EAQ Quiz Gero Exam 2

Which skin conditions would the nurse expect when performing a physical assessment on a client with a new diagnosis of hyperthyroidism? Select all that apply. One, some, or all responses may be correct.

Warm Moist Smooth

When a client with venous insufficiency has questions about the brownish discoloration of the skin on the legs, which response will the nurse make to explain the discoloration?

"There is leakage of red blood cells [RBCs] through the vein wall."

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences?

Chinese American

The primary health care provider prescribed medications to four clients with osteoporosis. Which client would the nurse instruct to remain upright for 30 minutes after receiving the medication?

Client A (alendronate)

The nurse assesses four clients with foot disorders. Which client would the nurse instruct to use bunion pads to relieve pressure on the bursal sac?

Client A (hallux valgus)

A married older adult couple lives independently and has three adult children. The husband, who is alert but forgetful, has an enlarged prostate with infrequent urinary incontinence. The wife has diabetes mellitus, rheumatoid arthritis, and walks with difficulty. The nurse identified the couple's need for assistance with bathing, dressing, and meal preparation. Which option would the nurse suggest, which best meets the needs of this couple?

Keep the couple in their home and schedule assistance with a home health aide.

A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. Which mechanism of action would the nurse identify for this medication?

Restores the dopamine level in the brain

Which finding in a client with hypothyroidism and hypertension who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid function panel? Select all that apply. One, some, or all responses may be correct.

Tremors Diaphoresis Nervousness Temperature 101°F Heart rate 116 beats/min

A client developed acute herpes zoster and was treated with antiviral medication within 72 hours of the appearance of the rash. The client reports persistent pain 1 week later. Which statement indicates the cause of the posttherapeutic neuralgia?

Damage to the nerves

A client with rheumatoid arthritis is in the convalescent stage of an exacerbation. The client states, "The only time I am without pain is when I lie perfectly still." Considering the client's statement, which intervention would the nurse encourage the client to do?

Participate in active joint flexion and extension exercises

When caring for a client with peripheral arterial insufficiency, how would the nurse position the client's feet and legs?

Place them slightly lower than the head and chest

Which function would the nurse consider in the plan of care when a client has dysphagia?

Swallowing

An older adult client states, "I walk 2 miles [3.2 km] a day for exercise, but now that the weather is hot, I am worried about becoming dehydrated." Which statement would the nurse use to respond to this client?

"Fluids should be increased if the urine becomes darker."

Which statements made by the nursing student demonstrate adequate knowledge about the etiology of hypothermia and administration of different treatments? Select all that apply. One, some, or all responses may be correct.

Blood infusions can cause hypothermia. Neuromuscular blocking agents cause hypothermia (Administration of amphetamines, β-adrenergic blockers, and tricyclic antidepressants can cause hyperthermia.)

Which term would the nurse use to document a client experiencing urinary incontinence via involuntary loss of small amounts (25-35 mL) of urine from an overdistended bladder?

Overflow incontinence

A health care provider prescribes bisacodyl for a client with constipation. The nurse explains to the client that this medication acts by which mechanism?

Stimulating peristalsis

While hospitalized, a client with diabetes is observed picking at calluses on the feet. Which intervention would the nurse implement immediately?

Teach the client the importance of effective foot care

The nurse assesses for which client symptoms that indicate hyperthermia? Select all that apply. One, some, or all responses may be correct.

Vasodilation Decreased urinary output Dry and flushed skin

The nurse is assessing a client who is suspected of having candidiasis. Which questions asked by the nurse would help confirm the diagnosis? Select all that apply. One, some, or all responses may be correct.

"Do you have cheesy plaques in the mouth resembling milk curds?" "Do you have red rashes with satellite lesions around the affected area?" "Do you have white patches in the groin area with increased vaginal discharge?"

Which precaution would the nurse teach a client prescribed selegiline for the treatment of Parkinson disease?

Change to standing position slowly

Which action would the nurse take to assess a client for a fungal infection of the toenails?

Determining the rate of toenail growth

A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

Disturbances of hearing

The community nurse is assessing an older adult client who lives alone at home. The nurse finds that the client refrains from physical activity for fear of falling when walking. Which intervention(s) by the nurse are beneficial to promote a healthy lifestyle? Select all that apply. One, some, or all responses may be correct.

Encourage the client to wear nonskid shoes. Suggest that the client use an assistive device. Help the client rearrange furniture in the house.

Which foods would the nurse encourage the client to eat to prevent constipation after a suprapubic prostatectomy? Select all that apply. One, some, or all responses may be correct.

Apples Oatmeal Green peas

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches the most effective method for putting out the flames. Which information from the group members indicates successful learning?

Instruct the victim to roll on the ground

Which nursing interventions would the nurse implement to promote sleep for a client in a health care setting? Select all that apply. One, some, or all responses may be correct.

Reduce lighting. Provide activites during the day.

Which dietary choice reflects the recommendations of the Dietary Approaches to Stop Hypertension (DASH) diet? Select all that apply. One, some, or all responses may be correct.

Salmon

When teaching a client how to prevent constipation, the nurse evaluates that the dietary teaching is understood when the client chooses which breakfast cereal?

Shredded Wheat

Which term would the nurse use to document observing the characteristic gait associated with Parkinson disease?

Shuffling

Which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients?

Urinary tract infection

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Select all that apply. One, some, or all responses may be correct.

Heat intolerance Tremors

A client with hyperthyroidism is being treated with propylthiouracil (PTU). Which instruction will the nurse include in the teaching plan regarding this medication? Select all that apply. One, some, or all responses may be correct.

"Avoid abrupt discontinuation of the medication." "Monitor your weight, pulse, and mood routinely." "Report side effects, such as sore throat, fever, joint pain, or oral lesions."

The client reports crumbly, discolored, and thickened toenails. Which reason could be a possible cause for this condition?

Fungal infection