Nokea
The older adult patient complains to the nurse about nocturia. This problem is most likely related to:
- A. loss of bladder tone.
- B. decrease in testosterone.
- C. decrease in bladder capacity.
- D. intake of caffeine.
Correct Answer: C
Rationale: At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity.
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Which areas are affected only minimally by age?
- A. Physical activity
- B. Productivity
- C. Cognition
- D. Sexuality
Correct Answer: C
Rationale: Aging has little influence on cognition. Only through disease processes is cognition altered.
When was the Social Security Act, which was the first major legislation providing financial security for older adults, passed?
- A. 1930
- B. 1935
- C. 1940
- D. 1945
Correct Answer: B
Rationale: The first major legislation to provide financial security for older adults was the Social Security Act of 1935.
Which approaches should be included when teaching medication safety to an older, homebound adult?
- A. Always dispose of expired medications in the toilet or the sink; never throw them in the trash can.
- B. Never share medications with others.
- C. If a medication is not finished as prescribed, save it for future use.
- D. Keep medications in their original containers.
- E. Always request childproof containers, even if the patient has trouble opening the lids.
Correct Answer: A,B,D
Rationale: Expired medications should always be disposed of in the toilet or sink; they should never be thrown in the trash where they could be retrieved by others. Medications should never be shared with anyone else. Medications should always be stored in their original containers. A prescription should always be taken as prescribed by the health care provider. Medications should never be saved for future use. If an older adult has trouble opening childproof medication containers, he should request non-childproof lids.
The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?
- A. Pursed-lip breathing
- B. Increased inspiration
- C. Vital capacity
- D. Decreased expiration
Correct Answer: A
Rationale: Pursed-lip breathing can help empty the lungs of used air and promote inhalation of additional oxygen.
When an older female patient complains of painful sexual intercourse, what should the nurse recognize as the probable cause?
- A. Urinary incontinence
- B. Arthritic joints
- C. Kyphosis
- D. Mucosal drying
Correct Answer: D
Rationale: Sexual intercourse may be uncomfortable because of drying of the mucosa of the vagina.