

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C

A hospital is planning to implement a unit that focuses on acute care of the elderly (ACE). How should the hospital administrator explain this unit to the nursing staff?

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D

The nurse is assessing an older patient's risk for developing problems while hospitalized for an acute illness. The Hospital Admission Risk Profile (HARP) tool will be utilized. Which assessment areas would alert the nurse to a risk? Select all that apply.

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The nurse is preparing a seminar on planning for a hospitalization for residents of an assisted living facility. What information should the nurse include in the seminar? Select all that apply.

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A multidisciplinary team in a long-term care facility is meeting with the family of a frail older patient to discuss care issues and concerns. What key issues should be addressed in the conference? Select all that apply.

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An older patient is demonstrating delirium since being admitted from a nursing home for treatment of a wound infection. What should the nurse identify as the most likely cause for the patient's delirium?

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The nurse is assessing an older patient in a skilled facility for frailty. During the assessment, the nurse determines frailty through the presence of which characteristics? Select all that apply.

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An older patient admitted for treatment of pneumonia has severe osteoarthritis. The nurse notices that the client is progressing on a trajectory towards frailty. What nursing assessment findings support this?

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The nurse is preparing a community education program focusing on cardiovascular disease in the older patient. Which information should the nurse include?

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An older patient with diabetes is prescribed high-dose antibiotic therapy for a wound infection. Which effects of antibiotic therapy should the nurse further assess in relation to the patient?

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A nurse assesses a client in their home and determines they are on a pathway towards frailty. What assessment findings lead the nurse to have this concern? Select all that apply.

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The nurse is caring for an older patient who is receiving palliative care. Which intervention is the highest priority for this patient?

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The daughter of an older frail patient recovering from receiving the wrong medication asks what the hospital can do to prevent this from happening again. How should the nurse respond to the daughter?

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The nurse is planning a presentation for nursing assistants on caring for older patients. Which criteria should the nurse include when explaining frailty? Select all that apply.

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The nurse is planning care for an older patient who is newly admitted. What nursing interventions are necessary to prevent the geriatric cascade? Select all that apply.

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An older patient with chronic renal failure is admitted; the healthcare provider is planning modified care for this patient. Nursing interventions for modified level of care would focus on which of the following? Select all that apply.

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The nurse is admitting an older frail patient with dementia as a resident in a long-term care facility. Which problem is a priority when planning interventions for this patient's care?

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An older client asks the nurse what they can do to live to a healthy old age. Which response by the nurse promotes healthy aging?

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The nurse is planning an education program for other nurses on palliative care. Which information should the nurse include in the program? Select all that apply.

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