Exam 40: The Older Adult Patient

The focus on the relief of a patient's suffering,in all of its dimensions,is referred to as what type of care?

What is the chemical change in a drug called that renders it active or inactive?

An older patient is admitted to the hospital with a hip fracture.Which nursing intervention would be a priority?

An older patient is started on spironolactone to control hypertension.The nurse knows to monitor for what side effect?

Which sign or symptom can be a normal assessment finding for an older patient?

Which parameter remains unchanged in an older person when he or she exercises?

An 82-year-old patient was admitted after an inferior myocardial infarction.Why would the nurse need to provide increased attention to the patient's skin integrity?

A 78-year-old patient was admitted after an inferior myocardial infarction.The patient awakens during the night confused and disoriented.The nurse suspects the patient may be developing what condition?

A 68-year-old patient was admitted after an inferior myocardial infarction (MI).Dopamine 3 mcg/kg/min has been ordered for this patient.What nursing implications should be considered when administering this medication to an older patient?

Which sign or symptom would be a normal assessment finding for an older patient?

Which age-related changes contribute to a higher risk for myocardial ischemia in an older patient?

Which medications are considered an alternative to angiotensin-converting enzyme (ACE)inhibitors in older adult hypertension patients with diabetes mellitus and heart failure (HF)?

A nurse is teaching an older patient about the signs and symptoms of a myocardial infarction.Which statement by the patient would indicate that the teaching was effective?

An older patient is starting a new medication that is metabolized in the liver and excreted by the kidneys.Which is the best assessment to monitor the patient's ability to tolerate the medication?

An older adult is placed on a continuous infusion of high-dose loop diuretic for diuresis.What finding would alert the nurse to the presence of a possible adverse effect?

An older patient is admitted to the hospital with an acute onset of mental changes and recent falls.What is the one of the most common causes of mental changes in older patients?

What age-related change can affect the absorption of medications?

A 78-year-old patient has been admitted after an inferior myocardial infarction (MI).The nurse knows that age-related changes in the cardiovascular system coupled with the MI place the patient at risk for what problem?

The nurse recognizes that there are numerous interventions that can decrease the negative physical,functional,and cognitive long-term outcomes associated with critical illness.Identify a few of these interventions.

Which sound may be difficult for an older person to hear?