Author Question: The children of an older male adult feel he is too old to drive a car. Which assessment in-formation ... (Read 81 times)

Jkov05 · **on:** Jul 11, 2018

The children of an older male adult feel he is too old to drive a car. Which assessment in-formation about the man warrants further investigation by the nurse to determine his fit-ness to drive a car safely? (Choose all that apply.)

a. Increased rate of tripping on curbs
b. Increased frequency of getting lost
c. Multiple bruises on lower extremities
d. Restricts reading to a well-lit sunroom
e. Socializes with a partners bridge group
f. Cooks gourmet meals for entertainment

Question 2

An older woman who has COPD wants to perform self-care activities. Which instruction should the nurse include in patient teaching to help her achieve this goal?

a. Bathe and eat slowly with periodic rest.
b. Walk short distances without oxygen.
c. Perform all activities of daily living (ADLs) and then rest.
d. Bathe right after eating, and then rest.

lindahyatt42 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, D

a. Correct. Tripping on curbs can potentially indicate a vision impairment but can also be caused by other problems.
b. Correct. Getting lost frequently can potentially indicate a vision impairment but can also be caused by other problems.
c. Correct. Bruising from bumping into objects can potentially indicate vision impairment but can also be caused by other problems.
d. Correct. Reading in a well-lit sunroom exclusively can potentially indicate vision impair-ment, especially if the patient requires additional lighting for reading.
e. Incorrect. Socializing with a bridge group is likely to indicate adequate visual acuity for reading the cards and keeping score.
f. Incorrect. Gourmet cooking is likely to indicate adequate visual acuity to measure and prepare food.

Answer to Question 2

A
A person with COPD can perform self-care tasks if allowed plenty of time to accomplish them and to take breaks for rest. The patient can potentially benefit more from longer periods of exer-cise supplemented with oxygen than from short excursions without oxygen. A plan to rest in the future after the self-care task of performing ADLs or bathing after eating is accomplished does not compensate for the deprivation of rest when she needs it.