A nurse in a long term care facility is caring for an older adult client
A nurse in a long term care facility is caring for an older adult client. Which of the following findings is the priority for the nurse to report to the provider?, A nurse is reviewing the plan of care for several clients at the beginning of the shift. Study with Quizlet and memorize flashcards containing terms like A client presents at the ED with respiratory depression and excessive sedation. C. Which of the following findings should indicate to the nurse that the client is experiencing an age related changed to the musculoskeletal system, A nurse is reinforcing teaching with a client who has an unsteady gait about using a walker. He says he is looking for his wife. " "Older adults in long-term care facilities are at low risk for The nurse seeing the family of an older adult client in long term care. Cognitive capacity Study with Quizlet and memorize flashcards containing terms like A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. 3. The nurse should identify that the client is experiencing which of the following types of grief? A nurse is caring for an older adult client residing in a long-term care facility. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? a. Select all that apply. Limit the client's choices for daily activities . When planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following? A. Which c the nurse take? A. What should the nursing approach should be? Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. An older adult client in a long-term care facility is concerned about bowel regularity. Nevi C. Which of the following should the nurse suspect the client is experiencing? A. " What is the actual measurement of "regular"? Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. What nurse action is important to maintain skin integrity? Clean perineal area daily but do not bathe full body on a daily basis Because activity of the sebaceous and sweat glands decreases, the skin will become dryer and the client may have pruritis. Which of the following statements indicates that the AP requires further instructions? Study with Quizlet and memorize flashcards containing terms like The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. which of the following nursing measures should the nurse implement? get the client ready for sleep at the same time each night. A nurse at a long-term care facility is assisting with planning care for a group of older adult clients. Identify the sequence of actions the nurse should follow. " B. ) a. A nurse is caring for an older adult client who has been admitted to the facility from long-term care. Provide a consistent daily routine d. Increased risk for side effects related to digoxin, The nurse is caring for an older client in a long-term care facility. Which of the following statements indicates that the AP requires further instructions? A. 2. keeping several low wattage night-lights on in the evening b. When assisting with cleaning the dentures, the nurse should: A) Avoid the use of a toothbrush to clean removable bridges. Each finding may support more than one disease process. Which statement from the nurse indicates the need for more education? "Older adults with disabilities are at increased risk for elder abuse. Joint contracture Nurses can advocate for improved health care for older adults while actively involving them in decisions about their care and promoting their quality of life. Which of the following is an appropriate nursing action while providing mouth care?, A nurse is educating a group of assistive personnel about the care of older adult clients. Nonpharmacological relief measures are not effective in older clients. The nurse determines the UAP requires intervention when the UAP: tests the water temperature prior to helping the client into the tub. The patient is weak and confused. A nurse is reviewing an older resident's medication list in a long-term care facility. Difficulty moving the upper extremities. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who was admitted to a long term care facility and requires total care. Planning meals 2. What is the priority nursing action?-Assess the client for physical problems. Which statement is not considered ageism? A- Old age begins at age 65. B. Short-term memory i. A nurse is caring for an older adult client in a long-term care facility. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in older adult clients? A. remind the Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the admission of a client who reports that they signed advanced directives during a previous admission. D- Intelligence declines A nurse in a long term facility is caring for an older adult client and notes their muscles have become smaller and weaker. The family states that the client has been confused for a long time and the confusion is getting worse. The nurse is caring for an older adult in the long-term care facility who has begun to display signs of anxiety and insomnia. Explaining the roles of the registered nurse, practical nurse, and assistive personnel. Late one night the nurse finds the client wandering in the hall. Which older adult client population will the student most likely find to receive the least effective pain management? residents with a history of frequent hospital admissions white females residents 85 years or Which action will the nurse take?, After relocating to the nursing home 6 weeks ago, an older adult receives a diagnosis of depression. When the client's family comes to visit the nurse asks how long the client has been confused. Cognitive capacity Study with Quizlet and memorize flashcards containing terms like The nurse caring for residents of a long-term care facility is explaining the occurrence of elder abuse in such facilities. I will stay here while you get ready. A nurse in an assisted living facility is supporting the care of an older adult client who moved in 3 months ago following the death of his partner. Which action contributes to encouraging autonomy in the client? 