The nurse is assessing an older adult for safety issues. To ...

[madam-professor]

The nurse is assessing an older adult for safety issues. To promote safety for the client, the nurse should assess the client's ability to:
 
  1. gain weight appropriately.
  2. have a daily bowel movement.
  3. swallow.
  4. plan a menu.

Question 2

The nurse is planning to teach an older client how to check her blood sugar. To promote short-term memory activity, the nurse should:
 
  1. provide a list with action steps.
  2. limit the teaching session to 5-10 minutes in length.
  3. ensure that the environment is free of distracting stimuli.
  4. have the client repeat the steps of the procedure back to the nurse.

[macagnavarro]

Answer to Question 1

Answer: 3

1. Gaining weight would not be advised in the older client.
2. Having a daily bowel movement might not be normal for the client, and is not related to the client's safety.
3. The client who cannot swallow is at risk for aspiration when eating and drinking, which is a safety issue.
4. Planning a menu is not safety promotion.

Answer to Question 2

Answer: 1

1. Short-term memory loss is often experienced in the older client but is managed with lists.
2. Limiting the teaching session to 5 to 10 minutes is helpful to the learning process but may not necessarily promote short-term memory.
3. Ensuring that the environment is free of distracting stimuli may be helpful to the learning process but may not necessarily promote short-term memory.
4. Having the client repeat the steps of the procedure back to the nurse is a teaching strategy; however, it may not necessarily promote short-term memory.