N212 GERO ATI 2.0
GERONTOLOGY FINAL
,1. A nurse is completing medication reconciliation for an older
adult client who is receiving multiple medications. which of
the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharmacist.
b. Compare the current list against the new medication
prescriptions. c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is
taking.: d. Ask the client about over-the-counter medications she
is taking.
Rationale: When performing medication reconciliation, it is
important that the nurse collect a list of all the medications the
client takes in order to compare the full list
of medications against any new medications the client will take.
The list should include prescriptions, over-the-counter
medications, and herbal and nutritional sup- plements.
2. A nurse at a long-term facility is planning care for a client
who has Alzheimer's disease and wanders at night. which of
the following interventions should the nurse include in the
plan?
a. Place the client in wrist restraints at night.
b. Request a prescription for a psychotropic medication.
,c. Assign the client to a room closer to the nurse's station.
d. Keep the television on at night.: c. Assign the client to a room
closer to the nurse's station.
Rationale: The nurse should place the client who wanders in a room
that allows for close observation. The nurse should provide clients
who wander a safe place to walk and supervision when the client is
ambulating.
3. A nurse at a long-term care facility is teaching an older adult
client about ambulating with a quad-cane. Which of the
following statements should the nurse include in the
teaching?
a. "Adjust the height of the cane so that you can flex your
elbow at 45 degrees."
b. "Hold the cane in the hand on the stronger side of your
body." c. "Place the flat side of the cane away from your
foot."
d. "Move the cane and your stronger leg at the same time.": b.
"Hold the cane in the hand on the stronger side of your body."
, Rationale: The client should hold the cane with the hand on the
stronger side of her body so that she can move the cane to
support the weaker leg. This action allows for a more normal gait,
with the ipsilateral arm and weaker leg moving at the same time.
4. A nurse is performing skin assessments for a group of
older adult clients. Which of the following findings should the
nurse identify as a benign, age-re- lated skin change
commonly seen in older adult clients?
a. Liver spots b. Nevi
c. Atopic dermatitis
d. Psoriasis: a. Liver spots
Rationale: Also known as age spots or lentigines, are flat,
brownish-black macules that usually occur in sun-exposed areas
of the body. Aging and exposure to sunlight, or other forms of
ultraviolet light, can result in increased pigmentation. Liver spots
are extremely common after 40 years of age; they occur most often
on the forearms, shoulders, face, forehead, and backs of the
hands, which are also the areas of highest sun exposure. They
are harmless and painless, but they can affect the client's
cosmetic appearance.
GERONTOLOGY FINAL
,1. A nurse is completing medication reconciliation for an older
adult client who is receiving multiple medications. which of
the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharmacist.
b. Compare the current list against the new medication
prescriptions. c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is
taking.: d. Ask the client about over-the-counter medications she
is taking.
Rationale: When performing medication reconciliation, it is
important that the nurse collect a list of all the medications the
client takes in order to compare the full list
of medications against any new medications the client will take.
The list should include prescriptions, over-the-counter
medications, and herbal and nutritional sup- plements.
2. A nurse at a long-term facility is planning care for a client
who has Alzheimer's disease and wanders at night. which of
the following interventions should the nurse include in the
plan?
a. Place the client in wrist restraints at night.
b. Request a prescription for a psychotropic medication.
,c. Assign the client to a room closer to the nurse's station.
d. Keep the television on at night.: c. Assign the client to a room
closer to the nurse's station.
Rationale: The nurse should place the client who wanders in a room
that allows for close observation. The nurse should provide clients
who wander a safe place to walk and supervision when the client is
ambulating.
3. A nurse at a long-term care facility is teaching an older adult
client about ambulating with a quad-cane. Which of the
following statements should the nurse include in the
teaching?
a. "Adjust the height of the cane so that you can flex your
elbow at 45 degrees."
b. "Hold the cane in the hand on the stronger side of your
body." c. "Place the flat side of the cane away from your
foot."
d. "Move the cane and your stronger leg at the same time.": b.
"Hold the cane in the hand on the stronger side of your body."
, Rationale: The client should hold the cane with the hand on the
stronger side of her body so that she can move the cane to
support the weaker leg. This action allows for a more normal gait,
with the ipsilateral arm and weaker leg moving at the same time.
4. A nurse is performing skin assessments for a group of
older adult clients. Which of the following findings should the
nurse identify as a benign, age-re- lated skin change
commonly seen in older adult clients?
a. Liver spots b. Nevi
c. Atopic dermatitis
d. Psoriasis: a. Liver spots
Rationale: Also known as age spots or lentigines, are flat,
brownish-black macules that usually occur in sun-exposed areas
of the body. Aging and exposure to sunlight, or other forms of
ultraviolet light, can result in increased pigmentation. Liver spots
are extremely common after 40 years of age; they occur most often
on the forearms, shoulders, face, forehead, and backs of the
hands, which are also the areas of highest sun exposure. They
are harmless and painless, but they can affect the client's
cosmetic appearance.
