What are the effects of decreased speed impulses in the older adult?
A “scrambled” message in the brain
Longer time required to complete an activity
Increased confusion
Forget how to complete an activity
Why is an arthritic patient less likely to exercise?
Fragility of the bones puts the patient at risk for fractures.
Numbness in the feet and legs puts the patient at risk for a fall.
Stiffened ligaments and tendons put the patient at risk for reduced flexibility.
Moving heavy edematous limbs puts the patient at risk for fatigue.
What action by the 75-year-old would indicate that an appropriate action has been taken to combat reduced stamina?
Moving his home office to a downstairs location
Using public transportation rather than driving his own car
Tilling the garden plot with a motor-driven tiller
Visiting the senior center twice in 1 week to play dominoes
what is the focus of aerobic exercises such as walking and biking?
improve cardiovascular function
build muscle mass
improve dexterity
enhance balance
A 70-year-old with painful arthritic joints asked the nurse what was the most beneficial exercise for her based upon disability. What would be the most appropriate suggestion for the nurse?
train with hand weights
walk on a treadmill
do low-impact aerobics
swim
what would be the most appropriate exercise suggestion for the older adult who wants to build muscle mass?
aerobic class
stretching exercises
strength training
Tai chi
when the 65-year-old patient who is a type 1 diabetic informs the home health nurse that he now exercises for 1 hour a day at a club, the nurse cautions him to be sure to
drinks plenty of fluids
wear clothing that allows ventilation
take hard candy to the gym when he exercises
give himself less insulin than prescribed
the nurse directs an 80-year-old recovering from a fractured pelvis to participate in several isometric exercises to maintain muscle strength, such as
alternately tightening and relaxing the abdominal muscles
lifting the body up off the bed using an overhead trapeze
pushing against the bed to lift the buttocks off the bed a few inches
pressing the sole of the foot against a footboard
An older adult is preforming isometric and isotonic exercises. what should the nurse suggest in order to prevent an accidental valsalva maneuver?
hold the breath during an exercise cycle
breath through the mouth
breath deeply and rhythmically during an exercise cycle
breathe in through the nose and out through the mouth
what benefit is there for an older adult to participate in balance training
increase peripheral circulation
increase strength
decrease the incidence of falls
eliminate the need for ambulatory assistive devices
The fiercely independent 90-year-old woman who is recovering from a stroke frequently, ambulates without the use of her walker, because she says it is ugly and cumbersome. What would be the most effective intervention of the nurse?
allow her to ambulate independently
place a gait belt around her and ambulate when she does
bring her walker to her and remind her that the walker is for her safety
instruct her to use a wheelchair
on what day should an outing to the park for a group of older adults be canceled?
75-degree sunny day in texas
70-degree cloudy day in oregon
80-degree sunny day in florida
75-degree ozone alert in california
what would be included in a plan of care that is custodial in its focus
attention to high-level wellness
plans for physiologic and safety concerns
aggressive rehabilitation goals
patient participates in his or own care
what activity would be the most difficult for an older woman who has finished dexterity?
working a crossword puzzle
playing a round of golf
taking a walk
painting with watercolors
at least how many minutes of daily activity is recommended for a 75-year-old woman?
15
90
30
45
ADD E ANWSER what are benefits of regular exercise? (Select all that apply)
maintenance of joint mobility
enhancement of muscle tone
promotion of sense of general well-being
guaranteed weight loss
what are causes of altered oxygen exchange, and resulting lessened stamina, in the other adult? (Select all that apply)
flatted diaphragm
loss of elasticity in the lung
nutritional deficiencies
decrease in size of chest cavity
fragility of capillaries
what factors should the older adult consider when planning an exercise program? (Select all that apply)
purchasing weights
wearing clothing appropriate for the type of exercise
considering membership in a health club
establishing realistic goals
committing time for consistent regular exercise
what are the overall goals in caring for a patient with impaired physical mobility? (Select all that apply)
increasing the patients participation in physical activities
preserving the patients anatomical position and function of joints
increasing patients former level of mobility
avoiding unnecessary restraints
including the patient in the planning phase
what should the nurse consider when planning an exercise program for a person with activity intolerance? (Select all that apply)
identification of factors that contribute to activity intolerance
arranging activities that progress from mild to more demanding
rapid pacing activities that build up stamina
individualizing the plan to include activities that the patient particularly likes
What are long-term goals for rehabilitation? (select all that apply)
prevention of further disability
modifying the impact of the disability on lifestyle
supporting adaptation of a changed lifestyle
focusing on a complete return to the former level of activity
reestablishing the patients control of her or his life
How can the nurse demonstrate a positive attitude toward care planning? (select all that apply)
acknowledge the impact of a traumatic amputation on therapy
encourage the residents input on the care plan
invite the resident and family member to attend the care plan meeting
make a list of questions for the resident to ask at the care plan meeting
help the resident to perform all activities of daily living
What are goals of rehabilitative nursing? (select all that apply)
minimize the impact of disability
return to maximum level of function
increase level of independence
adjust to change in lifestyle
increase control of their life
To increase safe mobility for a patient recovering from a fractured left hip, the nurse would instruct: the patient to place the cane on the: Right Side
