During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

gather information from a family member accompanying the patient.

omit the interview and proceed to a physical examination.

repeat the questions at the end of the visit to cross check for accuracy of data.

reassure the patient that forgetfulness is a normal part of the aging process.

Answer and Explanation

The Correct Answer is A

A.   Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B.   Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C.   Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D.   While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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Correct Answer is C

Explanation

A. Waiting 30 minutes is unnecessary unless there is concern about an acute change in the patient's condition.
B. While both readings can be recorded, the difference between arms should be noted, as it can indicate underlying issues such as vascular problems.

C. It is important to retake the blood pressure on both arms to verify accuracy and check for any significant discrepancy.
D. Retaking the pressure on just one arm may miss important information about the other arm's readings.

A. murmur or swishing sound that increases with depression of the cuff. B. clear tapping that gradually grows louder C. louder knocking sound that occurs with each heartbeat. D. sudden change or muffling of the sound.

Correct Answer is D

Explanation

A. A murmur or swishing sound does not correspond to the diastolic pressure; it is more indicative of turbulent blood flow.
B. Clear tapping sounds are heard at systolic pressure but do not indicate diastolic pressure.
C. Knocking sounds are associated with systolic pressure, not diastolic.
D. The muffling sound heard after the first Korotkoff sounds indicates the diastolic pressure in children and some adults, which is the correct method for assessing the diastolic reading.

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During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

Explanation

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