NYU AE 1 Final| 164 QUESTIONS| WITH COMPLETE SOLUTIONS

A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1° C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient's temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend? A. Tell the student that temporary confusion is normal and simply requires reorientation B. Tell the student to increase the patient's fluid intake since the urine is concentrated C. Tell the student that her assessment findings are normal for an older adult D. Tell the student that he will notify the physician of the findings correct answer: D The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight increase in body temperature, development of confusion, and the dark-colored urine. Temporary confusion is not a normal condition in older adults. Increasing the fluid intake is acceptable but not a recommendation for the set of symptoms the patient presents. The presenting set of symptoms is not normal. A patient's family member is considering having her mother placed in a nursing center. You have talked with the family before and know that this is a difficult decision. Which of the following criteria would you recommend in choosing a nursing center? (Select all that apply.) A. The center should be clean, and rooms should look like a hospital room. B. There should be adequate staffing on all shifts. C. Social activities should be available for all residents. D. Three meals should be served daily with a set menu and serving schedule. E. Family involvement in care planning and assisting with physical care is necessary. correct answer: B, C, E Adequate staffing, provision of social activities, and active family involvement are essential. Meals should be high quality with options for what to eat and when it is served. A nursing center should be clean, but it should look like a person's home. A nurse has conducted an assessment of a new patient who has come to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the nursing history. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: A. Dementia. B. Depression. C. Delirium. D. Disengagement. correct answer: B Factors that often lead to depression include presence of a chronic disease or a recent change or life event (such as loss). Patients are alert but easily distracted in conversation. A major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis could precipitate: A. Dementia. B. Delirium. C. Depression. D. Stroke. correct answer: C The onset of depression could be abrupt or gradual, but the usual cause is a major life-altering event in the life of the person experiencing the depression.