Gerontological Nursing Exam Study Guiide Questions With 100% Verified Solutions

Gerontological Nursing Exam Study Guiide Questions With 100% Verified Solutions All of the following except______ pertain to the older clients newly diagnosed with HIV/AIDS_____ a. are likely to have contracted the disease from receiving contaminated blood or blood products. b. often have vague symptoms such as memory loss, fatigue or weight loss that may be attributed to other conditions associated with age. c. are usually more ill with the initial infection than younger clients with HIV/AIDS due to later diagnosis d. have higher death rates from HIV/AIDS than younger clients. - ANSWER- A An 81 yr old man is admitted to the hospital with aspiration pneumonia. the nurse would be justified in predicting that this patient has a history of____. a. Cigarette smoking b. lung cancer c. dysphagia d. sleep apnea - ANSWER- C A 72 yr old man's diagnostic testing and physical assessment have resulted in a diagnosis of COPD. What symptoms likely prompted this client to seek medical care? a. hemoptysis and orthostatic hypotension b. chest pain and shortness of breath c. cough and dyspnea d. apneic spells and fatigue - ANSWER- C A nurse on an acute care unit for older adults is disturbed by the rising incidence of pressure ulcers in her patients. What measure should the nurse prioritize in order to prevent pressure ulcers? a. frequent reposition of immobilized patients b. us of prophylactic antibiotics c. high protein diet d. us of daily massages and other tactile interventions - ANSWER- A Mr Reynolds experienced a transient ischemic attack (TIA) 3 weeks ago that had significant effects on his motor and sensory function. Which of the following assessment findings should signal to the nurse to the possibility that Mr Reynolds is experiencing dysphagia? a. Mr. Reynolds complains of being excessively hungry in the mid afternoon and evening b. When providing oral care, the nurse finds food pocketed in Mr Reynolds cheek c. Mr Reynolds drinks large amounts of water, before, during and after meals d. Mr Reynolds prefers to sit in a high fowlers position after meals - ANSWER- B _________ are signs of hypothyroidism? a. tachycardia b. flushed skin c. heat intolerance d. fatigue, waxy, pale skin, bradycardia - ANSWER- D The most common factor related to xerostomia in elderly clients is: a. Side effect of medications b. Increased oral intake c. Tendency to mouth breathe d. Oxygen therapy - ANSWER- A The principal goals of therapy for older adults who have NIDDM with poor glycemic control are: a. enhancing quality of life b. decreasing the chance of complications c. improving self care through education d. all of the above - ANSWER- D A nurse who works on a geriatric subacute medicine unit is aware that many of the clients have a documented history of orthostatic hypotension. What measure should the nurse prioritize in order to ensure safety for these clients? a. Encourage patients to use a bedpan or incontinence brief to prevent falls while ambulating to the bathroom b. Have patients sit on the side of the bed for a few minutes before ambulating c. mobilize clients within 2 hours of eating a meal d. Have clients take several deep breaths before getting up out of bed - ANSWER- B Hospice care can be administered in all of the following environments except___: a. In the client's home b. In the hospital c. In a rehabilitation facility d. In a residential facility - ANSWER- C A nurse has attempted to use relaxation techniques to aid an older adult with sleep with the knowledge that many hypnotic medications create a risk for____. a. stroke b. atherosclerosis c. falls d. aggression - ANSWER- C A 70 yr old patient with lung cancer is receiving transdermal dosages of Duragesic (an opiate) for pain management. Which of the following nursing interventions can minimize gastrointestinal issues? a. Monitor patient's respirations b. Monitor the drug's sedative effects c. Start at the highest dose possible d. Start patient on a bowel regimen - ANSWER- D Mr. U has benign prostate hyperplasia with related urinary symptoms. These symptoms begin as a result of: a. Loss of bladder elasticity b. Compression of urethra c. History of diuretic use d. Excessive use of urinary antiseptics - ANSWER- B All of the following except____ are age related changes that occur in the gastrointestinal system as people age? a. Decline in sense of taste and smell, decrease salivary secretion b. Diminished capacity of the gastric mucosa to resist such factors as Helibactor pylori c. Achlorhydria or insufficient hydrochloric acid secretion d. Increases in intestinal absorption, motility and blood flow - ANSWER- D A frail elderly female with a diagnosis of Type II diabetes mellitus is ill with pneumonia. The client's intake has been very poor and she is dehydrated and confused and venous CO2 is 24and she is admitted to the hospital for observation and management as needed. What is the most likely problem with this client? a. Insulin resistance has developed b. Diabetic ketoacidosis is occurring c. Hypoglycemic unawareness is developing d. Hyperglycemic hyperosmolar non-ketotic syndrome (HHNS) - ANSWER- D All of the following except_____ are risk factors for the development of Type II diabetes mellitus in the older adult? a. sedentary life style b. serum creatinine 4.8 c. Age over 65 yrs old d. Overweight with a waist/hip ratio 1 - ANSWER- B Which of the following questions would be appropriate for an assessment of the immediate risk of suicide? a. "Under what circumstances would your life? Have you ever started to act on a plan to harm yourself?"