Mrs. Johnson, an 82-year-old patient, is admitted to the hospital with a diagnosis of pneumonia. The nurse is preparing to assist her with oral medication administration. Which nursing intervention should the nurse prioritize when administering medications to an elderly patient like Mrs. Johnson? Multiple Choice Answers: A) Crush all medications to aid in swallowing B) Administer medications at the same time for convenience C) Ensure the patient is in an upright position D) Use only large-print labels on medication bottles E) Administer medications rapidly to avoid fatigue
Correct Answer: C) Ensure the patient is in an upright position
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Rationale: Maintaining an upright position aids in preventing aspiration and enhances swallowing ability in elderly patients, reducing the risk of medication entering the lungs. Crushing medications may alter their efficacy or cause adverse effects. Administering medications simultaneously can increase the risk of drug interactions. Using large-print labels is beneficial for visual impairment but doesn’t directly impact medication administration. Administering medications rapidly can overwhelm the patient and increase the risk of aspiration.
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Mr. Thompson, an 87-year-old resident in a long-term care facility, has been identified as at risk for falls. Which intervention by the nurse is most appropriate to reduce the risk of falls in an elderly patient? Multiple Choice Answers: A) Keep the room dimly lit to promote relaxation B) Encourage the use of sedatives to promote rest C) Provide assistive devices like a walker or cane D) Limit physical activity to prevent exhaustion E) Keep the floor cluttered to encourage mindfulness
Correct Answer: C) Provide assistive devices like a walker or cane
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Rationale: Providing assistive devices like a walker or cane can enhance stability and aid in mobility, reducing the risk of falls. Keeping the room dimly lit may increase the risk of falls due to poor visibility. Sedatives can impair balance and increase the risk of falls. Limiting physical activity can lead to muscle weakness and imbalance. A cluttered floor increases the risk of tripping and falling.
NCLEX Questions Critical Thinking: Aging
Mrs. Garcia, a 78-year-old patient, is recovering from a hip fracture surgery and needs assistance with activities of daily living. Which nursing action is essential to prevent complications in the aging patient post-hip surgery? Multiple Choice Answers: A) Encourage independence in self-care activities B) Limit mobility to avoid strain on the hip C) Provide pain medications only upon request D) Perform passive range of motion exercises E) Keep the affected hip immobilized at all times
Correct Answer: D) Perform passive range of motion exercises
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Rationale: Performing passive range of motion exercises helps prevent complications like muscle contractures and deep vein thrombosis, promoting circulation and joint mobility without putting excessive strain on the healing hip. Encouraging independence in self-care activities is important but should be balanced with safety measures. Limiting mobility can lead to complications like muscle atrophy. Proper pain management is essential for comfort but shouldn’t be solely on request. Keeping the affected hip immobilized continuously can increase the risk of complications.
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NCLEX Review: Aging Disease Treatments
Mrs. Parker, an 80-year-old patient, is admitted with dehydration due to a recent bout of gastroenteritis. While assessing her skin turgor, the nurse notices decreased elasticity. Which additional assessment finding would correlate with this indication of dehydration in an elderly patient? Multiple Choice Answers: A) Decreased heart rate B) Increased blood pressure C) Dry mucous membranes D) Increased urine output E) Elevated body temperature
Correct Answer: C) Dry mucous membranes
Rationale: Dry mucous membranes are consistent with dehydration in elderly patients and often accompany decreased skin turgor. These signs occur due to fluid loss, leading to reduced elasticity in the skin and drying of mucosal surfaces. Decreased heart rate and increased blood pressure are less likely to directly correlate with dehydration. While increased urine output might suggest adequate hydration, in this context, dry mucous membranes align more directly with dehydration. Elevated body temperature can indicate infection rather than dehydration.
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NCLEX Focus Exploring Aging: Causes and Diagnosis
Mr. Adams, an 85-year-old resident in a nursing home, has a history of heart failure. The nurse is teaching him about managing his fluid intake. Which statement by Mr. Adams indicates a need for further education about fluid restriction? Multiple Choice Answers: A) “I can have ice cream instead of drinking fluids.” B) “I’ll measure and limit the amount of soup I eat.” C) “I should avoid eating watermelon and oranges.” D) “I’ll drink more water during hot weather.” E) “I’ll monitor my weight daily for any changes.”
Correct Answer: D) “I’ll drink more water during hot weather.”
Rationale: In managing fluid intake for heart failure, patients are often advised to restrict fluids. Mr. Adams’ statement about drinking more water during hot weather contradicts this, indicating a need for further education. Options A, B, and C demonstrate an understanding of fluid restriction by choosing alternatives or limiting specific high-fluid foods. Monitoring weight changes is crucial in heart failure management to identify fluid retention early.
