Geri ATI QUIZ

Decreased number of cilia

A nurse is caring for an older adult client who has pneumonia. What physiologic change associated with aging places the client at greater risk for pneumonia?

Listen and allow client to talk about the past.

A nurse is caring for an older adult client who is expressing feelings of grief and longing. Which of the following actions should the nurse take?

turn the client on his side before starting oral care

A nurse is caring for an older adult client who is unresponsive following a stroke. What action should the nurse take when providing oral care?

Provide finger foods for the client

A nurse is caring for an older adult client with dementia who gets up frequently to pace during meals and eats sparingly. What action should the nurse take?

Decreased gastric motility

A nurse is caring for an older adult client. What physiologic changes associated with aging can affect medication dosage in this client?

Stewed prunes

A nurse is caring for an older client who is on bed rest. What food should the nurse include on the tray to prevent constipation?

Do you know about the local senior citizen group?

A nurse is caring for an older client who reports that she has just retired and expresses feelings of loneliness due to loss of daily interactions w/ coworkers. How should the nurse respond?

Differences in pulse strength b/t lower extremities

A nurse is collecting data from an 85 year old client. What finding should the nurse report to the provider?

Thickening of blood vessel walls

A nurse is collecting data from an OAC about cardiovascular changes that develop w/ aging. What findings should the nurse expect?

Loss of ventricular compliance

A nurse is collecting data from an OAC regarding age-related changes. What should the nurse identify as an age-related physical change?

Impaired mobility

A nurse is collecting data from an OAC who has chronic pain. What effects of unrelieved pain should the nurse identify as a priority finding to report?

Weight increase of .91 kg (2 lb) in 24 hours

A nurse is collecting data from an OAC who has right sided heart failure. What finding should the nurse report?

Determine the client's usual sleep habits

A nurse is collecting data from an OAC who reports feeling anxious about financial concerns and has had difficulty sleeping for several months. What action should the nurse take?

Decreased spinal column movement

A nurse is collecting data from an OAC. What findings should the nurse report to the provider?

Fasting blood glucose level of 160 mg/dL

A nurse is collecting data from an older adult client during an annual physical. What finding should the nurse report to the provider

Increased restlessness

A nurse is collecting data from an older adult client who had a right side stroke 2 days ago. What should the nurse notify the provider of immediately following her findings?

Dementia and Tuberculosis

A nurse is collecting data from an older adult client who states he is homeless. What should the nurse document as comorbidities for this client?

Allow sufficient time for the client to respond

A nurse is collecting data from an older adult client. What actions should the nurse take to collect subjective data?

Rales heard in the bases of the lunger

A nurse is collecting data from an older adult female client. What findings should the nurse identify as a priority?

Older Adults

A nurse is collecting data from several clients. The nurse should understand that adjusting to free time and finding happiness are important developmental tasks for what age group?

Decreased creatinine clearance

A nurse is collecting date from an older adult client for signs of dehydration. What should the nurse consider an expected part of the aging process?

Ask the client about OTC meds

A nurse is completing meds for an older adult who receives multiple meds. What actions should the nurse take first?

The client's airway will remain clear, as evidenced by clear breath sounds

A nurse is contributing to a plan of care for a client who had a stroke. What goals should the nurse identify as priority for this client?

Aspiration Pneumonia

A nurse is contributing to the plan of care for a client who had a recent stroke and a history of GERD. What disorders should the nurse plan to monitor this client for?

Assign an assistive personnel to remain w/ the client during the med admin

A nurse is monitoring a client who has Alzheimer's disease during the admin of IV antibiotic therapy. The client attempts to remove the IV access line during the admin. What action should the nurse take?

Decreased elasticity of the blood vessels

A nurse is monitoring the BP of an older client. What following age related change can contribute to an INCREASE in SYSTOLIC BP among OAs?

Review the medical record for a client history of glaucoma

A nurse is planning to admin diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse plan to take prior to admin?

Integrity

A nurse is practicing on a committee that is developing age-appropriate care standards for older adult clients. Which of the following of Erikson's developmental tasks should the nurse recommend as the focus?

Navy bean soup

A nurse is reinforcing dietary teaching with an older adult client who is on bedrest following development of deep vein thrombosis (DVT) about methods to increase peristalsis. What high fiber food choices should the nurse recommend?

Take them with a large glass of water

A nurse is reinforcing discharge teaching about calcium supplements with an older adult female client who has osteoporosis and a recent repair of a fracture in her right hip. What instructions should the nurse include?

Hold the cane in the hand on the stronger side of your body

A nurse is reinforcing teaching w/ an older adult client about ambulating w/ a quad-cane. What statement should the nurse include?

