GERI HESI EXAM QUESTIONS AND ANSWERS

GERI HESI EXAM Scheduling Strategies for Elder Clients - Answer- The way the day of a cognitively impaired patient is structured is crucial in the plan of care. The nurse should do the following: • Develop a schedule that provides structure to the day because patients adapt better when they have a predictable routine. • Focus on patient-centered activities. • Develop singular activities because multiple activities overwhelm the patient. For example, turn off the television while the patient is putting together a puzzle. • Provide a group experience with one subject approached at a time. Too much stimulation increases anxiety and may lead to agitation. Early signs of Hypothermia in older adults - Answer- Findings include fatigue, apathy, confusion, lethargy, shivering, numbness, slurred speech, impaired coordination, and possible coma Hypothermia Urinary output - Answer- Peripheral vasoconstriction occurring with hypothermia may also lead to increases in kidney perfusion and a subsequent increase in urine output referred to as cold diuresis. Assessment of older adult with Kidney Disease - Answer- History • Personal or family history of renal disease • Recent surgeries or illnesses (predisposing to renal dysfunction) • Symptoms: • Urine (e.g., frequency, color, amount, appearance) • Nausea and vomiting • Anorexia • Weight loss • Confusion • Fatigue • Pruritus • Edema • Medications (e.g., antibiotics, antineoplastics, and nonsteroidal antiinflammatory drugs) • Diet • Current support systems Physical Assessment