Nokea
Which one of the following integumentary system changes puts the patient at greatest risk for complications from bedrest?
- A. Skin becomes thin and fragile
- B. Capillaries become fragile
- C. Decreased circulation to skin and underlying tissue
- D. Tendency to bruise easily
Correct Answer: C
Rationale: Decreased circulation increases the risk of pressure ulcers during bedrest, as it impairs tissue perfusion and healing.
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Older adults may have decreased sensation. Which of the following is an important intervention aimed at preventing complications from this physiological change?
- A. Check the bath water to make sure it is hot enough.
- B. Check the bath water to make sure it is not too hot.
- C. Make sure the patient wears at least socks when ambulating.
- D. Tell the patient to clip toenails regularly.
Correct Answer: B
Rationale: Checking bath water temperature prevents burns, as decreased sensation increases the risk of injury from hot water.
Many older patients experience a decline in renal function as they age. What effect does renal decline have on medications?
- A. Decline in renal function has very little effect on medications unless the patient goes into acute renal failure.
- B. Decline in renal function can cause excessive amounts of a drug to be left circulating in the blood.
- C. Decline in renal function can cause an increase in dilute urine elimination, thereby flushing out too much medication too quickly.
- D. Decline in renal function does not really affect medications because most drugs are rendered inactive by the liver.
Correct Answer: B
Rationale: Reduced renal function impairs drug excretion, leading to accumulation in the blood, which can cause toxicity or prolonged effects.
Your grandmother is no longer able to live alone in her own home. She is not eating well because she no longer feels like preparing a meal and she has gotten her medications all mixed up confused lately. Your grandmother recently has been getting her medications confused lately. What might you suggest as a good living situation for your grandmother? for her?
- A. A nice care in a nice nursing home
- B. Memory care since she cannot cannot remember how to take her medicines
- C. Assisted living for prepared meals, transportation, and medication administration
- D. Intermediate care since she doesn't need 24-hour nursing supervision
Correct Answer: C
Rationale: Assisted living provides meal preparation, medication management, and support for daily activities, suitable for her needs without requiring 24-hour skilled care.
Physical effects of aging result, over time, in a decline in performance. Which of the following influence the physical effects of aging?
- A. Lifestyle
- B. Genetics
- C. Chronic diseases
- D. Surgeries
Correct Answer: A,B,C
Rationale: Lifestyle, genetics, and chronic diseases significantly influence the physical effects of aging, impacting overall health and function.
Which of the following questions represents the best approach to determining if a caregiver is experiencing burnout?
- A. Are you tired of taking care of your husband/wife?'
- B. Are you experiencing any personal health problems such as insomnia or fatigue?'
- C. Have you ever felt like leaving your husband/wife?'
- D. Do you feel you have too much to do in terms of caring for your husband/wife?'
Correct Answer: B
Rationale: Asking about personal health problems like insomnia or fatigue is a sensitive and effective way to identify burnout, as these are common symptoms without being accusatory.