BocEastern Suffolk Boces Adult Education Center Geriatric exam pn111
BocEastern Suffolk Boces Adult Education Center Geriatric exam pn111 ( 49 Questions)
A nurse is providing care to several clients. The nurse reviews each client's diagnostic and assessment findings. Which result would warrant the nurse to investigate further?
A 78-year-old client's stomach pH is increased.An increased stomach pH could indicate a disruption in gastric acidity levels, which may be associated with various gastrointestinal conditions or medications. While it could be a normal variation in some cases, especially considering age-related changes, an increased stomach pH might also suggest underlying issues such as hypochlorhydria or certain medications' effects. Further investigation may be warranted to determine the cause and potential implications of this finding, especially if it's persistent or associated with symptoms.
A 71-year-old client's echocardiogram reveals slight left ventricular hypertrophy.Left ventricular hypertrophy (LVH) is a common finding, particularly in older adults with hypertension or other cardiovascular risk factors. While slight LVH might not always be clinically significant, it could indicate underlying cardiac abnormalities or increased cardiovascular risk. However, it's important to note that echocardiographic findings need to be interpreted in conjunction with the patient's clinical history and other cardiac assessments to determine the significance of the finding and the need for further investigation.
A 78-year-old client has recently developed urinary incontinence.
Urinary incontinence is a common problem in older adults and can have various causes, including urinary tract infections, neurological disorders, medication side effects, or pelvic floor dysfunction. While it is important to assess and address urinary incontinence, particularly considering its impact on quality of life, it may not always warrant immediate further investigation unless it's associated with other concerning symptoms or complications that require assessment or treatment.
An 81-year-old client's glomerular filtration rate (GFR) is decreased.A decreased glomerular filtration rate (GFR) is indicative of impaired kidney function and may suggest underlying kidney disease or other systemic conditions affecting renal function. This finding warrants further investigation to determine the cause and severity of kidney dysfunction, assess for associated complications, and guide appropriate management. Further evaluation may include additional renal function tests, imaging studies, or referral to a nephrologist for specialized care.
A. A 78-year-old client's stomach pH is increased.
An increased stomach pH could indicate a disruption in gastric acidity levels, which may be associated with various gastrointestinal conditions or medications. While it could be a normal variation in some cases, especially considering age-related changes, an increased stomach pH might also suggest underlying issues such as hypochlorhydria or certain medications' effects. Further investigation may be warranted to determine the cause and potential implications of this finding, especially if it's persistent or associated with symptoms.
B. A 71-year-old client's echocardiogram reveals slight left ventricular hypertrophy.
Left ventricular hypertrophy (LVH) is a common finding, particularly in older adults with hypertension or other cardiovascular risk factors. While slight LVH might not always be clinically significant, it could indicate underlying cardiac abnormalities or increased cardiovascular risk. However, it's important to note that echocardiographic findings need to be interpreted in conjunction with the patient's clinical history and other cardiac assessments to determine the significance of the finding and the need for further investigation.
C. A 78-year-old client has recently developed urinary incontinence.
Urinary incontinence is a common problem in older adults and can have various causes, including urinary tract infections, neurological disorders, medication side effects, or pelvic floor dysfunction. While it is important to assess and address urinary incontinence, particularly considering its impact on quality of life, it may not always warrant immediate further investigation unless it's associated with other concerning symptoms or complications that require assessment or treatment.
D. An 81-year-old client's glomerular filtration rate (GFR) is decreased.
A decreased glomerular filtration rate (GFR) is indicative of impaired kidney function and may suggest underlying kidney disease or other systemic conditions affecting renal function. This finding warrants further investigation to determine the cause and severity of kidney dysfunction, assess for associated complications, and guide appropriate management. Further evaluation may include additional renal function tests, imaging studies, or referral to a nephrologist for specialized care.