What findings should the nurse expect when assessing an older adult client?

Heightened sense of pain.

Increased nighttime sleeping.

Decreased sense of balance.

Nighttime urinary incontinence.

Answer and Explanation

The Correct Answer is C

As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
Choice A is wrong because older adults may actually have a decreased sense of pain.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.

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Correct Answer is D

Explanation

Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.
This is because if a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse.
Choice A is wrong because the count total of the controlled substance should be verified before removing the amount needed, not after.
Choice B is wrong because the wasted portion of the controlled substance should not be placed in the sharps container.
It should be disposed of according to facility/agency policy.
Choice C is wrong because any discrepancy in the count total of the controlled substance should be reported immediately, not after administration 1.

A. Secure the tracheostomy ties to allow one finger to fit snugly underneath. B. Cleanse the skin around the stoma with normal saline. C. Soak the outer cannula in warm, soapy tap water. D. Use a cotton tip applicator to clean inside the inner cannula.

Correct Answer is A

Explanation

Secure the tracheostomy ties to allow one finger to fit snugly underneath. This is important to ensure that the tracheostomy tube is secure and in place.

Choice B is wrong because normal saline is not typically used to cleanse the skin around the stoma.

Choice C is wrong because soaking the outer cannula in warm, soapy tap water is not a recommended method of cleaning.

Choice D is wrong because a cotton tip applicator should not be used to clean inside the inner cannula.

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What findings should the nurse expect when assessing an older adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?

A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?

A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?

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A nurse is mixing a short-acting insulin and an intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?

A nurse is conducting Weber's test on a client. Which of the following is an appropriate action for the nurse to take?