HESI GERONTOLOGY 2022/2022 TEST BANK 39 Q/A OUT OF 55 ALL ANSWERS 100% CORRECT GUARANTEED GRADE A+

Male resident of a nursing home requests a new room b/c he does not like the view in his present room. What action should the nurse take? Show the client the rooms that are available. 2. The nurse is visiting an older client who is homebound. Which finding about the client’s nutritional status requires additional follow-up? Ate approximately 1200 calories daily for the past 2 weeks. 3. An elderly client with degenerative joint disease asks about using the rubber jar openers that are available. The nurse’s response should be on which information about assistive devices? They decrease the risk for joint trauma. 4. The nurse is caring for an older client who is admitted due to a change in mental status after 2 days of nausea and vomiting. The client’s home medications include subcutaneous insulin, a daily antihypertensive, and a daily diuretic. Which intervention should the nurse implement first? Obtain capillary glucose level 5. An older female who is complaining of pain in her arm and back is brought to the emergency department by her son who states she fell out of her chair. The nurse notes that the client has been in the ED five times in the last for a variety of superficial injuries. Which nursing action has the highest priority? Take mom to private room and ask if someone is hurting her 6. A nurse is caring for an older Vietnamese client who has terminal lung cancer. The family members want to stay in the room, perform cultural rituals, and serve ethnic foods until the client dies. What action should the nurse take? Provide privacy and comfort for all family members 7. A post-menopausal female client with osteopenia tells the nurse that she has increased her physical activity and hopes to participate in a charity walkathon. How should the nurse respond? Affirm the benefits of increasing her weight bearing activity. 8. The nurse is preparing to discharge an older woman to her home who was admitted last week due to malnutrition and dehydration. The nurse suspects that the client is being abused by her caregiver at home. Which intervention should the nurse implement? Notify adult protective services. 9. The clinic nurse receives a telephone call from the daughter of an older female client. The daughter reports that her mother has a cough and has become confused and short of breath, but only has a temperature of 99.4F. What action should the nurse take? a. Reassure the daughter that these are common signs of upper respiratory tract congestion. b. Advise the daughter to monitor her mother’s temperature and call if it continues to rise higher. c. Tell the daughter to keep her mother well hydrated and encourage rest for the next 48 hours. d. Explain to the daughter that she needs to bring her mother for immediate medical evaluation. 10. The unlicensed assistive personal (UAP) reports to the charge nurse that an older resident of the extended care facility, who has limited mobility, has not had a bowel movement in 5 days. Which action should the nurse take first? a. Check bowel sounds and abdominal tenderness b. Increase fiber and diet and add daily prune juice c. Perform a digital examination for a fecal impaction 11. An older male client is admitted with hypothermia with a core body temperature of 95F (35C) due to the lack of adequate heat in his home. Which findings should the nurse expect to obtain? (select all that apply) a. Hyperalert state b. Headache c. Cool skin d. Shivering e. Confusion 12. An older adult woman, who cares for her husband at home without assistance, requires minor surgery. With no family members living in the area, the wife expresses concern about her husband’s care while she recovers. Which intervention is likely to be most helpful in this situation? a. Suggest she ask social services to find a respite care facility for the husband 13. During report, an older female client, who had a right total hip replacement three days ago, is described as intolerant of pain. When assessing the client, the nurse finds that the client cannot straighten her right foot, which is pointing outward from her body. Which action should the nurse take? Call healthcare provider immediately 14. An older female sustained a right hip fracture one week ago that was surgically repaired the following day. Today she is reporting left sided leg pain, and the nurse observes edema of the left leg and a positive Homan sign. These findings should be reported to the health care provider because they are indicative of which condition? DVT