1) The greatest risk for injury for an older adult client is? a) falls b) suicide c) bleeding ulcers d) chocking 2) The nurse is caring for an older client who admits to taking three blood medications. Which action by the nurse is correct? a) Ask the client to lay down b) Take the client's BP c) Call the health care provider d) Start an intravenous (IV) infusion 3) The nurse is caring for a client who reports mild weakness in the lower extremities. Which assistive device should the nurse expect the health care provider to prescribe? a) Cane b) Elevated toilet seat c) Wheelchair d) Walker 4) The nurse caring for a client with a chronic illness who is not able to control the symptoms of their illness. Which trajectory should the nurse document that the client is in? a) onset b) dying c) unstable d) crisis 5) The nurse is conducting a community assessment regarding homeless older adults. Which factor should the nurse associate with homeless adults? a) living alone b) fatigue c) emotional trauma d) caregiver restraint 6) The nurse is working with an unlicensed assistive personnel (UAP). Which action could the delegate to the UAP? a) Ambulating the client after surgery b) Disconnecting the intravenous (IV) tubing. c) Reporting a change in condition to the family. d) Assisting the client to the bathroom according to health care provider order. 7) The nurse is caring for a client who is throwing objects at staff and has fell. A restraint maybe indicated in the care of the client. Which action should the nurse perform before applying a restrain? a) Notify the health care provider. b) Call the client's family. c) Send the client for an x-ray d) Give the client a sedative. 8) The nurse is caring for an older client with depression due to loneliness. Which nursing action should be included in the treatment plan? a) Encourage the client to seek mental health services. b) Ask the family to bring pictures of grandchildren. c) Suggest the client get a pet. d) Take the client to art therapy classes. 9) Which statement is correct regarding ageism? a) Ageism is often associated with those who are not immunized. b) It is the leading cause of death in the US. c) May lead to blindness is not treated early. d) May lead to discrimination and disparities. 10) The nurse is caring for an older client with a chronic illness. What is the key role of the nurse when caring for this client? a) Make arrangements for a caregiver to present at all times. b) Schedule follow-up appointments. c) Teaching the client and family about the treatment plan. d) Obtaining information about a meal service. 11) The nurse is caring for a client who was diagnosed with metastatic cancer when the family ask, "What does that mean?" Which response by the nurse is correct? Metastatic cancer means a) the tumor has formed in the blood vessels b) the cancer has spread to another site. c) the cancer is trapped near the heart. d) the client is in the final stages. 12) The nurse is providing teaching regarding cancer prevention at a community. Which statement should the nurse include in the teaching? a) The seven warning signs of cancer b) Limit sun exposure to three hours per day. c) Notify your health care provider if you notice reddening of the skin. d) Wear a mask during health care provider appointment. 13) The nurse is caring for a client with anxiety due to a new cancer diagnosis. Which action should the nurse implement when caring for the client. a) Speak clear and provide explanations. b) Reassure the client about the treatment plan. c) Have the client's family present at all times. d) Use medical terms when communicating with the client. 14) The nurse is preparing a client for a kidney biopsy. What should the nurse explain about the procedure to the client? a) This test removes tissue to sample for analysis. b) You will be asleep during the procedure. c) This test will control your symptoms. d) This procedure is a cure for your cancer. 15) The nurse is caring for a client receiving palliative care when the client ask, "Can I still receive radiation therapy?" Which response by the nurse is correct? a) "This treatment will not be beneficial.". b) "Radiation can assist with pain." c) "You are in the final stages." d) "Why would you ask that question." 16) The nurse is caring for a client receiving chemotherapy. Which delayed effect should the nurse monitor for? a) hypersensitivity b) dysrhythmias c) decreased urine output d) bone marrow suppression 17) Which principle should the nurse apply when caring for a client receiving brachytherapy? a) Limiting time b) Limiting fluid intake c) Reduce caloric intake d) Wearing eye protection 18) The nurse is teaching a client with a diagnosis of thrombocytopenia due chemotherapy. Which should the nurse include in the teaching? a) Take frequent rest breaks. b) Eat a diet high in fiber. c) Increase your fluid intake. d) Avoid invasive procedures. 19) The nurse is caring for a client who reports pain of an 8/10 due to cancer. Which action by the nurse is most appropriate? a) Provide a distraction. b) Massage the area. c) Administer an opioid. d) Apply a heating pad to the area. 20) The nurse is caring for a client with cancer whose caregiver reports fatigue. Which intervention should the suggest? a) Refer the caregiver to respite services. b) Tell the caregiver to stay home. c) Talk with the caregiver about placing the client in assisted living. d) Recommend mental health services.

Cancer, The Older Client

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