1.Which statement is true about rehab and restorative care for older adults?
a. The purpose is to regain specific abilities lost because of a
... [Show More] condition.
b. Rehabilitation consists primarily of regular physical therapy sessions.
c. A person can learn skills and gain abilities that enable functioning.
d. The patient's capabilities are recognized at the time of admission.
2. An older adult is in the hospital because of heart failure and has become incontinent of urine.
Which evidence-based resource should the nurse use to guide continence care for this patient?
a. Nursing Standard Practice Protocol
b. The Borun Center training modules
c. Toolkit from the American Geriatrics Society
d. The Centers for Medicare and Medicaid Services
3. The nurse understands that stress incontinence occurs:
a. With a urinary tract infection (UTI)
b. Because of emotional strain
c. As a result of increased intra-abdominal pressure
d. With a specific amount of urine in the bladder
4. A large residual urine volume characterizes what type of incontinence?
a. Urge
c. Overflow
b. Stress
d. Functional
5. Which action should be included in all bladder-retraining programs?
a. Toileting at bedtime
b. Using adult incontinence pads
c. Toileting every hourd. Providing 1000 ml of fluids daily
6. The nurse assesses a male resident in a nursing home for urinary incontinence and determines that
he is unaware of the problem. Which recommendation should the nurse implement?
a. Limit oral fluid intake.
b. Provide regular toileting.
c. Apply absorbent undergarment
d. Encourage frequent rest periods.
7. The nurse wants to begin helping a resident who is overweight and has urinary incontinence with
healthy bladder behavior skills. Which intervention should the nurse implement?
a. Begin a low-calorie diet for weight management.
b. Schedule voiding at 2- to 4-hour intervals.
c. Instruct the resident to practice abdominal exercises.
d. Reduce the time between an urge to void and voiding.
8. What is the most important aspect of care for the nurse to maintain when assisting an older patient
with urinary incontinence?
a. Availability of protective rubber garments
b. Using indwelling urinary catheters
c. Using smooth muscle relaxants
d. Maintaining an attitude that is respectful and positive about resolving the problem
9. An older woman tells the nurse practitioner that she fears her family will place her in a nursing
home because she developed stress incontinence. Which recommendation should the nurse
implement?
a. Tell her to eliminate the use of caffeinated beverages.
b. Coordinate a family conference with the older adult.
c. Recommend exercises to strengthen the pelvic floor.
d. Schedule voiding for every 2 hours around the clock.10. The nurse is caring for a patient who has recently had an indwelling catheter placed. The nurse
should assess the patient for:
a. An increase in oral fluid intake
b. A change in mental status
c. Upper back pain
d. A decrease in activity
11. An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the
following is the nurse's priority for preventive care?
a. Constipation
b. Diarrhea
c. Poor solid food intake
d. Poor liquid intake
12. Which of the following is a true statement about elimination in older adults?
a. Defecation less than once each day is not necessarily constipation.
b. Mineral oil is recommended as a laxative for the older adult.
c. Excessive sleep can be a symptom of constipation.
d. Leaking liquid feces should be treated as diarrhea.
13. Which option is part of a program that addresses bowel incontinence in an older adult patient?
a. Ensuring that a toilet or commode is readily accessible to the patient
b. Encouraging the intake of 1 liter of water each day
c. Expecting a rapid and full recovery
d. Toileting the patient 10 to 15 minutes after meals14. Which is an important consideration about the skin of an older adult person?
a. Generous amounts of soap should be used for cleansing.
b. Sweat glands increase in activity.
c. The skin becomes more vulnerable to damage.
d. The skin becomes darker in unexposed areas.
15. Which topical agent is safe to apply?
a. Cornstarch to absorb moisture in the groin area
b. Betadine to disinfect a healing pressure ulcer
c. An over-the-counter preparation to dissolve a corn
d. Light mineral oil to moisten skin after bathing
16. A 70-year-old woman complains of dry skin and asks for advice. Which advice should the nurse
offer to this woman for improving dry skin?
a. Add oil to bath water to keep skin soft.
b. Keep bath water between 90° F and 105° F.
c. Move to a climate with lower humidity.
d. Dry vigorously with a rough towel after bathing.
17. The nurse monitors for which clinical indicator when the older adult complains of pruritus?
a. Coarse skin
b. Brown macule
c. Brownish skin
d. Regional edema [Show Less]