ATI GERONTOLOGY 2.0 EXAM | N212 Verified Q&A

ATI 2.0 GERONTOLOGY EXAM 2020 | N212 1. A nurse is providing teaching to an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching? A- I should avoid the use of a heating pad on my back B- to relieve the pressure on my hip, I can use a cane while ambulating C- I will have steroid injections to my joint has the first medication of choice to treat my pain D- I will exercise even when it causes pain Answer- b Using a cane as an assistive device enables the client to compensate for weakness in the spine by providing some relief of hip pressure. Use of a cane can provide joint support and safety for self-care activities. A- The use of heat and cold are therapeutic treatments in the management of arthritic pain. The preference of the client drives the decision between the two therapies. C- Acetaminophen is the first medication of choice to treat the older adult client’s pain from osteoarthritis. The nurse should instruct the client to take the medication as prescribed and not to wait until the pain is severe. Steroid joint injections are used for persistent and disabling pain in the joints. D- The nurse should teach the client to not exercise if exercise causes pain. Goals for clients who have osteoarthritis include balancing rest with activity and avoiding activities that cause pain or discomfort. Consistent activity is not beneficial for a client who has an arthritic joint disease because it can produce further damage to the joints and tissues. 2. A nurse is admitting an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following laboratory values, noted on admission, should indicate to the nurse prolonged malnutrition? A- Increased sodium B- decreased albumin C- increased BUN D- decrease blood glucose Answer- b Decreased albumin is indicative of inadequate protein intake, which is a common finding in a client who has prolonged malnutrition. A- Increased sodium is indicative of dehydration, which is due to a fluid volume deficit. C- Increased BUN is indicative of renal failure, or dehydration, which is due to a fluid volume deficit. D- Decreased blood glucose is indicative of inadequate intake of glucose, which is a manifestation that can occur rapidly in any client who has not eaten in several days. It is not indicative of prolonged malnutrition. 3. A nurse is planning care for an older adult client following abdominal surgery for a bowel obstruction. Which of the following information about pain management should the nurse consider when planning care? A- Older adult clients have a diminished capacity to perceive pain B- older adult clients should not take narcotics for pain control C- older adult clients have increased pain as a normal part of aging D- older adult clients are sensitive to the analgesic effects of opiates Answer- d An older adult client is likely to require a decreased dose of opiates to provide the same level of analgesia as a younger client, with a reduced risk of side effects. A- Older adults do not have a diminished capacity to perceive pain. However, older adult clients might have developed excellent coping skills that make it difficult to observe for cues of pain. B- The nurse can administer narcotic medications safely to older adult clients. Although older adult clients might be more sensitive to narcotics, it does not justify withholding narcotic medication for pain control. C- Pain is not an expected finding of the aging process. The nurse should assess, diagnose, and manage pain in older adult clients similar to any other client, regardless of age. 4. A nurse and Ophthalmology Clinic is assessing a client referred by the provider for a potential cataract. Which of the following clients report should