An older adult client is monitored carefully for complications of ...

[jparksx]

An older adult client is monitored carefully for complications of procedures that require an NPO order before the testing. The nurse observes for signs of:
 
  A. Disorientation
  B. Dehydration
  C. Skin breakdown
  D. Mucosal irritation

Question 2

While performing a home visit with an elderly patient, the nurse notices that the patient's dress is less tidy than in previous visits, and she finds an open orange juice container in the pantry cabinet instead of the refrigerator and a roll of
 
  paper towels in the refrigerator. How should the nurse respond? a. Begin rearranging the patient's storage, and show her how it needs to be done.
  b. Raise her voice, and tell the patient that this is not acceptable.
  c. Complete a Mini-Mental State Examination (MMSE) or Short Geriatric Depression Scale (GDS).
  d. Realize that elderly patients do things differently.

[Zack0mack0101@yahoo.com]

Answer to Question 1

B
B. Be aware that NPO status in the older adult client may result in dehydration.
A. Nurse must monitor the effects of medications given to the older adult client.
C. Older adults are at a greater risk for skin breakdown.
D. Because of age-related changes in the older adult, the gastric mucosa is thinner, which increases the incidence of irritation and ulceration.

Answer to Question 2

C
Behavioral changes associated with cognitive dysfunction are evident in a disorderly home and inappropriate placement of objects (e.g., carton of orange juice placed inside kitchen cabinet instead of in refrigerator). If you suspect a cognitive or mental status change, complete an MMSE (e.g., Folstein's examination) for dementia and/or complete a short GDS for depression. Speak clearly and in a normal tone of voice.

[jparksx]

TYSM

[emsimon14]

Excellent