Nokea
Which of the following is the most important intervention to prevent pressure ulcers in older adults?
- A. Regular repositioning every 2 hours
- B. Administering pain medications before repositioning
- C. Encouraging excessive hydration
- D. Using restrictive bandages
Correct Answer: A
Rationale: The correct answer is A: Regular repositioning every 2 hours. Repositioning helps to relieve pressure on vulnerable areas, improving blood flow and preventing tissue damage. This intervention is evidence-based and recommended in pressure ulcer prevention guidelines. Administering pain medications before repositioning (B) does not address the root cause of pressure ulcers. Encouraging excessive hydration (C) may have other health benefits but does not directly prevent pressure ulcers. Using restrictive bandages (D) can actually increase pressure and worsen the risk of pressure ulcers.
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The nurse is performing an assessment on an older client. What would indicate a potential complication associated with the skin?
- A. Crusting
- B. Wrinkling
- C. Thinning/loss of elasticity
- D. Crusting
Correct Answer: A
Rationale: The correct answer is A: Crusting. Crusting on the skin of an older client can indicate a potential complication such as an infection or skin condition. It suggests that there may be an issue with the skin's integrity, leading to the formation of crusts. Wrinkling (B) and thinning/loss of elasticity (C) are common age-related changes and not necessarily indicative of a complication. Choice D is a duplicate of choice A, so it is incorrect. In summary, crusting is a sign of a potential skin complication, while the other choices are more likely to be normal age-related changes.
In managing frailty, what is the most important factor for improving strength and overall function in older adults?
- A. High-protein diet
- B. Medication management
- C. Regular strength training exercises
- D. Limiting physical activity to prevent injury
Correct Answer: C
Rationale: Certainly! Regular strength training exercises are crucial for improving strength and overall function in older adults with frailty. Strength training helps build muscle mass, improve balance, and increase mobility, leading to enhanced functional abilities. It also helps prevent falls and maintain independence. High-protein diet (A) supports muscle health but alone is not sufficient. Medication management (B) is important but not the primary factor for physical function. Limiting physical activity (D) can worsen frailty by causing deconditioning and loss of muscle strength.
A nurse is caring for a 70 yr old client with pain related to osteoarthritis. The pain is relatively constant. The client is prescribed pharmacological treatment for the pain. In suggesting alternative therapies to the client, the nurse would consider their effectiveness to be:
- A. Less effective in the elderly
- B. Greater when used in conjunction with pharmacological therapy
- C. Of no difference
- D. More effective in the elderly
Correct Answer: B
Rationale: The correct answer is B: Greater when used in conjunction with pharmacological therapy. This is because combining alternative therapies with pharmacological treatment can often provide a synergistic effect, resulting in better pain management outcomes. Alternative therapies such as physical therapy, acupuncture, or mindfulness techniques can complement the effects of medications, leading to improved pain relief. Options A and D are incorrect as age alone does not determine the effectiveness of alternative therapies. Option C is also incorrect as combining therapies can enhance overall pain management strategies.
The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health?
- A. Physical exercise
- B. Stimulating mental activity
- C. Socialization
- D. Crossword puzzles
Correct Answer: A
Rationale: The correct answer is A: Physical exercise. Engaging in physical exercise has been shown to improve blood flow to the brain, promote the growth of new brain cells, and enhance cognitive function. This helps maintain brain health and may reduce the risk of developing dementia. Other choices are not as directly related to brain health. B: Stimulating mental activity is important but not as effective as physical exercise in preventing dementia. C: Socialization is beneficial for overall well-being but does not have a direct impact on brain health. D: Crossword puzzles are a form of mental stimulation, but physical exercise has a greater impact on brain health.
Define Ageism.
- A. Ageism is a form of prejudice in which older adults are stereotyped by characteristics found in only a few members of their group.
- B. Ageism is the discrimination against individuals who are younger than 65.
- C. Ageism is when younger people are overlooked in healthcare.
- D. Ageism is the positive stereotype that all older adults are wise.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Ageism is defined as prejudice or discrimination against individuals based on their age.
2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults.
3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare.
4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.