1. Which of the following should the nurse suspect the client is experiencing? Atrophy The nurse should suspect the client is experiencing atrophy of their muscles. The client reports awakening early in the morning and admits feeling very sad. B) Don gloves and free the dentures from the client's mouth. Proper A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. Which strategy should the nursing staff utilize in order to help meet the resident's hygiene needs while preventing skin dryness? and more. What is an appropriate consideration when assisting the client with morning hygiene?, An older adult resident of a long-term care facility has recurring problems with dry skin. The nurse educator is including The nurse at the long-term care facility observes that an older adult client has an acute change in behavior, exhibiting lethargy and confusion. Short-term memory B. (Move the steps into the box on the right, placing them in the selected order of performance. Study with Quizlet and memorize flashcards containing terms like The nurse is assisting with performing a focused assessment on an older adults client mobility. Which of the following actions should the nurse include int he plan of care? a. . The client stands in a tripod position prior to walking. Decreased therapeutic effect of digoxin 4. Move the patient closer to the nurses' station. For each potential finding, click to specify the finding is consistent with delirium, dementia, or depression. Which of the following actions should be the nurse's priority? Encourage the family to give the client permission to die. Atopic dermatitis D. Which of the following tasks should the nurse plan to delegate to an Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. Use confrontation to manage negative behavior . What is a priority action by the nurse? monitor and report immediately to the healthcare provider. Liver spots B. -Call the provider and request an antianxiety drug order. Pain is a natural and expected outcome of aging. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?, A nurse was injured when a client with Alzheimer disease struck the nurse on the A nurse at a long-term care facility is contributing to the plan of care for an older adult client who has dementia. Joining the client at some meal times b. Which of the following interventions should the nurse include? SATA, newly hired nurse recognizes that the unit staff and nurse manager seem to be in constant conflict. Ensure the client's pain is controlled. Which statement made by the student indicates that further education is required regarding this practice? - "I will check the client's skin on a weekly basis. Age 55 and above B. b. Post a written schedule of daily activities b. A nurse is a long-term care facility is caring for a client who has late stage Alzheimer's disease. Taking the client to their home for meals c. "It's Monday morning. Which of the following client statement indicates an understanding Feb 8, 2023 · A nurse in a long-term care facility is caring for an older adult client who is anxious and has trouble sleeping at night. Joint contracture A nurse is caring for an older adult client in a long term care facility. A nurse in a long-term care facility is providing teaching to a group of adolescents who are new volunteers. The nurse should monitor for which of the following complications of immobility? A. Which of the following actions should the nurse take first? A. His family could no longer cope with his progressing senile dementia, including wandering away and unpredictable behavior. Common areas of health promotion for older adults include nutrition, physical activity, safe medication use, and psychosocial well-being. Which of the following measures should the nurse take first when assisting with planning the clients care? determine the clients mobility The nurse is caring for an older adult client in a long-term care facility. The nurse determines the UAP requires intervention when the UAP: a) bathes the client using gentle patting motions. A nurse in a long-term care facility is caring for a client who has dementia and becomes increasingly agitated in the afternoon. places a large quantity of soap on the washcloth. , A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer's disease . Support the client's family during the grieving process. Decreased absorption of digoxin 2. Apr 30, 2024 · Use this nursing care plan and management guide to provide care for geriatric clients. Which of the following actions should the nurse identify as a risk to the client's safety? A. Disuse osteoporosis C. Which of the following statements should the nurse include in the teaching? A. Which intervention will the nurse implement to address the diagnosis of depression?, A nurse is caring for an older adult client residing in a long-term care facility. , The nurse is caring for an older adult in the long-term care facility who has begun to display signs of anxiety and insomnia. bathes the The nurse works in a long-term care facility, caring for older clients. a nurse in a long term care facility is caring for an older adult client who is anxious and has trouble sleeping at night. Contact the client's spiritual care provider. During this orientation, the gerontological nurse describes the importance of spirituality when caring for the older adult population and the need for the group to examine their own philosophy of spirituality. Sarcopenia B. b) tests the water temperature prior to helping the client into the tub. The client pushes downward on the hand grips. 3° C (100. A nurse is caring for an older adult client who is receiving hospice care. Offer diversionary activities An older resident at a long-term care facility has been placed on oxygen via a partial rebreather mask due to COVID-19. Apply soft wrist restraints on the client C. The client places partial weight on 1. He ate 40% of his breakfast and lunch. A nurse is caring for an older adult client who is weak and unable to care for his glasses and dentures. Allow the client to choose free Study with Quizlet and memorize flashcards containing terms like nurse is assisting in planning care for a client who has heart failure. During a client education session, the nurse reinforces the medically acceptable definition of "regularity. Place the client in a private room B. The family would like to know what they can do to support optimal food intake for the client. Age 70 and above D. The nurse should explain that older adult clients are most likely to exhibit a decrease in which of the following? a. Which of the following interventions should the nurse include in the plan? Use photographs as memory triggers The student nurse is conducting an informal study on pain management in the older adult population in a local long-term care facility. Psoriasis, A nurse at a long-term care facility is contributing to the plan of care for an older adult client who has dementia. 