Med Surg II Week 12 PP

Which age-related cardiovascular change contributes most to decreased exercise tolerance in older adults?

Decreased cardiac output

An older adult becomes dizzy when standing?

Orthostatic hypotension

Which assessment finding is considered a normal age-related respiratory change?

Increased residual lung volume

Which factor has the greatest impact on respiratory health in older adults?

Smoking

Which integumentary change increases the risk for hypothermia in older adults?

Loss of subcutaneous fat

Which skin finding is considered a normal age-related change?

Wrinkling and sagging

An older female reports vaginal dryness. The nurse recognizes this is primarily caused by:

Decreased vaginal secretions

Which urinary change is expected in an older male?

Benign prostatic hyperplasia

Which urinary symptom is commonly associated with older women?

Stress urinary incontinence

Which gastrointestinal change places older adults at increased risk for constipation?

Reduced GI motility

Which dietary recommendation is appropriate for healthy aging

Which factor commonly interferes with adequate nutrition in older adults?

Budget limitations

Which age-related change contributes to dehydration?

Decreased thirst sensation

Which condition commonly disrupts sleep in older adults?

Nocturia

Poor sleep increases the risk for:

Falls

Which musculoskeletal change is expected with aging?

Degeneration of joint cartilage

Which nursing intervention best prevents fractures in older adults?

Encourage weight-bearing exercise

Which neurologic finding is expected with aging?

Slower nerve conduction

Older adults commonly become confused during illness because:

Cerebral reserve decreases

Which vision change is expected with aging?

Difficulty adjusting to darkness

The leading cause of vision loss in older adults is:

Macular degeneration

Which hearing change is expected?

Difficulty hearing high-frequency sounds

What is the leading cause of injury-related death among older adults?

Falls

Which intervention best reduces fall risk?

Remove clutter

Ageism refers to:

Negative stereotypes about aging

Which is the most common mood disorder among older adults?

Depression

Which stressor is common among older adults?

Loss of spouse

Approximately what percentage of older adults live in the community?

90%

Polypharmacy means:

Taking multiple medications simultaneously

Which nursing principle guides medication administration in older adults?

Start low and go slow

Why are medication dosages often reduced in older adults?

Age-related changes in absorption and excretion

Which condition has an acute onset?

Delirium

Which disorder accounts for approximately 70% of dementia cases?

Alzheimer's disease

Which statement about Alzheimer's disease is correct?

It progresses slowly.

Which intervention best promotes independence in a patient with Alzheimer's disease?

Encourage participation in self-care

Which nursing intervention supports cognition?

Maintain a consistent daily routine

Which group represents the geriatric triad?

Cognitive impairment, falls, urinary incontinence

Which finding should raise suspicion for elder abuse?

Bruises in different healing stages

Which form of abuse involves unauthorized use of an older adult's money?

Financial exploitation

Which nursing intervention is the priority when caring for an older adult?

Promote safety while maximizing independence