Nursing - Gerontology Adult Health

1

An older woman who receives intravenous (IV) fluids is making wide gesticulations with her arms and loudly insulting the nursing staff. Which intervention should the nurse implement to maintain safe, effective nursing care initially?

D
To help maintain her independence and permit the administration of IV fluids yet provide safe, effective care, the nurse should determine what the patient is attempting to convey and then ad-dress those needs. Restraining one side creates a potential threat from the other arm to the inte-grity of the IV, but bilateral restraints can be justified for the protection of the IV site. However, as a first step, the nurse should determine if the patient has a need that has not been met before moving to a restraint.
Administering an antipsychotic agent can be justified for agitation but not in this patient. Less intrusive measures are available for initial protective measures. Although nurses tend to keep the doors of patients' and residents' rooms slightly ajar to maintain privacy, closing this woman's door is contraindicated to control noise because it can contribute to the risk of falls and injury and does nothing to maintain the integrity of the IV.

2

A nurse has identified an older patient as being at high risk of infection. Which assessment data indicate that priority goals for this diagnosis have been met?

3

_____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area)

4

A critical care nurse is providing care for a patient who was admitted to the intensive care unit after going into cardiogenic shock while on one of the hospital's medical units

5

A 61-year-old man's elevated prostate screening antigen (PSA) levels and abnormal digital rectal examination (DRE) results prompted his care provider to refer him for treatment

6

A female patient in menopause asks why estrogen levels change during and after menopause. What should the nurse explain about estrogen in a postmenopausal woman?

7

The nurse has administered the Apgar screen tool to assess an older patient's family function status. Upon determining that the family functions at a 4, the nurse

8

Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. What is true of the role of the LPN/LVN?

9

A 70-year-old male recently had prostate surgery. Which of the following interventions should the nurse include in the patient's nursing care plan?

10

When assessing factors that may influence the patient's pulse rate, what should the nurse take into consideration? (Select all that apply.)

11

A community health nurse provides an annual flu prevention workshop at a local senior center. The activities include a lecture on preventing infections, which includes hand washing and limiting exposure to individuals who are ill, as well as an influenza

12

Which statements made by a couple who have recently retired support the nurse's evaluation that the transition to retirement has been a successful one? Select all that ap-ply

13

An elder is experiencing severe chronic pain resulting from a terminal illness. Which intervention by the nurse would be most appropriate when he verbalizes a desire to find "some sort of mean-ing to all of this"?

14

When assessing a patient, the nurse recognizes that pain is:

15

An older male presents with incontinence, has a wide-based and irregular gait, and progressive dementia. Which of the following presents with these cardinal signs?

16

What would be an appropriate statement regarding sexuality for a married couple upon their admission to a long-term care facility?

17

A 77-year-old woman has recently been diagnosed with type 2 diabetes. The gerontological nurse who is working with the woman has emphasized the need for the woman to make smart lifestyle choices in the management of her chronic condition

18

The LVN/LPN helps an 82-year-old patient recovering from a hip replacement understand that the remainder of her rehabilitation phase will not be spent in the acute hospital setting, but in a(n):

19

75-year-old woman who often used to go out to dinner with her friends has stopped going out because she has been experiencing urinary incontinence and is afraid of having an "accident" in public

20

When the worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have, the nurse replies:

21

A patient has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of their body. What would be the nurse's priority concern in the immediate care of this patient?

22

A new nurse is caring for a patient from Appalachi

23

The nurse is instructing a new patient on the benefits of exercise. She would include which of the following in providing the most current recommendations for older adults?

24

Discharge planning for a surgical procedure begins in the ______________ period and continues through the _____________ period

25

The type of transfer used to move a client with strong arms and paralyzed legs is the

26

A patient had a heart attack and the nurse identifies the diagnosis as activity intolerance. What assessment finding indicates a priority goal for this diagnosis is being met?

27

Some elderly patients may exhibit a pattern of behaviors that include insomnia, chain smoking, increased blood pressure, and frequency of voiding. What is one way a nurse can help them?

28

A patient with dilated cardiomyopathy has been placed on the transplant list due to the severity of her symptoms and her poor prognosis

29

Which statement is not true of older adult relationships?

30

Tissues that cover the outside of the body and some internal structures are

31

The nurse is aware that a patient's values reflect influences from ____________________________. (Select all that apply.)

32

From the late 1980s to the present, the gap in life expectancy between individuals in the Caucasian and African American communities has widened. Which of the following most clearly accounts for this trend?

33

What action by the 75-year-old would indicate that an appropriate action has been taken to combat reduced stamina?

34

An older adult with difficulty using the dominant hand has a gastrostomy tube. Which should the nurse provide to prevent complications of the gastrostomy tube?

35

Decreased renal excretion of drugs

36

Before applying a safety reminder device (SRD), the nurse must:

37

The nurse is performing a pain assessment when the older adult patient reports pain in his left shoulder that radiates down into the forearm. The nurse immediately

38

If a patient is diagnosed with anemia, how are the tissues and cells affected?

39

The caregiver for an older adult with cognitive impairment is concerned about the individual's seeming disinterest in eating. Which suggestion does the nurse offer based upon a known effect of dementia on a client's nutrition?

40

In an adult day care center, the LPN's primary responsibilities include

41

A nurse who is caring for an older patient with bipolar disorder knows that the patient needs ad-ditional education when the patient states:

42

In planning the care of a patient who has hyperthyroidism, the nurse has identified the nursing diagnosis of altered nutrition: less than body requirements. What intervention is the best response to this diagnosis?

43

The nurse is concerned that an older patient with a chronic illness is on a trajectory towards frailty and dependence. What did the nurse assess in this patient?

44

Twentieth-century laws regarding health care for the elderly trace their roots back to:

45

A nurse is providing care for a patient with human immunodeficiency virus (HIV) who has been admitted to the hospital because of a recent decrease in his CD4+ count

46

A nurse is teaching a colleague about the difference between age-related changes and risk factors. Which of the following examples should the nurse use when discussing age-related changes?

47

Determine which of the following nursing considerations has the highest priority for an elderly adult with dementia

48

To be diagnosed as having AIDS, the patient must be HIV-positive, have a compromised immune system without known immune system disease or recent organ transplant, and present with

49

A patient presents to the walk-in clinic complaining of vomiting and burning in his mid-epigastria. The nurse knows that to confirm peptic ulcer disease, the health care provider is likely to order a diagnostic test to detect the presence of what?

50

When asking an older person to make environmental changes in the home to improve safety, which nursing strategy has the highest priority?

51

Mrs. J's insurance company reimburses for a maximum of four physical therapy sessions annually. At age 62, Mrs. J is recovering slowly from hip surgery, and her nurse believes that additional sessions would enhance Mrs. J's self-care capacity

52

Select the most important assessment question to ask a patient suspected of having a dissociative disorder

53

Over half of women over the age of 85 are widowed

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Nursing - Gerontology Adult Health

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