An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?
- A. Chin parallel
- B. Chin upward
- C. Chin down
- D. Chin to the side
Correct Answer: C
Rationale: The upright position, leaning slightly forward with the chin down, improves swallowing with the assistance of gravity.
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The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?
- A. Urge incontinence
- B. Stress incontinence
- C. Overflow incontinence
- D. Functional incontinence
Correct Answer: B
Rationale: Stress incontinence results from increased abdominal pressure, which occurs with coughing or sneezing. Urge incontinence occurs after a sudden urge to void and is associated with cystitis, tumors, stones, and CNS disorders. Overflow incontinence is associated with diabetic neuropathy and spinal cord injuries. Functional incontinence results from unwillingness or inability to get to the toilet.
How often does a 76-year-old need a screening for preventive health?
- A. Every 2 years
- B. Every 6 months
- C. Every 3 years
- D. Every year
Correct Answer: D
Rationale: A complete physical is recommended annually after 75.
What is age-related vision change caused by the loss of elasticity of the lens called?
- A. Nearsightedness
- B. Cataracts
- C. Presbyopia
- D. Blepharitis
Correct Answer: C
Rationale: Age-related changes include presbyopia and farsightedness resulting from a loss of elasticity of the lens. Cataracts are due to opacity of the lens.
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?
- A. Once every shift
- B. Every 4 hours
- C. Each evening
- D. Every 2 hours
Correct Answer: D
Rationale: Pressure injuries can be avoided by repositioning the patient every 2 hours.
What is the most common cause of dementia?
- A. Multi infarct
- B. Medications
- C. Alzheimer's disease
- D. Parkinson disease
Correct Answer: C
Rationale: Alzheimer's disease is the most common cause of dementia.
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