H.A. Week 13 PP

During a general survey of an older adult, the nurse notes a forward head posture and exaggerated thoracic curve. This finding is known as:

Kyphosis

The nurse notes a delay in skin recoil during a turgor check on an older client. How should the nurse interpret this?

A normal age-related change

Which finding in the older adult's ears is expected?

Increased coarse, wiry hairs

A client reports “I feel like everyone is mumbling.” This statement is characteristic of:

Presbycusis

An older adult presents with dark, flat macules on the hands and forearms. The nurse identifies these as:

Senile lentigines

Which finding is not a normal age-related oral change?

Increased saliva production

During a lung assessment, the nurse notes decreased chest expansion, increased AP diameter, and calcified costal cartilage. These findings are typical of:

Normal aging

When assessing the cardiovascular system of an older adult, which finding should the nurse expect?

Increased systolic blood pressure

An older adult describes feeling dizzy when standing up quickly. The nurse recognizes this as:

Orthostatic hypotension

Which skin finding is associated with arterial insufficiency in older adults?

Thick, rigid nails

The nurse notes the client has trouble with fine motor coordination and decreased vibratory sense at the ankles. These findings suggest:

Expected neuro aging changes

Which is the best tool to assess independence in basic personal care in older adults?

Katz Index

The nurse is evaluating an older adult’s ability to cook meals, manage finances, and use the telephone. Which tool is most appropriate?

Lawton IADL scale

An older adult has delayed esophageal emptying and reduced gastric acid secretion. These changes increase the risk for:

Aspiration

A home health nurse notes an older client is losing weight, has expired medications, and lacks adequate food in the home. What should the nurse assess next?

Social support and functional ability