Older Adults Exam 3 Questions with questions and

Older Adults Exam 3 Questions with questions and answers 1- Corrct Answer - the nurse teaches the older adult who is receiving the influenza vaccine. which of the following statements, if made by the client, indicates the need for further teaching?

• i will call my provider if i develop a cough and fever
• i will increase my intake of vegetables this flu season
• i want the live nasal spray vaccine, not the shot
• i will wash my hands before and after i urinate

2- Correct Answer - one sign of a healthy immune system involves the T cells correctly interpreting that an antigen is foreign. in an elderly adult, this response is affected by which age related change?

• increased thickness and circulation of the skin
• an increase in the delayed cutaneous hypersensitivity response
• the thymus progressively declining in size
• a decrease in the number of immature T cells
• - Correct Answer - a gerontological nurse teaches a new nurse about older adults and pneumonia.

which of the following teaching points is most accurate?

• the presence or absence of pleuritic pain can help differentiate between pneumonia and cardiac

problems

• the pneumococcal vaccine can significantly reduce the length and severity of pneumonia if given

shortly after the diagnosis

• the cardinal signs of a new onset of pneumonia are chest pain, fever above 100, and a productive

cough

• pneumonia can often be prevented, but numerous age-related factors conspire to make older adults

susceptible to it 1 / 2

• - which assessment finding is most important in determining nursing care for a client with pneumonia?
• a slight cough and fatigue
• confusion and restlessness
• mild pleuritic chest pain
• fever

a, c, and d - Correct Answer - the diagnosis and treatment of cancer in older adults is accompanied by complexities that do not exist in younger populations. which of the following phenomena contribute to the additional complexity of cancer diagnosis and treatment among the elderly? (select all that apply)

• detection often occurs at a later stage in the disease
• older adults tend to have atypical presentations of many types of cancer
• the presence of other chronic health problems makes detection more difficult
• the potentially harmful effects of many treatment options makes treatment more challenging
• decreased survival rates in older adults mean that treatment is often not cost-effective

b - Correct Answer - which kind of treatment can be administered without any age-related adjustment?

• surgery
• radiation therapy
• chemotherapy
• biologic therapy

b - Correct Answer - a nurse is taking the medical history of an elderly patient with thyroid cancer. what is an especially important question the nurse should ask?

• have you ever smoked cigarettes?
• did you have acne as a teenager?
• have you ever experienced stress?
• have you ever used artificial sweeteners?

b, c, and d - Correct Answer - the nurse assesses a change in the respiratory status of an older patient.which findings should be reported to the health care provider immediately? (select all that apply)

• infrequent cough
• / 2