Question

Exaggerated reflexes and dementia d. Tremors with movement and weakness c. encourages the client to maintain a steady weight in the recommended range to most common endocrine disease observed in the elderly, which is: 7. The nurse crease risk of the a. Hypothyroidism b. Hyperthyroidism c. Diabetes mellitus d. Diabetes insipidus normal physiologic change of aging that places an elderly client at an increased risk for digitalis toxicity is decreased: a. Gastrointestinal motility b. Bone density c. Vital capacity d. Glomerular filtration 8. The 9. When discussing expected changes in the female reproductive system to an older adult, the nurse should explain that a. Increased pubic hair is expected b. Uterine enlargement is normal c. Vaginal tissues become more vascular d. Production of vaginal secretions decreases 10. Immunizations that the elderly need to receive on a yearly basis include the following: (Select all that apply.) a. Pneumonia vaccine b. Influenza vaccine c. Tetanus vaccine d. Polio vaccine Hepatitis B vaccine e. 11. The nurse recognizes that regular dental visits are: a. Necessary for only those elderly people who still have their natural teeth b. Recommended on a yearly basis for all elderly people, even those with dentures c. Not necessary if the person brushes and flosses properly three times a day d. Desirable, but not necessary unless pain or another problem occurs 12. The nurse tries to use communication techniques that are most effective at establishing an empathetic climate. The most effective method is to use a. Open-ended responses b. Direct questioning c. Informing d. Confrontational responses 13. Which interventions would be appropriate to use when teaching a client who has

Answer 1

7. C. Diabetes mellitus

The most common endocrine disease observed in the elderly is diabetes mellitus. Gaining more weight with the increase of age in elderly , increases the risk of Diabetesmellitus.

8. d. Glomerular filtration

In elderly, the impairment in functions of kidney may increase the chance of digoxin toxicity. Half life of digoxin can be longer in the patient with decreased glomerular filtration, this inturn may results in increased concentration of digitalis in the blood and digoxin toxicity.

9. d. Production of vaginal secretion decreases

Many changes happens in a woman's reproductive system in old age especially after menopause. Because of the decreased hormonal production ( estrogen) vaginal wall become dry as the vaginal secretions gets scanty. Atrophy of glands around labia majora and minora and surrounding the vaginal wall occurs.

10. b. Influenza vaccine ( yearly)

Pneumonia vaccine( 1 or 2 doses),  Tetanus vaccine( 1 dose , after 10 years booster dose), hepatitis B( 2 or 3 doses)

Centers for Disease control and prevention recommends that an elderly should receive the vaccines of influenza (on an annual basis),  tetanus, pneumoniae and hepatitis B.

11. b. Recommended on a yearly basis for all elderly people, even those with dentures.

For senior persons, it is recommended that they should visit their dentist at least once in a year( once in six months is more prefered).elderly people with dentures should visit the dentist for the evaluation of dentures .

12. d. Confrontational response

A nurse can create an empathetic environment in a therapeutic communication by using confrontational response. It should be used only after establishing professional relationship with the client. Confrontation helps the client for self understanding and awareness about the inconsistency in his interest and emotions. Through confrontational response, nurse can point out the client's discrepancy in thinking and attitude, with an empathetic approach.