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Basic Geriatric Nursing Chps. 8,10,11,12 Questions and Answers
with Solutions UPDATED!!!
CHAPTER 8 NOTES - ANSWER
Which assessment tool is most highly regarded and often used
to determine the mental status of the older adult? - ANSWER
The Mini-Cog
When assessing the respiratory system of an older adult, the
nurse hears continuous, coarse, low-pitched sounds. How
would these sounds be reported? - ANSWER Gurgles (low-
pitched wheezes)
When taking a racial pulse of an older adult, the nurse finds it
difficult to count a weak and thready pulse. What should the
nurse do? - ANSWER Take an apical pulse instead.
When performing an assessment of the gastrointestinal system
of an older adult, the nurse would proceed in what order? Place
the parts of a gastrointestinal system assessment in sequence
from first to last. - ANSWER 1.) Obtain a health history
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2.) Inspect the oral cavity
3.) Observe abdomen for scars
4.) Auscultate bowel sounds
5.) Palpate abdomen
When performing an interview with an older adult, the nurse
should consider physical environment factors by: - ANSWER
*Explaining what will take place during the assessment
*Ensuring privacy and minimum noise levels
*Selecting a room with a comfortable temperature
*Seeking a location in close proximity to a restroom
The nurse is preparing to assess the blood pressure of a patient
and measures the patient s arm to determine the proper sized
cuff. The diameter of the patient s arm is 50 cm. How wide
should the blood pressure cuff be? - ANSWER 60
Older adults developing various disease processes may present
with different symptoms from younger adults. The nurse would
be concerned about which disease if the patient were to
demonstrate a decreased appetite, constipation, and changes
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to his sleep pattern in which he is awake at night and sleeps
during the day? - ANSWER Depression
The nurse is assessing a patient and counts a respiratory rate of
8 breaths per minute. The nurse should be concerned about
which condition? - ANSWER Impending infection
The 71-year-old patient presents to the clinic for her routine
exam. While reviewing the patient's chart, the nurse notes the
patient's most recent blood pressure screening, mammogram,
and clinical breast exam were performed at age 70. She last had
her cholesterol levels checked at age 68. Her last guaiac test
and colonoscopy were performed at age 69. The nurse knows
this patient should have which screening test(s) performed? -
ANSWER * Guaiac test
* Blood pressure
* Screening for obesity
The patient presents to the clinic complaining of abdominal
pain. Which information should be charted as objective data? -
ANSWER Patient is hunched in her chair, clutching her abdomen
Basic Geriatric Nursing Chps. 8,10,11,12 Questions and Answers
with Solutions UPDATED!!!
CHAPTER 8 NOTES - ANSWER
Which assessment tool is most highly regarded and often used
to determine the mental status of the older adult? - ANSWER
The Mini-Cog
When assessing the respiratory system of an older adult, the
nurse hears continuous, coarse, low-pitched sounds. How
would these sounds be reported? - ANSWER Gurgles (low-
pitched wheezes)
When taking a racial pulse of an older adult, the nurse finds it
difficult to count a weak and thready pulse. What should the
nurse do? - ANSWER Take an apical pulse instead.
When performing an assessment of the gastrointestinal system
of an older adult, the nurse would proceed in what order? Place
the parts of a gastrointestinal system assessment in sequence
from first to last. - ANSWER 1.) Obtain a health history
,2|Page
2.) Inspect the oral cavity
3.) Observe abdomen for scars
4.) Auscultate bowel sounds
5.) Palpate abdomen
When performing an interview with an older adult, the nurse
should consider physical environment factors by: - ANSWER
*Explaining what will take place during the assessment
*Ensuring privacy and minimum noise levels
*Selecting a room with a comfortable temperature
*Seeking a location in close proximity to a restroom
The nurse is preparing to assess the blood pressure of a patient
and measures the patient s arm to determine the proper sized
cuff. The diameter of the patient s arm is 50 cm. How wide
should the blood pressure cuff be? - ANSWER 60
Older adults developing various disease processes may present
with different symptoms from younger adults. The nurse would
be concerned about which disease if the patient were to
demonstrate a decreased appetite, constipation, and changes
, 3|Page
to his sleep pattern in which he is awake at night and sleeps
during the day? - ANSWER Depression
The nurse is assessing a patient and counts a respiratory rate of
8 breaths per minute. The nurse should be concerned about
which condition? - ANSWER Impending infection
The 71-year-old patient presents to the clinic for her routine
exam. While reviewing the patient's chart, the nurse notes the
patient's most recent blood pressure screening, mammogram,
and clinical breast exam were performed at age 70. She last had
her cholesterol levels checked at age 68. Her last guaiac test
and colonoscopy were performed at age 69. The nurse knows
this patient should have which screening test(s) performed? -
ANSWER * Guaiac test
* Blood pressure
* Screening for obesity
The patient presents to the clinic complaining of abdominal
pain. Which information should be charted as objective data? -
ANSWER Patient is hunched in her chair, clutching her abdomen