NCLEX Questions: Focus on Medications for Aging
Mrs. Ramirez, a 75-year-old postoperative patient, is at risk for developing pressure ulcers due to limited mobility. Which intervention is most effective in preventing pressure ulcers in an elderly patient? Multiple Choice Answers: A) Applying petroleum jelly to vulnerable areas B) Massaging bony prominences regularly C) Repositioning every 2 hours D) Using donut-shaped cushions E) Keeping linens dry and unchanged
Correct Answer: C) Repositioning every 2 hours
Rationale: Regular repositioning redistributes pressure and prevents sustained pressure on specific areas, reducing the risk of pressure ulcers in immobile patients. Applying petroleum jelly may create a barrier but doesn’t address pressure relief. Massaging bony prominences can increase friction and damage fragile skin. Donut-shaped cushions can worsen pressure points. Keeping linens dry is important, but changing positions is more effective in preventing ulcers.
NCLEX Practice Questions: Understanding Aging Causes and Symptoms
Mr. Brown, an 88-year-old patient with dementia, is prone to wandering. What intervention by the nurse is most appropriate in ensuring Mr. Brown’s safety? Multiple Choice Answers: A) Restraining Mr. Brown to his bed B) Applying a GPS tracking device C) Encouraging solitary activities D) Keeping doors to his room unlocked E) Using physical restraints during wandering episodes
Correct Answer: B) Applying a GPS tracking device
Rationale: Using a GPS tracking device helps monitor Mr. Brown’s location without restraining him, ensuring safety while allowing freedom of movement. Restraints, either physical or through confinement, can cause distress and compromise his well-being. Encouraging solitary activities might not address his need for social engagement. Keeping doors unlocked might pose a safety risk. GPS tracking maintains safety without restricting his mobility.
Understanding Aging: Causes and Symptoms
Mrs. Thompson, an 80-year-old patient, is admitted to a long-term care facility following a stroke that caused right-sided weakness. During the assessment, the nurse notes that Mrs. Thompson has difficulty swallowing (dysphagia). Which nursing intervention is most appropriate to prevent aspiration in this patient? Multiple Choice Answers: A) Administering thin liquids using a straw B) Positioning the patient in a supine position for meals C) Providing small, frequent meals with thickened liquids D) Allowing the patient to self-feed to promote independence E) Using a high-flow rate during tube feeding
Correct Answer: C) Providing small, frequent meals with thickened liquids
Rationale: Thickened liquids reduce the risk of aspiration in patients with dysphagia by making fluids easier to swallow and less likely to enter the lungs. Administering thin liquids via a straw can increase the risk of aspiration. A supine position during meals can also predispose the patient to aspiration. Allowing self-feeding might not ensure proper precautions against aspiration. High-flow rate tube feeding can overwhelm the patient and increase aspiration risk.
Understanding Aging: NCLEX Delegation Questions
Mr. Johnson, a 75-year-old patient, is admitted with a diagnosis of pneumonia. The nurse is planning Mr. Johnson’s care to prevent complications associated with immobility. Which intervention should the nurse prioritize to prevent venous thromboembolism (VTE) in this patient? Multiple Choice Answers: A) Encourage bed rest to conserve energy B) Apply warm compresses to the legs C) Administer anticoagulant medications as needed D) Limit hydration to decrease fluid retention E) Assist with passive range of motion exercises
Correct Answer: C) Administer anticoagulant medications as needed
Rationale: Anticoagulant medications are crucial in preventing VTE in immobile patients by reducing the risk of blood clots. Encouraging bed rest can further increase the risk of VTE. Warm compresses alone may not effectively prevent VTE. Limiting hydration can increase the risk of clot formation. Passive range of motion exercises help prevent contractures but are not the primary intervention for VTE prevention.
Understanding Aging: NCLEX Priority Questions
Mrs. Garcia, an 85-year-old patient, is receiving care in a rehabilitation facility after hip replacement surgery. The nurse is teaching Mrs. Garcia about preventing falls. Which statement by Mrs. Garcia indicates an understanding of fall prevention measures? Multiple Choice Answers: A) “I’ll wear my slippers without nonskid soles.” B) “I’ll use furniture to support myself while walking.” C) “I’ll ask for assistance when getting out of bed.” D) “I’ll keep the lights dimmed in my room.” E) “I’ll rush to the bathroom when I feel the need.”
Correct Answer: C) “I’ll ask for assistance when getting out of bed.”
Rationale: Asking for assistance when getting out of bed reduces the risk of falls in elderly patients post-surgery by ensuring proper support and supervision during mobility. Wearing slippers without nonskid soles increases fall risk. Using furniture for support can lead to instability. Keeping dim lighting can hinder visibility and increase falls. Rushing to the bathroom increases the likelihood of slips or falls due to haste.