ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 3 Questions
Question 1 of 5
A nurse working with older adults in the community plans programming to improve morale and emotional health. This a group potential. What a group would best meet this goal?
Correct Answer: A
Rationale: All activities would be beneficial for the older population in the community. However, failure in performing ones own activities of daily living and participating in society has direct effects on morale and life satisfaction. Those who have the ability to function independently direct food wellnesses and empty. An exercise program designed to maintain and/or improve physical functioning would best address this need.
Question 2 of 5
A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform first?
Correct Answer: D
Rationale: Assessing dietary fiber intake is critical as the client's preference for softer, low-fiber foods like rice, bread, and puddings may contribute to constipation. This assessment should be prioritized to identify potential causes before proceeding to other assessments like auscultating bowel sounds or palpating the abdomen.
Question 3 of 5
An older client is concerned about dehydration. What is the best advice for this client?
Correct Answer: C
Rationale: Older adults often lose their sense of thirst. Since they should drink 1 to 2 liters of water a day, the best remedy is to have the older adult drink something each hour or two, whether or not they are thirsty. Cutting some sodium from the diet will not address this issue. Although dehydration can cause incontinence from the urine irritation of concentrated urine, this information will not help prevent the problem of dehydration. Instructing the client to take a diuretic in the morning rather than in the evening also will not directly address this issue.
Question 4 of 5
A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client demonstrates a need for further review?
Correct Answer: C
Rationale: Older adults need 25 to 50 grams of fiber a day. White rice is low in fiber. Foods high in fiber include barley, beans, and whole wheat products.
Question 5 of 5
A home health care nurse is planning an exercise program with an older client who lives at home independently but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most beneficial to this adult?
Correct Answer: A
Rationale: This older adult is mostly homebound. Exercise regimens for homebound clients include activities to increase functional ability for activities of daily living. Strength and flexibility exercises will help the client maintain independent living. The other options are beneficial but do not specifically address the client's functional abilities.