Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

“Older adults often fear becoming addicted to pain medications.”.

“Older adults often take numerous drugs which can cause interactions with pain medications.”.

“Confusion and delirium can be a more common reaction to certain pain medications in the elderly.”.

“Older adults tolerate the same dosage as do younger individuals.”.

Answer and Explanation

Correct Answer : D

Older adults do not have a different pain mechanism and do not feel it as much as younger individuals. This statement is false and indicates the need for further education regarding pain management in older adults.

Some possible explanations for the other choices are:

Choice A is true because older adults often fear becoming addicted to pain medications and may underreport or deny their pain.

Choice B is true because older adults often take numerous drugs that can cause interactions with pain medications and increase the risk of adverse effects.

Choice C is true because confusion and delirium can be a more common reaction to certain pain medications in the elderly, especially opioids and benzodiazepines.

Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which may be higher due to arterial stiffness. The normal range for blood pressure in older adults is 120/80 to 140/90 mm Hg.

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Correct Answer is A

Explanation

“It wouldn’t have mattered what you had worn.” This response by a nurse is appropriate because it validates the client’s feelings and helps to reduce self-blame. It also conveys that rape is not caused by the victim’s clothing or behavior, but by the perpetrator’s violence and lack of respect.

Choice B. “The current styles are an invitation to disaster.” is wrong because it implies that the client is responsible for the rape and that she could have prevented it by dressing differently. This response is judgmental and insensitive, and may increase the client’s guilt and shame.

Choice C. “Never mind about blame.

That will be determined by the court.” is wrong because it dismisses the client’s feelings and does not address her emotional needs.

It also suggests that the nurse does not believe the client or support her. This response may make the client feel isolated and distrustful.

Choice D. “Some people don’t have very good self-control.

We have to help them all we can.” is wrong because it excuses the perpetrator’s behavior and shifts the blame to the victim.

It also implies that rape is a result of sexual desire, rather than an act of violence and domination. This response may make the client feel powerless and helpless.

A. “My spouse should always take care of my tracheostomy. I should not do it myself.”. B. “I am the only one who needs to know how to suction my tracheostomy at home.”. C. “I can use my saline for longer than 24 hours if I boil it.”. D. “I can use clean instead of sterile technique to suction my tracheostomy.”.

Correct Answer is D

Explanation

“I can use clean instead of sterile technique to suction my tracheostomy.” This statement demonstrates that the client understands how to care for their tracheostomy at home. According to the American Thoracic Society, clean technique can be used for suctioning at home, as long as the equipment is cleaned and stored properly.

Choice A is wrong because the client should be able to take care of their own tracheostomy as much as possible, with the help of a caregiver if needed. This promotes independence and self-care.

Choice B is wrong because the client should not be the only one who knows how to suction their tracheostomy at home. They should have at least one backup person who can assist them in case of an emergency or if they are unable to do it themselves.

Choice C is wrong because the client should not use saline for longer than 24 hours, even if they boil it.

Saline can become contaminated with bacteria and cause infection. The client should use fresh saline every time they suction their tracheostomy.

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Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client in the emergency department who has been raped says repeatedly, “if only I hadn’t worn that sexy dress.” Which response by a nurse is appropriate?

Correct Answer is A

Explanation

A home health nurse is providing education to a client discharged with a tracheostomy. Which statement by the client demonstrates teaching has been effective?

Correct Answer is D

Explanation

A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

Which technique is most reliable to confirm correct placement of a nasogastric tube prior to initiating tube feedings?

A client is learning about diet choices that will increase wound healing after a total knee replacement. What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?

Which statement made by a client taking nitroglycerin as needed (prn) indicates understanding of the instructions for safe use of this drug?

What is the best question to evaluate a client’s understanding of infection control measures while receiving treatment for hepatitis A?

Which prescription written by a health care provider for an eye drop medication is written correctly?

At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider. Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.

The nurse is preparing to perform a physical assessment. What are the four techniques used?