The nurse notes that an older adult client has developed ...

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The nurse notes that an older adult client has developed generalized xerosis. The nurse shows an understanding that this may be a symptom related to a systemic health problem when: Select all that apply.
 
  a. reviewing the client's history for a diagnosis of chronic renal failure
  b. monitoring the client's heart rate by taking an apical pulse
  c. assessing the client for symptoms of an under active thyroid gland
  d. placing the client on daily intake and output recordings
  e. performing a finger stick to assess the client's glucose level

Question 2

An older client has been prescribed medications for the management of hypertension. The nurse addresses the client's need for information regarding the resulting affect on urinary function when sharing that:
 
  a. You may notice a need to urinate more frequently with your new medica-tions.
  b. Chronic hypertension can result in chronic renal dysfunction.
  c. It's best to limit your fluid intake after dinner to minimize being awakened by the need to urinate.
  d. Hypertensive medications can make you more at risk for bladder infections.

[vish98]

Answer to Question 1

ANS: A, C, D
Dry skin may be just dry skin, but it may also be a symptom of more serious systemic dis-ease (e.g., diabetes mellitus, hypothyroidism, renal disease) or dehydration. There is no cur-rent research to connect dry skin to impaired cardiac function.

Answer to Question 2

ANS: A
Medications such as diuretics and ACE inhibitors used to treat hypertension do increase the output of urine. The statement regarding renal failure is not incorrect but such an outcome is not generally a result of the medications prescribed. Limiting fluid intake is not generally necessary and should not be done unless recommended by a physician. It is not likely that antihypertensive medications will increase the risk for urinary infections.