Author Question: The nurse is conducting a physical assessment of a 49-year-old client during an annual assessment. ... (Read 127 times)

neverstopbelieb · **on:** Jul 22, 2018

The nurse is conducting a physical assessment of a 49-year-old client during an annual assessment. The nurse plans to conduct a nutritional and exercise assessment because:

1. It is important to avoid chronic disease.
2. Middle-aged clients have slower metabolisms.
3. Middle-aged clients need more protein.
4. The middle-aged client gets sick more often.

Question 2

A hospitalized elderly client suddenly does not recognize his daughter and complains that his wife has not visited him, even though she has been dead for 5 years. The client was clear of mind and thought prior to hospitalization.

What NANDA nursing diagnosis problem statement would the nurse use for this client? 1. Acute Confusion
2. Anxiety
3. Risk for Autonomic dysreflexia
4. Ineffective Coping

yasmina · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Middle-aged clients have slower metabolisms.

Rationale: The middle-aged client's metabolism begins to slow, and the client may need nutrition and exercise guidance to maintain optimum weight. While some chronic diseases are controlled by nutrition and exercise, t he specific need of this age group is knowledge regarding changes that are occurring. Protein intake for most normal clients remains constant throughout the life span. Healthy middle-aged adults do not necessarily get sick more often than other age groups.

Answer to Question 2

1. Acute Confusion

Rationale:
The definition of acute confusion is the abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, and/or sleep/wake cycle.. The client may have anxiety as a result of confusion. Autonomic dysreflexia is a syndrome of clients with spinal cord damage. Ineffective coping is also a result of the confusion.