Depression

1. A nurse in the clinic is assessing an older adult client for the second time this week. The client reports a decreased energy level, anorexia, insomnia. Diagnostic tests are within expected ranges. What condition should the nurse screen the client for? 2. A nurse is collecting data from an OAC who lives alone. He answers all questions appropriately, but has a decreased attention span, expresses feelings of sadness, and has a low energy level. What is this exhibiting?

Assign the client to a room closer to the nurse's station

A LTC nurse is contributing to the plan of care for a client who has Alzheimer's disease and wanders at night. What interventions should the nurse include?

I have not had a bowel movement in 5 days

A community heath nurse is conducting an initial home visit for an OAC. What statement should the nurse identify as a health alteration?

Potential for Falling

A home health nurse is caring for an older client who states he does not like to leave his home. What is the priority factor should the nurse identify.

It's almost time for your appointment. Let me do your hair for you and brush your teeth.

A nurse at a LTC facility hears an AP talking with an OAC who has dementia and periods of confusion. What statement indicates the AP requires further instructions?

Use photographs as memory triggers

A nurse at a LTC facility is contributing to the plan of care for an older adult client who has dementia. What intervention should the nurse include?

Post a large calendar on the bulletin board

A nurse at a LTC facility notes that a client w/ dementia is having problems w/ orientation. What actions should the nurse take to improve the client's level of orientation?

Short term memory

A nurse at a long care facility is assisting with planning care for a group of older clients. When doing so, what should the nurse consider that older clients are most likely to exhibit a decrease in?

Maintain good eye contact with the clients

A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). What instructions should the nurse include regarding clients that are hearing impaired?

Halos when looking at lights

A nurse at an ophthalmology clinic is collecting data from a client referred by the provider for a potential cataract. What should the nurse recognize is consistent with cataracts?

Institute a daily storytelling hour

A nurse in a LTC facility is promoting reminiscence among older adult clients. What actions should the nurse take?

Reminiscence Therapy

A nurse in an adult day care facility is contributing to the development of treatment plans for older adult clients. What strategies from Erikson's development should she involve?

Acute grief

A nurse in an assisted living facility is supporting the care of an OAC who moved in 3 months ago following the death of his partner. The client reports awakening early in the morning and admits feeling very sad. The nurse should identify what the client is experiencing what type of grief?

Regular exercise program

A nurse is assisting w/ planning care for a group of OAC in an assisted-living facility. What health-promoting behaviors should the nurse suggest to help these clients increase endurance and maintain muscle strength?

It must be difficult to care for someone who has incontinence

A nurse is assisting w/ the admission of an OAC who has urinary incontinence and smells strongly of urine. The client's partner, who has been caring for her at home, apologizes and expresses embarrassment about the smell. How should the nurse respond.

Annually in the fall

A nurse is assisting w/ the planning of an immunization clinic for OAs. At what times should an OAC receive the influenza vaccine?

To maintain functional ability

A nurse is assisting with developing an exercise program for an older adult client who lives alone and has become sedentary since his partner died. What is the primary goal for this client?

Older adult clients are sensitive to the analgesic effects of opiates

A nurse is assisting with planning care for an older adult client following abdominal surgery for a bowel obstruction. What info about pain management should the nurse include?

Decreased albumin

A nurse is assisting with the admin of an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. What laboratory value should indicate to the nurse prolonged malnutrition?

Place client's mattress on the floor

A nurse is assisting with the care of an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. What actions should the nurse take?

Ask the client why she doesn't want to take them and document the event

A nurse is caring for a client who has Alzheimer's disease and refuses to take her morning antihypertensive meds. The client is oriented to name and place and is able to perform ADLs with minimal supervision. What should the nurse do?

Avoid using a heating pad on the area with the patch

A nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. What action should the nurse take when caring for this client?

Line up the frame joints of the CPM device with the client's knee

A nurse is caring for a client who is using a CPM device following a right knee replacement. What actin should the nurse take when applying the device?

Present a single idea in a sentence

A nurse is caring for a client with aphasia following a stroke. What action should the nurse take?

oxycodone/acetaminophen

A nurse is caring for an OAC who has a hip fracture and is rating his pain at an 8 on a scale of 0 to 10. What meds should she administer?

Bargaining

A nurse is caring for an OAC who has a terminal illness. The client tells the nurse "I just want to live for another month so I can see my grandchild get married." What stage of Kubler-Ross stages of grief is the client experiencing?

Diminished cough reflex

A nurse is caring for an OAC who has aspiration pneumonia. What changes might develop w/ aging contributes to the development of aspiration pneumonia?

The body rhythms that control the sleep-wake cycle weaken a bit with aging

A nurse is caring for an older adult client who asks the nurse why she is having more difficulty sleeping as she gets older. What should be the nurse's response?

Decreased sensitivity to circulating insulin

A nurse is caring for an older adult client who has a new onset of type 2 diabetes. What physiologic changes contribute to that development?

Lentil Soup

A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has approved family to bring food from home. What foods should the nurse recommend that the client not eat?

