s s s s s s s s
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Asnursesisscompletingsmedicationsreconciliationsforsansoldersadultsclientswhosissreceivings
multiplesmedications.sWhichsofsthesfollowingsactionssshouldsthesnursestakesfirst?
A-s Clarifysthesclientslistsofsmedicationsswithsthespharmacist
B-s comparesthescurrentslistsagainststhesnewsmedicationsprescriptions
C-s investigatesanysdiscrepanciessonsthatslist
D-s asksthesclientsaboutsoversthescountersmedicationssshesisstaking
Answer-sD
Thesnursesshouldsapplysthesnursingsprocessspriority-
settingsframework.sThesnursescansusesthesnursingsprocessstosplansclientscaresandsprioritizesnursin
gsactions.sEachsstepsofsthesnursingsprocesssbuildssonsthesprevioussstep,sbeginningswithsassessme
ntsorsdatascollection.sBeforesthesnursescansformulatesasplansofsaction,simplementsasnursingsinterven
tion,sorsnotifysthesprovidersofsaschangesinsthesclient’ssstatus,sshesmustsfirstscollectsadequatesdatasfro
msthesclient.sAssessingsorscollectingsadditionalsdataswillsprovidesthesnurseswithsknowledgestosmakes
ansappropriatesdecision.sWhensperformingsmedicationsreconciliation,sitsissimportantsthatsthesnurses
collectsaslistsofsallsthesmedicationssthesclientstakessinsorderstoscomparesthesfullslistsofsmedicationssa
gainstsanysnewsmedicationssthesclientswillstake.sTheslistsshouldsincludesprescriptions,sover-the-
countersmedications,sandsherbalsandsnutritionalssupplements.
A-
sThesnursesshouldsclarifysthesclient’sslistsofsmedicationsswithsthespharmacist,scaregivers,sp
roviders,sandsthesclient;showever,sthississnotsthesfirstsactionsthesnursesshouldstake.
B-
sThesnursesshouldscomparesthesmedicationslistsagainstsanysnewsprescriptionsstosensurest
heresissnotsanysduplicationsofsmedicationssorspotentialsmedicationsinteractions;showever,st
hississnotsthesfirstsactionsthesnursesshouldstake.
C-
sThesnursesshouldsinvestigatesdiscrepanciessonstheslistswithsthesproviderstospreventsmedicat
ionserrors;showever,sthississnotsthesfirstsactionsthesnursesshouldstake.
Exams1?
Asnursesatsaslong-
termscaresfacilitysissplanningscaresforsasclientswhoshassAlzheimer'ssdiseasesandswande
rssatsnight.sWhichsofsthesfollowingsinterventionssshouldsthesnursesincludesinsthesplan?
A-s Placesthesclientsinswristsrestraintssatsnight
B-s requestsasprescriptionsforsaspsychotropicsmedication
C-s assignsthesclientstosasroomscloserstosthesnursessstation
D-s cheapsthestelevisionsonsatsnight
Answer-sC
Thesnursesshouldsplacesthesclientswhoswanderssinsasroomsthatsallowssforsclosesobservation
.s Thesnursesshouldsprovidesclientsswhoswandersassafesplacestoswalksandssupervisionswhenst
hesclientsissambulating.
A-sThesnursesshouldsprotectsthesclientsfromsharm,sbutsrestraintsscansresultsinsagitation.
B-
sThesnursescansadministersaspsychotropicsmedicationstostreatsdepressionsorsemotionalsmani
festationssofsAlzheimer’ssdisease,sbutsnotstostreatswanderingsbehaviors.
D-
sThesnursesshouldsavoidsthesusesofsexcessiveslightsandssoundsstimulationsforsthesclientswhos
hassAlzheimer’ssdisease.sThisscanscausesfurthersagitationsandsconfusionsforsthesclient.
,HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
s s s s s s s s
ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RA
s s s s s s s s s s
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Thesnursesatsaslong-
termscaresfacilitysissteachingsansoldersadultsclientsaboutsambulatingswithsasquadscane.sWh
ichsofsthesfollowingsstatementssshouldsthesnursesincludesinsthesteaching?
A-s Adjuststhesheightsofsthescanessosthatsyouscansflexsyourselbowsats45sdegrees
B-s holdsthescanesinstheshandsonsthesstrongerssidesofsyoursbody
C-s placesthesflatssidesofsthescanesawaysfromsyoursfoot
D-s thescanesandsyoursstrongerslegsatsthessamestime
Answer-sb
Thesclientsshouldsholdsthescaneswithstheshandsonsthesstrongerssidesofshersbodyssosthatsshes
cansmovesthescanestossupportsthesweakersleg.sThissactionsallowssforsasmoresnormalsgait,swit
hsthesipsilateralsarmsandsweakerslegsmovingsatsthessamestime.
A-
sThesnursesshouldsinstructsthesclientsthatsthescane’ssheightsshouldsallowstheselbowsto sbessli
ghtlysflexed.s Havingsasflexionsofs45ºswouldsmakesthescanestoostallsforssafesuse.
C-
sThesclientsshouldsplacesthesflatsedgesofsthesbasesof sthescanesfacingstowardshersfoot.sThiss
allowssthesclientstosambulateswithoutsthesrisksofsgettingshersfootscaughtsinsthesbasesofsthesc
anesandsfalling.
D-
sThesnursesshouldsinstructsthesclientstosmovesthescanesandshersweakerslegsat sthessamestim
e.sThissactionsallowssforsasmoresnormalsgaitswithsthesipsilateralsarmsandsweakerslegsmovings
atsthessamestime.
Asnursesissperformingsasskinsassessmentsforsasgroupsofsoldersadultsclients.sWhichsof
sthesfollowingsfindingssshouldsthesnursesidentifysassasbenign,sagesrelatedsskinschan
gescommonlysseensinsoldersadultsclients?
A-s Liversspots
B-sNevi
C-s atopicsdermatitis
D-s psoriasis
Answer-sa
Liversspots,salsosknownsassagesspotssorslentigines,saresflat,sbrownish-
blacksmaculessthatsusuallysoccursinssun-
exposedsareassofsthesbody.sAgingsandsexposurestossunlight,sorsothersformssofsultravioletsli
ght,scansresultsinsincreasedspigmentation.sLiversspotssaresextremelyscommonsafters40syea
rssofsage;stheysoccursmostsoftensonsthesforearms,sshoulders,sface,sforehead,sandsbackssofs
theshands,swhichsaresalsosthesareassofshighestssunsexposure.sTheysaresharmlesssandspain
less,sbutstheyscansaffectsthesclient’sscosmeticsappearance.
B-sNevisaresmoles,sasgrowthsofspigment-
formingscellssthatsmightsbesbenignsorsmalignant.sThesnursesshouldsidentifysthatsnevisoccurs
throughoutstheslifespan.sFurthersevaluationsofsthesnevisshouldsincludesevaluationsofsanysas
ymmetry,sbordersirregularity,scolorsvariation,sdiameter,sandsevolution,swhichscansindicates
melanoma.
C-
sAtopicsdermatitis,sorseczema,sissaschronicsskinsdisordersthatsoccurssinsallsages,sbutsissmores
commonsinsinfancysandschildhood.sClientsswhoshavesatopicsdermatitisscanshavesscalysandsi
tchingsrashes.
D-
sPsoriasississa scommonsskinsinflammationswithsfrequentsepisodessofsredness,sitching,sandst
, HESI GERONTOLOGY FINAL EXAM (VERSION 3) / GERONTOLOGY H
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ESI FINAL EXAM (VERSION 3) (100% CORRECT) | VERIFIED AND RA
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hick,sdry,ssilverysscalessonsthesskin.sThesnursesshouldsidentifysthatswhilesgenerallysa