A nurse caring for an older client on a medical-surgical unit ...

[melina_rosy]

A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform first?
 
  a. Auscultate bowel sounds.
  b. Check skin turgor.
  c. Perform an oral assessment.
  d. Weigh the client.

Question 2

A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal?
 
  a. Exercise program to improve physical function
  b. Financial planning seminar series for older adults
  c. Social events such as dances and group dinners
  d. Workshop on prevention from becoming an abuse victim

[nathang24]

Answer to Question 1

ANS: C
Poorly fitting dentures and other dental problems are often manifested by a preference for soft foods and constipation from the lack of fiber. The nurse should perform an oral assessment to determine if these problems exist. The other assessments are important, but will not yield information specific to the client's food preferences as they relate to constipation.

Answer to Question 2

ANS: A
All activities would be beneficial for the older population in the community. However, failure in performing one's own activities of daily living and participating in society has direct effects on morale and life satisfaction. Those who lose the ability to function independently often feel worthless and empty. An exercise program designed to maintain and/or improve physical functioning would best address this need.