Author Question: The daughter of a dependent older patient reports to the nurse that the patient requires regular ... (Read 31 times)

jhjkgdfhk · **on:** Jul 11, 2018

The daughter of a dependent older patient reports to the nurse that the patient requires regular soapsud enemas to manage chronic constipation. The nurse responds that

a. an alternative management technique should be discussed.
b. enemas are generally the most effective interventions for the older adult.
c. chronic constipation is best managed with oral medications.
d. her mother's diet is the most likely cause of the constipation.

Question 2

A novice nurse is aware that normal aging can result in changes in the ECG of a 73-year-old patient. The experienced geriatric nurse explains that these changes may include which of the following? (Select all that apply.)

a. An inverted T wave
b. A notched P wave
c. A prolonged PR interval
d. Decreased amplitude of the QRS complex
e. A slurred T wave

heyhey123 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Soapsud enemas lead to mucosal irritation and should not be used. Alternative methods to man-aging constipation include dietary changes and medications when needed.

Answer to Question 2

B, C, D, E
The number of pacemaker cells located in the sinoatrial node decreases with age, which results in less responsiveness of the cells to adrenergic stimulation. Common aging changes that are re-flected by the electrocardiogram (ECG) include a notched P wave, a prolonged PR interval, de-creased amplitude of the QRS complex, and a notched or slurred T wave.