Review Questions NUR 231 Exam 2 Practice Questions and Complete Solutions
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Course
NUR 231
Institution
NUR 231
A nursing student 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 tem...
Review Questions NUR 231 Exam 2
Practice Questions and Complete
Solutions
A nursing student 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 first?
1. Tell the student that temporary confusion is normal and simply requires reorientation
2. Tell the student to increase the patient's fluid intake since the urine is concentrated
3. Tell the student that her assessment findings are normal for an older adult
4. Tell the student that he will notify the patient's health care provider of the findings and
recommend a urine culture ✅4
A patient's family member is considering having her mother placed in a nursing center.
The nurse has talked with the family before and knows that this is a difficult decision.
Which of the following criteria does the nurse recommend in choosing a nursing center?
(Select all that apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. The center provides three meals daily with a set menu and serving schedule.
5. Staff encourage family involvement in care planning and assisting with physical care.
✅2,3,5
A nurse conducted an assessment of a new patient who came 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 assessment. He recently
moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely
experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Hypoglycemic reaction. ✅2
The nurse is completing a health history with the daughter of a newly admitted patient
who is confused and agitated. The daughter reports that her mother was diagnosed with
Alzheimer's disease 1 year ago but became extremely confused last evening and was
hallucinating. She was unable to calm her, and her mother thought she was a stranger.
On the basis of this history, the nurse suspects that the patient is experiencing:
Sexuality is maintained throughout our lives. Which of the following answers best
explains sexuality in an older adult?
1. When the sexual partner passes away, the survivor no longer feels sexual.
2. A decrease in an older adult's libido occurs.
3. Any outward expression of sexuality suggests that the older adult is having a
developmental problem.
4. All older adults, whether healthy or frail, need to express sexual feelings. ✅4
Older adults frequently experience a change in sexual activity. Which best explains this
change?
1. The need to touch and be touched is decreased.
2. The sexual preferences of older adults are not as diverse.
3. Physical changes usually do not affect sexual functioning.
4. Frequency and opportunities for sexual activity may decline. ✅4
The nurse sees a 76-year-old woman in the outpatient clinic. She states that she
recently started noticing a glare in the lights at home. Her vision is blurred; and she is
unable to play cards with her friends, read, or do her needlework. The nurse suspects
that the woman may have:
1. Presbyopia.
2. Presbycusis
3. Cataract(s).
4. Depression. ✅3
A nurse is caring for a patient preparing for discharge from the hospital the next day.
The patient does not read. His family caregiver will be visiting before discharge. What
can the nurse do to facilitate the patient's understanding of his discharge instructions?
(Select all that apply.)
1. Yell so the patient can hear you.
2. Sit facing the patient so he is able to watch your lip movements and facial
expressions.
3. Present one idea or concept at a time.
4. Send a written copy of the instructions home with him and tell him to have the family
review them.
5. Include the family caregiver in the teaching session. ✅2,3,5
A 63-year-old patient is retiring from his job at an accounting firm where he was in a
management role for the past 20 years. He has been with the same company for 42
years and was a dedicated employee. His wife is a homemaker. She raised their five
children, babysits for her grandchildren as needed, and belongs to numerous church
committees. What are the major concerns for this patient? (Select all that apply.)
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