gero exam 3 extra questions
Which of the following interventions should the nurse use when communicating with a hearing impaired older patient. a. Stand beside the patient's chair when speaking. b. Always clearly identify yourself and others with you. c. Exaggerate your voice, depending on the cause of the hearing loss. d. Select colors for paint, furniture, and pictures with rich intensity.
b
Which of the following statements is true about diabetes mellitus? a. Type 2 diabetes is the result of the failure of the pancreas to produce insulin. b. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl. c. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes. d. The incidence of diabetes mellitus does not increase with age.
b
The nurse is discharging an older woman who uses a walker from rehabilitative care. Which observation does the nurse use to determine whether the patient is prepared for discharge? a. She holds the front of the walker. b. She has a walker with four wheels. c. She takes four steps into the walker. d. She takes the walker to the elevator.
d
Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina? a. Glaucoma b. Presbyopia c. Cataract d. Macular degeneration
d
An African-American 58-year-old man in good health has a blood pressure at 120/73 mm Hg at his annual physical examination. Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age? a. Alter modifiable risk factors. b. Prevent cardiovascular disease. c. Recognize disease in early stage. d. Maintain tight glycemic control.
b
An OA-related fall necessitated hip replacement surgery for an older woman who is entering a rehabilitation facility. Which of the following is the nurse's priority goal during this woman's rehabilitation? a. Incorporate whole grains into her diet. b. Recapture preoperative mobility status. c. Keep the surgical wound clean and dry. d. Tell her to take two steps into the walker.
b
The nurse teaches an older adult who has diabetes mellitus and takes metoprolol (Lopressor) to recognize clinical indicators of hypoglycemia. Which clinical indicators of hypoglycemia does the nurse include in patient teaching as the indicators this man is most likely to detect? (Select all that apply.) a. Shaking b. Dizziness c. Weakness d. Diaphoresis e. Tachycardia f. Impaired vision
b c f
Which conditions are likely to cause an older adult chronic pain? (Select all that apply.) a. Hip replacement b. Bone metastasis c. Hypoproteinemia d. Migraine headache e. Compression fracture f. Postherpetic neuralgia
b e f
An older adult admitted for back surgery asks for opioid pain medication. The nurse knows the patient asks for pain medication 15 minutes before it is due. Which recommendation should the nurse implement? a. Validate the pain with other assessment data. b. Administer the pain medication as requested by the patient. c. Tell the patient that it is too soon for pain medication. d. Teach the patient alternative comfort measures.
b
An older adult who has OA receives a prescription for alendronate (Fosamax). Which instruction should the nurse include in patient teaching? a. Use with a bisphosphonate medication. b. Is available for oral use. c. Take this medication for up to 2 years. d. Consume up to 600 mg of calcium daily.
b
Which of the following is a true statement about Medicare for older adults? a. Eighty percent of Medicare's annual expenditures are for individuals with chronic illnesses. b. Medicare enrollees spend under $1500 annually for out-of-pocket expenses related to chronic illnesses. c. Complementary and alternative medicines (CAM) are not covered by Medicare. d. Medicare covers care for those who have trouble with activities of daily living.
a
Acute illness is to chronic illness as to which of the following comparisons? a. An emergency department is to a nursing home b. A hospital staff nurse is to a nurse practitioner c. Health insurance is to Medicare for older adults d. Inpatient surgical care is to outpatient medical care
a
An older man who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dl. Which patient assessment does the nurse use to confirm a high risk for diabetes mellitus in this man? a. 68 years of age b. 120/80 mm Hg c. Palpable peripheral pulses d. Total cholesterol 198 mg/dl
a
An older man with diabetes mellitus complains to the nurse that his feet feel like they are burning. Which of the following interventions should the nurse recommend to this older adult to reduce his discomfort? a. Wear well-fitting, leather shoes b. Wear knee-high nylon stockings c. Soak the feet in warm water d. Apply antifungal powder on the feet
a
An older woman has diabetes mellitus. Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness? a. Has an amputation of two toes. b. Lives at home with her husband. c. Frequently self-checks her blood sugar. d. Changes the battery in her glucometer.
a
An older woman who has COPD wants to perform self-care activities. Which instruction should the nurse include in patient teaching to help her achieve this goal? a. Bathe and eat slowly with periodic rest. b. Walk short distances without oxygen. c. Perform all activities of daily living (ADLs) and then rest. d. Bathe right after eating, and then rest.
