Central Texas College NURSING 1115 Chapter 21 1)During inspection of the mouth of a 72 years old male Pt, the nurse notices a red lesion at the base of his tongue

Central Texas College

NURSING 1115

Chapter 21

1)During inspection of the mouth of a 72 years old male Pt, the nurse notices a red lesion at the base of his tongue. What additional datum does the nurse obtain from this patient?

a.            Alcohol and tobacco use

b.            Date of his last dental examination

c.             How well his dentures fit

d.            A hx of gum dz

2.            On inspection of the eye of an 82-years old woman, the nurse notes which finding as normal

a.            Opaque coloring of the lens

b.            Clear cornea with a gray-white ring around the limbus

c.             Dilated pupils when looking at an item in her hand

d.            Impaired perception of the colors yellow and red

3.            The nurse notes which finding as abnormal during a thoracic assessment of an older adult?

a.            A skeletal deformity affecting curvature of the spine

b.            Shortness of breath on exertion

c.             An increase in anteroposterior diameter

d.            Bronchovesicular breath sounds in the peripheral lung fields

4.            The nurse notes which finding as normal during a cardiovascular assessment of an older adult?

a.            A drop in blood pressure when moving from lying to standing

b.            A loud aortic ejection murmur that radiates to the neck

c.             A radial pulse of 56 beats/min.

d.            A low-pitched blowing sound heard over a carotid artery

5.            Which would be an abnormal finding during an abdominal examination of an older adult?

a. Report of incontinence when sneezing or coughing

b. Loss of abdominal muscle tone

c.             Bowel sounds every 15 seconds in all quadrants

d. Silver-white striae and a very faint vascular network

6. Which finding is an expected age-related change for a woman 80 years old?

a. Kyphosis

b. Back pain

c. Loss of height

d. Crepitation on movement