The nurse is providing care to an older client who is at risk for constipation. Which of the following should the nurse recommend?- Nurselytic

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physical examination and health assessment test bank Questions

Question 1 of 5

The nurse is providing care to an older client who is at risk for constipation. Which of the following should the nurse recommend?

A. Limiting fiber intake B. Increasing fluid intake C. Avoiding exercise D. Reducing fruit and vegetable consumption

Correct Answer: B

Rationale: Increasing fluid intake is crucial for preventing constipation in older adults, as it helps soften stools and promotes regular bowel movements.

Question 2 of 5

Healthcare providers should recommend that older adults engage in which one of the following?

A. 150 minutes of moderate intensity physical activity weekly B. 20 minutes of moderate intensity physical activity 3 days per week C. 10 minutes of vigorous physical activity most days of the week D. 30 minutes of vigorous physical activity 3 days per week

Correct Answer: A

Rationale: The recommendation is 150 minutes of moderate intensity physical activity per week for older adults.

Question 3 of 5

Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?

A. Daytime exercise programs are contraindicated in this population because of high risk of fall and fracture. B. Daytime programs are designed to maintain client wakefulness, and as such can cover a broad range of topics, including music, art, exercise, dance, and cognitive tasks (puzzles, etc.), and should be designed with patient cognitive and physical status, cultural beliefs, social support, and available staffing in mind. C. Daytime programs that lack a physical exertion component do not contribute to physiologic need for sleep, and are thus less effective than programs that require client physical exertion. D. Daytime programs must include moderate to rigorous intensity physical exercise (3–6 mets) to generate an appropriate sleep deficit in nursing home residents.

Correct Answer: B

Rationale: Daytime programs designed with a variety of activities, including exercise, cognitive tasks, and creative activities, can help maintain wakefulness and improve sleep.

Question 4 of 5

A 57-year-old post-menopausal female presents with a complaint of vaginal burning, pruritus, and painful intercourse. On examination, the nurse practitioner would be most concerned with the findings:

A. A thin, pale, dry vaginal mucosa B. Absence of rugae C. A friable cervix D. Raised yellowish cervical lesion

Correct Answer: A

Rationale: Atrophic vaginitis is common in post-menopausal women, with symptoms including thin, dry vaginal mucosa.

Question 5 of 5

The scoliosis patient who would cause the greatest concern for the nurse practitioner is a:

A. 13-year-old female with a 100° curve B. 17-year-old female with a 100° curve C. 12-year-old female with a 50° curve D. 18-year-old female with a 50° curve

Correct Answer: A

Rationale: A 100° curve in a 13-year-old is concerning due to potential for progression.

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