NSG 6440 primary care adult gerontology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam Solution zm




Geriatric Nursing Midterm 2026 A+ GRADE ASSURED C zm zm zm zm zm zm zm




OMPLETE SOLUTIONS AND VERIFIED ANSWERS (CAC6 zm zm zm zm zm




3)




QUESTION 1 zm




Use of strategies to prevent falls stemming from orthostatic hypotension
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ANSWER

An older adult is newly diagnosed with primary hypertension and has just been started on a beta-
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blocker. Which topic should the nurse include in health education?
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QUESTION 2 zm




Rationale 1 zm




ANSWER

Older adults have impaired cardiovascular reflexes and are more sensitive to orthostatic hypotension
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. The nurse teaches clients to change positions slowly when moving from lying or sitting positions t
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o a standing position and counsels older clients to use supportive devices as necessary to prevent fa
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lls that could result from dizziness. Lifestyle changes, such as regular physical activity/exercise, and
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a diet rich in fruits, vegetables, and low-fat dairy products, are strongly recommended.
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QUESTION 3 zm




Retinal blood vessel damage zm zm zm




ANSWER

A client with primary hypertension comes to the clinic reporting a gradual onset of blurry vision an
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d decreased visual acuity over the past several weeks. The nurse is aware that these symptoms coul
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d be indicative of which condition?
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QUESTION 4 zm

,Blurred vision, spots in front of the eyes, and diminished visual acuity
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ANSWER

_____ can mean retinal blood vessel damage indicative of damage elsewhere in the vascular system a
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s a result of hypertension.
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QUESTION 5 zm




A family history of hypertension
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ANSWER

At a blood pressure screening, the nurse learns that a client has a family history of hypertension, hi
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gh cholesterol, and elevated lipid levels. The client says reports smoking one pack of cigarettes daily
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mand drinking "about a pack of beer" every day. The nurse notes which nonmodifiable risk factor for
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mhypertension?



QUESTION 6 zm




Hypertensive emergencies are associated with evidence of target organ damage.
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ANSWER

The staff educator is teaching emergency department nurses about hypertensive crisis. The nurse ed
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ucator should explain that hypertensive urgency differs from hypertensive emergency in which way?
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QUESTION 7 zm




Hypertensive emergencies zm




ANSWER

____ are acute, life-
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threatening BP elevations that require prompt treatment in an intensive care setting because of the
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serious target organ damage that they cause. Extremely close hemodynamic monitoring of the client'
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s BP is required in both situations.
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QUESTION 8 zm




"A single elevated blood pressure does not confirm hypertension. Diagnosis requires
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multiple elevated readings." zm zm




ANSWER

A 56-year-
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old client at a screening event has a blood pressure reading of 146/96 mm Hg. Upon hearing the re
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ading, the client states, "My pressure has never been this high. Do you think my doctor will prescrib
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e medication to reduce it?" What is the nurse's best response?
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,QUESTION 9 zm




140 mm Hg and diastolic pressure of at least 90 mm Hg
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ANSWER

Hypertension is confirmed by two or more readings with systolic pressure of at least
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QUESTION 10 zm




Tobacco use increases the client's concurrent risk of heart disease
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ANSWER

A client newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talk
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s about lifestyle changes with the client and advises that the client should avoid tobacco use. What i
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s the primary rationale behind that advice to the client?
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QUESTION 11 zm




the client takes the medication as prescribed5
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ANSWER

The most appropriate expected outcome for a client who is given the nursing diagnosis of risk for i
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neffective health maintenance is that ___
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QUESTION 12 zm




Client takes medication as prescribed and reports any adverse effects
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ANSWER

The nurse identifies a nursing diagnosis of Ineffective Health Maintenance related to nonadherence t
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o therapeutic regimen in a client with hypertension who has not been taking their medication as pr
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escribed. When planning this client's care, which outcome would be appropriate?
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QUESTION 13 zm




heart disease zm




ANSWER

Smoking increases the risk for _____ , for which a client with hypertension is already at an increased
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mrisk.



QUESTION 14 zm

, hypertensive urgency zm




ANSWER

Blood pressures are extremely elevated in both urgency and emergencies, but there is no evidence o
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f target organ damage in ____.
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QUESTION 15 zm




beta-adrenergic blocking agents, angiotensin-converting enzyme inhibitors, or alpha-
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agonists
ANSWER

The medications of choice in hypertensive emergencies are those with an immediate effect, such as i
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ntravenous vasodilators. Oral doses of fast-
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acting agents, such as _____ , are recommended for the treatment of hypertensive urgencies.
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QUESTION 16 zm




Pharmacokinetics
ANSWER

Study of drug absorption, distribution, metabolism, excretion.
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QUESTION 17 zm




Absorption
ANSWER

Movement of drug to systemic circulation after administration.
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QUESTION 18 zm




Distribution
ANSWER

Drug movement from circulation to site of action.
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QUESTION 19 zm




Metabolism
ANSWER

Biotransformation of drugs into more excretable metabolites.
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