GERI HESI QUESTIONS & ANSWERS

Obese client with erythema in groin with linear breaks in skin creases? - Answer- perspiration in skin folds likely cause What assessment would cause nurse to delay surgery? - Answer- Jugular vein distention client is confused, disoriented several hours after surgery. What to do first? - Answer- Obtain a sodium level Nurse finds 2 residents engaging in sex, best way to handle - Answer- Put a "do not disturb" sign on the door Alzheimers client suddenly has a burst of agitation and aggression. What should nurse do? - Answer- ensure the safety of the other clients on the unit Older resident in a facility complains of vague GI symptoms, talks about daily BM's and problems sleeping. What should nurse do? - Answer- perform a mood score Graduate nurse is assigned to a client with shingles. What should the charge nurse check before assigning? - Answer- Make sure she had chicken pox as a child client has a serum creatinine of 1.5mg/dl - Answer- compare the value against previous readings Older client is incontinent of stool with an area of erythema over sacrum. What should nurse use to determine the reason? - Answer- apply gentle pressure over the affected area Client has sundowning. What is effective to minimize this? - Answer- exposure daily to direct sunlight client is diagnosed with osteoporosis. What statement by the client is important? - Answer- "I will ask my son to install bright lights in my home" Older male with glaucoma has a diagnosis of "disturbed visual sensory perception. What is important related to this diagnosis? - Answer- Strictly adhere to eye drop schedule and count the drops A recently widowed client was visited at home by nurse. What is an important observation to address? - Answer- client demonstrates teaching himself how to prepare soup and toast for dinner A client on a normal dose of valium has increased confusion. What explanation of the aging process could result in this? - Answer- % of body fat increases with increased age Resident in an ALF cries about being all alone in the world even though daughter comes almost every day. - Answer- comfort the client and ask when she last saw her daughter