9° F), pulse rate 92/min, respirations 20/min, and blood A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker, A nurse is teaching a newly hired red assistive personnel (AP) about working with clients who require assistance with ADLs, A nurse is preparing to transfer a client from a bed to a wheelchair. B- Personality is not changed by chronologic aging. include medications that are not permitted to be administered in long-term care facilities. Joint contracture A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. Which of the following nursing measures should the nurse implement? move client to a room next to the open nurses station A nurses planning to administer diphenhydramine hydrochloride to an older adult client, which of the following actions should the nurse plan to take prior to administration A) view the medical record for a client history of glaucoma B) plan to administer the medication 30 minutes prior to a meal C) explained to the client he will need to restrict his fluid intake once he takes the medication Study with Quizlet and memorize flashcards containing terms like When discussing aging to whom does the term older adulthood apply? A. A nurse at a long-term care facility discovers a wastebasket fire in the room of two residents. Place the client in a quiet A gerontological nurse is conducting an orientation for a group of newly hired nurses at a long-term care facility. The nurse notices that two of the medications are on the Beers criteria. 1. C) Clean the dentures over a plastic basin or towel. Something is wrong, and an assessment should be made. Decorating the room 3. What are actions the nurse can take first when caring for this patient? Select all that apply. Age 65 and above C. Which of the following measures should the nurse take first when assisting in planning the client’s care? A. C- Most older adults are ill and institutionalized. Creative ability C. Study with Quizlet and memorize flashcards containing terms like Which attempt by the family to prevent an older, frail adult from falling causes the home health nurse concern? a. Use an overhead loudspeaker to announce events c. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? A nurse is caring for an older adult patient in the care center who is at high risk for falling. Which of the following should the nurse suspect the client is experiencing? A nurse at a long-term care facility is assisting with planning care for a group of older adult clients. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of geriatric clients. Which symptom assessed by the nurse indicates the client may be experiencing depression? diminished appetite An older adult client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. Which of the following actions should the nurse take?, A nurse is reinforcing teaching about home safety with an older adult client. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage this behavior? Study with Quizlet and memorize flashcards containing terms like A nurse educates a student nurse in a long-term care facility on recommended skin care practices for older adult clients. Which interaction promotes achievement of wellness outcomes?, An older adult client is admitted to a long-term care facility because of the progression to the moderate stage of Alzheimer's disease. A nurse at a long term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Study with Quizlet and memorize flashcards containing terms like A nurse is performance tracheotomy care for client who is postoperative following a laryngectomy which of the following action, should the nurse take when suctioning the clients airway?, A nurse is caring for an older adult client in the PACU following general anesthesia which of the following findings should the nurse report to The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. encouraging the client to use a Rotate staff to prevent caregiver role strain . The ability to process short-term memories decreases as part of the aging process. Which of the following should the nurse suggest? a. keeping the side rails up on the client's bed at night d. A reddened area over the sacrum. The nurse should monitor for which of the following complications of mobility? a) a reddened area over the sacrum b) Stiffness in the lower extremities c) difficulty moving the upper A nurse at a long-term care facility is reinforcing teaching with an older adult client about ambulating with a quad-cane. A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. Administer haloperidol to the client D. installing wooden railings on the stairway to the bathroom c. " - "I will avoid using soap and water on the skin An client 81 years of age is in a long-term-care facility. Request a social service consultation. What is the priority nursing action? and more. Repeat fall risk assessment. The client is subsequently diagnosed with dementia. What is nurse's best initial action?, A nurse is working with an older adult female client newly diagnosed with osteoporosis. Bring music for the client at meal times d The nurse is caring for an older adult client who is confused and agitated. The nurse notes that the client's partner appears exhausted . While helping the resident prepare for sleep, the nurse notices the mask is no longer fitting properly. Atrophy D. Upon assessment, the client's temperature is 38. "We will be serving breakfast in 10 min. The nurse understands that the Beers criteria (Select all that apply. The nurse should make which interpretation when an older client complains of pain? 1. A nurse in a long-term care facility is caring for an older adult client and notes their muscles have become smaller and weaker. Age 75 and above, A nurse is caring for an older adult client who has dementla and whose family reports he gets up and wanders around at night. Decision-making skills D. Stiffness in the lower extremities. the nurse should identify that the nurse manager is using which of the following conflict A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. Study with Quizlet and memorize flashcards containing terms like A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is having repeated episodes of emesis. The client has become weak and confused. Increased risk for digoxin toxicity 3. -Increase the client's social time, encouraging interaction with others. yzel jshxkxa afxohtnf yybp tmfs driba bjwaksc hdxpt wlvieu uets