Speak at a moderate rate.

A nurse is caring for an older adult client who has moderate hearing loss. What action should the nurse take to enhance communication?

To relieve the pressure on my hip, I can use a cane while ambulating

A nurse is reinforcing teaching w/ an older client who has osteoarthritis of the right hip and lower lumbar vertebrae. What statement by the client indicates an understanding of the teaching?

Visual Acuity

A nurse is reinforcing teaching with a group of healthy older adult clients about health screenings after age 50. What health screenings should the nurse recommend that the clients complete annually?

Adequate folic acid intake is associated with a reduced risk for heart disease

A nurse is reinforcing teaching with a group of older adult female clients who are postmenopausal about dietary requirements. What statement about the role of folic acid should the nurse make?

Chronic physical disability

A nurse is reinforcing teaching with a newly hired assistive personnel about her role in helping older adult clients with ADLs. What is the most common factor that affects a client's ability to perform ADLs?

I can continue to eat green salads.

A nurse is reinforcing teaching with an older adult client who is scheduled to start taking warfarin. What statement indicates that the client understands?

Dried Fruit

A nurse is reinforcing teaching with an older client who has anemia. What foods should the nurse recommend to increase the client's iron intake?

Drink water prior to, during, and after each exercise session

A nurse is reviewing exercise safety with a group of OAC. What pieces of info should the nurse include?

Deep sleep is decreased

A nurse is reviewing the basic needs of older adult clients with a group of assistive personnel. What statement should she include?

Esophageal Stricture

A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. What in the client's history should the nurse recognize is a contradiction to this med?

Furosemide

A nurse is reviewing the medical record of an older adult client. For what meds should the nurse request a hearing a hearing assessment for the client?

Obesity

A nurse is reviewing the records of a group of OAC. What finding should the nurse identify as an unexpected manifestation of the aging process?

Extended periods of immobility increase your risk of osteoporosis

A nurse is talking with a group of clients at a senior center about risk factors of osteoporosis. What should she include?

I should see a decrease in my PSA levels

A nurse is teaching a client who is scheduled to start taking Finasteride. What statement by the client indicates understanding?

1,200 milligrams of calcium daily

A nurse is teaching a group of OAC about dietary needs. What recommendations should the nurse include in the teaching?

Older adults need an increased amount of calcium

A nurse is teaching about nutrition w/ an older adult client. The client asks, "Do I need the same amount of nutrients that I did when I was younger?" What response should the nurse provide?

Liver Spots

A nurse is teaching about skin changes in OAC w/ a newly licensed nurse. What findings should the nurse identify as a benign age-related skin change commonly seen in OACs?

I should add grated cheese to sauces and veggies

A nurse is teaching about ways to improve nutritional intake w/ a client who has COPD & has been losing weight. What statement indicates the client understands?

Go to bed at the same time every night

A nurse is teaching an OAC about methods to improve sleep. What statement should be included?

Abrupt decrease in ability to perform ADLs

A nurse is teaching w/ the caregiver of an OAC who is homebound. What sign of possible acute illness should the nurse instruct the caregiver to report to the provider?

Decreased vaginal lubrication

A nurse is teaching with a group of health OAC about expected age-related changes and sexual responses. What changes should the nurse include?

Accepting the possibility of the need for LTC

A nurse is teaching with a group of older adults. What behaviors should the nurse identify as relating to Erikson's expected task for this age group?

The client spends more time in lighter stages of sleep

A nurse is teaching with a newly licensed nurse about the sleep cycle of an OAC. What info should the nurse include?

Brisk walking will help prevent bone loss

A nurse is teaching with an OAC about osteoporosis. What statement should the nurse make?

The client moves the walker ahead about 15.24 cm (6in) then steps into the walker

A nurse is teaching with an older adult who had a total hip arthroplasty about ambulating w/ a standard walker. What indicates that the client understands?

Increase the fiber content of your diet

A nurse is teaching with an older adult who is healthy and has chronic constipation about establishing a bowel retraining program. What should the nurse include?

Maintain a straight back and bend at the knees

A nurse is transferring an OAC who has right-sided weakness from the bed to a wheelchair. What action should the nurse take to provide a safer transfer?

Discontinue if you develop heartburn

Alendronate Sodium

Hypotension when standing up

An older client in a cardiac clinic asks the nurse how the cardiovascular system changes with aging. What should the nurse's explanation be?

That must be very upsetting. Can you tell me more about your forgetfulness?

An older client tells a nurse at a health fair "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease?" How should the nurse respond?

Decreased rate of blood filling the left ventricle

Cardiac function in OAC. What change is a result of the normal aging process?

Restraints are used to prevent harm to clients and others

During a team meeting, a staff nurse recommends that a client who is confused and wanders during the night should be placed in restraints. What response should the nurse manager offer?