The nurse is monitoring a patients skin status. What should the nurse recognize as the first sign of
prolonged pressure on the skin?
{{ANS}}Redness
The nurse is concerned about medication safety for a patient with confusion. Which action should the
nurse recommend be included in the patients plan of care to address this issue?
{{ANS}}Have a family member set up and administer the medications
The nurse is making a home health visit to a frail but basically health 86-year-old patient. The nurse
assess a heart rate of 104 beats/minute. What action should the nurse take?
{{ANS}}Ask about liquids the patient is drinking and urination frequency
The nurse is contributing to a patients plan of care for comfort needs. What age -related change would
explain why an 84-year-old patient is chronically cold even with the thermostat set at 80?
{{ANS}}Decreased subcutaneous fat layer
The nurse is making recommendations to the plan of care for a patient who has limited mobility. On
which skin condition should the nurse focus as the greatest risk for this patient?
{{ANS}}Pressure ulcer
The nurse is collecting patient data. Which findings should the nurse expect because of a decrease in
melanin?
{{ANS}}Graying of hair
The nurse is administering medications to a group of older residents and monitors them for adverse
reactions. In which way should the nurse recognize that a reduction in liver enzyme production effects
medication metabolism in the older patient?
, {{ANS}}The metabolism of substances is decreased
The nurse is evaluating the skin of an older patient who has been lying in bed for most of the day. How
long would it take a pressure ulcer to being to form in this patient?
{{ANS}}20 minutes
The gerontology nurse understands that the gerontology patient cardiac status changes. Which
statement is correct in this evaluation?
{{ANS}}The cardiac muscle strength is diminished
In general, what is the focus of care for nurses who work with older adults?
{{ANS}}Assisting patients to function as independently as possible
Elderly hospital patients need special care in some respects. What is one thing a nurse can do to ensure
that they leave the hospital in good condition and can return to a normal life?
{{ANS}}Wash hands between patients and use other infections control practices
5. An operating room nurse is assisting with the positioning of a 78-year-old female patient on the
operating table prior to the patient's abdominal surgery. Which of the following actions should the
nurse prioritize?
{{ANS}}D. Protecting the patient's skin integrity by padding bony prominences
During a home visit the nurse notes that an older patient has a tray of many types of vitamins, minerals,
herbal supplements on the kitchen counter. The patient was recently discharged from the hospital after
having acute myocardial infraction. What should the nurse instruct the patient about these
supplements?
{{ANS}}Check with the health care provider to identify any supplements that may produce adverse
interactions with prescribed medications.