Vsim Gerontology review
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,What is the nurse's initial assessment focus for an older patient being
admitted for acute confusion?
a) Fluid and electrolyte status to rule out dehydration
b) Blood pressure to rule out hypotension
c) Serum blood alcohol to rule out intoxication
d) Hemoglobin and hematocrit to rule out hemorrhage - Answer: a) Fluid
and electrolyte status to rule out dehydration
Explanation:
Older adults are at risk for dehydration because aging can cause a decreased
sense of thirst and an increase in urinary frequency. Confusion is a common
sign of dehydration among older patients. Although hypotension,
hemorrhage, and alcohol intoxication may all result in various degrees of
confusion, they are not considered primary causes.
Gerontological Nursing, 8th Edition, p. 218
Which value should the nurse consider abnormal when reviewing a patient's
routine urinalysis report?
a) Urine specific gravity of 1.03
b) Absence of glucose
c) Absence of protein
d) Urine pH of 3.0 - Answer: d) Urine pH of 3.0
, Explanation:
The pH of urine should be between 4.6 and 8.0. Urine specific gravity
compares the density of urine to the density of water. Urine specific gravity
in an adult should be 1.000 to 1.030, which means that the kidneys are
functioning at a normal level. Absence of both protein and glucose in urine is
appropriate.
Gerontological Nursing, 8th Edition, p. 305
Lippincott Procedures, Urine pH
Lippincott Procedures, Urine Specific Gravity
Which of the following should be included in a teaching plan for a patient
with an increased risk for developing a urinary tract infection?
a) Establish a 6- to 8-hour voiding schedule during the daytime.
b) Drink cranberry juice daily.
c) Hydrate with clear liquids only.
d) Reduce fluid intake during daylight hours to 10 to 20 oz. - Answer: b)
Drink cranberry juice daily
Explanation:
Medical research supports that regularly drinking cranberry juice is a means
to reduce the risk of urinary tract infections. Restricting fluid intake is not
advisable, and drinking only clear liquids is not necessary. The risk for
urinary infection increases when the urine is allowed to stagnate in the
bladder, so bladder emptying should occur more frequently than every 6 to
8 hours.
Comprehensive Study Guide + Exam
Questions & Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic
Support
Helping Students Achieve Academic Excellence
,What is the nurse's initial assessment focus for an older patient being
admitted for acute confusion?
a) Fluid and electrolyte status to rule out dehydration
b) Blood pressure to rule out hypotension
c) Serum blood alcohol to rule out intoxication
d) Hemoglobin and hematocrit to rule out hemorrhage - Answer: a) Fluid
and electrolyte status to rule out dehydration
Explanation:
Older adults are at risk for dehydration because aging can cause a decreased
sense of thirst and an increase in urinary frequency. Confusion is a common
sign of dehydration among older patients. Although hypotension,
hemorrhage, and alcohol intoxication may all result in various degrees of
confusion, they are not considered primary causes.
Gerontological Nursing, 8th Edition, p. 218
Which value should the nurse consider abnormal when reviewing a patient's
routine urinalysis report?
a) Urine specific gravity of 1.03
b) Absence of glucose
c) Absence of protein
d) Urine pH of 3.0 - Answer: d) Urine pH of 3.0
, Explanation:
The pH of urine should be between 4.6 and 8.0. Urine specific gravity
compares the density of urine to the density of water. Urine specific gravity
in an adult should be 1.000 to 1.030, which means that the kidneys are
functioning at a normal level. Absence of both protein and glucose in urine is
appropriate.
Gerontological Nursing, 8th Edition, p. 305
Lippincott Procedures, Urine pH
Lippincott Procedures, Urine Specific Gravity
Which of the following should be included in a teaching plan for a patient
with an increased risk for developing a urinary tract infection?
a) Establish a 6- to 8-hour voiding schedule during the daytime.
b) Drink cranberry juice daily.
c) Hydrate with clear liquids only.
d) Reduce fluid intake during daylight hours to 10 to 20 oz. - Answer: b)
Drink cranberry juice daily
Explanation:
Medical research supports that regularly drinking cranberry juice is a means
to reduce the risk of urinary tract infections. Restricting fluid intake is not
advisable, and drinking only clear liquids is not necessary. The risk for
urinary infection increases when the urine is allowed to stagnate in the
bladder, so bladder emptying should occur more frequently than every 6 to
8 hours.
