Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 12-The Critically Ill Older Patient
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is working with a patient in the ICU who has presbycusis. Which of the following would the nurse likely find with this client? Select all that apply. | |
| A) | Impairment of discrimination ability | |
| B) | Dementia | |
| C) | A gray shadow in the center of the visual area | |
| D) | Balance problems during transfer | |
| 2. | An elderly patient is recovering in the ICU after surgery. When the nurse notices that the patient has not touched his food, she asks him why he is not eating. He complains that the food is too bland and that his mouth is dry. Which of the following interventions should the nurse make to help the patient enjoy his meal? Select all that apply. | |
| A) | Use liberal seasonings in his food. | |
| B) | Vary his position in the bed. | |
| C) | Measure his creatinine clearance. | |
| D) | Offer him sugar-free candies before his meal. | |
| 3. | A nurse is bathing an elderly patient in the ICU. The patient has fine wrinkling, looseness, and sagging in her skin. Which of the following should the nurse do to best care for the patient’s skin? Select all that apply. | |
| A) | Scrub the patient’s skin vigorously with a loofah to exfoliate. | |
| B) | Lather the patient with plenty of soap. | |
| C) | Immerse the patient for 10 minutes daily. | |
| D) | Use an emollient after bathing. | |
| 4. | An elderly patient in the ICU has been on bed rest for the past 48 hours, has had decreased intake of food and fluids, and is taking multiple medications. Which of the following conditions is the patient especially prone to, given her situation? Select all that apply. | |
| A) | Constipation | |
| B) | Dehydration | |
| C) | Muscle atrophy | |
| D) | Decreased glomerular filtration rate | |
| E) | Malignant lesions | |
| F) | Presbycusis | |
| 5. | An elderly patient in the ICU broke her foot when she attempted to stand on it after having been on bed rest for 2 weeks. The nurse, who was assisting the patient as she stood, was surprised at how easily the woman sustained the injury. Which of the following factors most likely predisposed this patient to the injury she sustained? | |
| A) | Lack of balance | |
| B) | Mental confusion | |
| C) | Decreased bone mineral density | |
| D) | Pernicious anemia | |
Answer Key
| 1. | A, D |
| 2. | A, D |
| 3. | C, D |
| 4. | A, B, C |
| 5. | C |
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