a
Each of the following is a nonpharmacological intervention for pain except which one? a. Acupuncture treatments c. Lidocaine patch b. Adjuvant therapy d. Capsaicin
a
The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following? a. Aphasia b. Cataracts c. Glaucoma d. Osteoarthritis
b
The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model? a. Stride b. Speed c. Balance d. Flexibility
c
An older man who has chronic obstructive lung disease has muscle wasting and poor skin integrity as a result of a long-term therapeutic regimen. Which patient teaching should the nurse use to help reduce his risk of falls? (Select all that apply.) a. Take calcium carbonate (Caltrate) 600 mg with meals. b. Take omeprazole (Prilosec) before breakfast. c. Participate in a progressive regular exercise program. d. Avoid crowds and people with contagious illnesses. e. Consume a well-balanced diet that is high in calories. f. Perform gentle skin cleansing with an emollient lotion
c e
Which condition is a COPD? a. Bronchial asthma c. Bacterial pneumonia b. Histoplasmosis d. Mycobacterium tuberculosis
a
Which ethnic groups in the United States have higher rates of diabetes mellitus than non-Hispanic white people? (Select all that apply.) a. Pima Indians b. Alaskan Natives c. Cuban Americans d. Native Americans e. African Americans f. Mexican Americans
a b d e f
The nurse recognizes which of the following signs and symptoms as an indication of hypothyroidism? (Select all that apply.) a. Decline in cognitive function b. Decrease in functional status c. Decrease in thyroid-stimulating hormone (TSH) and thyroxine (T4) d. Heat intolerance
a b d
Which factors in the patient care environment should be routinely assessed to decrease the risk of falls? (Select all that apply.) a. Outdoor grounds b. Appropriate footwear c. All four bed rails raised d. Grab bars in place
a b d
Which of the following is(are) assessed in a fall prevention assessment of an older adult? (Select all that apply.) a. Environment b. Physical status c. Financial status d. Functional status e. Medical history f. Occupational history
a b d e
Persons with normal age-related sensory changes are likely to have the most difficulty distinguishing which of the following? a. Spoken pairs of phrases like "she's praised" and "fees raised" b. Orange towel hanging on a beige wall c. "Go" and "to" in lowercase letters in fine print d. Spoken word pairs like "cupful" and "capful"
a
Which assessment is typical for a patient with OA? a. Narrow joint spaces with crepitus b. Effects in symmetrical joints c. Morning stiffness for at least an hour d. Swelling from excess synovial fluid
a
Which co-morbidity commonly associated with type 2 diabetes mellitus enhances the development of the microvascular complications of diabetes mellitus? a. Hyperlipidemia c. Venous insufficiency b. Hypothyroidism d. Chronic constipation
a
Which is the most important medication the nurse administers to a patient with diabetes mellitus to attenuate a metabolic disorder that is closely associated with diabetes mellitus and that accelerates the disease processes are associated with diabetes mellitus? a. Atorvastatin (Lipitor) c. Calcium citrate (Citracal) b. Colchicine (Colsalide) d. Aluminum hydroxide (Amphojel)
a
Which of the following is the most important goal in the nursing plan of care to decrease the frequency of hospitalizations for acute exacerbations of HF in older adults who have HF? a. Control fluid balance. c. Prevent deconditioning. b. Control blood pressure. d. Maintain patient safety.
a
Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen? a. Management of the patient's chronic disease rests on the patient and the caregiver; therefore the goals should be collaboratively set. b. The patient will be able to make needed changes in his or her life if the nurse provides accurate, written instructions. c. Psychological functioning is usually impaired only to a small extent in a patient with a chronic illness. d. The patient's values, culture, and beliefs will have little to do with the types of changes he or she will be able to make.
a
Which pain sensation is associated with nociceptive pain? a. Tissue inflammation c. Radiculopathies b. Postherpetic d. Nerve root irritation
a
The nurse is caring for a patient diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.) a. Atrial fibrillation c. Constipation b. Heart failure d. Heat intolerance
a b c
The nurse is caring for an older adult who has dementia. The patient has just returned from recovery after a percutaneous endoscopic gastrostomy (PEG) tube placement. Which intervention(s) should the nurse implement? (Select all that apply.) a. Place IV tubing behind the patient. b. Hang the IV bag behind the patient's field of vision. c. Cover the PEG tube with an abdominal binder. d. Use wrist restraints.
a b c
The nurse is educating an older woman on foods high in calcium. Which foods should the nurse include? (Select all that apply.) a. Chinese cabbage c. Cheese pizza b. Soy milk d. Whole wheat
a b c
The nurse should instruct a patient on which of the following modifiable risk factor(s) for essential hypertension? (Select all that apply.) a. Tobacco use b. Alcohol c. Stress management d. Adequate rest
a b c
The nurse understands that heart disease risk factors are which of the following? (Select all that apply.) a. Age c. Diabetes b. Hypertension d. Macular degeneration
a b c
The nurse will be educating a group of senior citizens on adaptations for safer driving. Which adaptation(s) should the nurse include? (Select all that apply.) a. Wide rear-view mirrors b. Pedal extensions c. Global positioning system (GPS) devices d. Antiroll bars
a b c
When preparing a patient teaching session on retinopathy, the nurse should include which intervention(s) when discussing treatments for slowing the progression of the disease? (Select all that apply.) a. Glucose control b. Blood pressure control c. Laser therapy d. Cornea transplant
a b c
The children of an older man believe he is too old to drive a car. Which assessment information about the man warrants further investigation by the nurse to determine his fitness to drive a car safely? (Select all that apply.) a. Increased rate of tripping on curbs b. Increased frequency of getting lost c. Multiple bruises on lower extremities d. Restricts reading to a well-lit sunroom e. Socializes with a partner's bridge group f. Cooks gourmet meals for entertainment
a b c d
The nurse plans care to prevent a dangerous thermal environment for an older man who lives in a northern climate of the United States. Which patient assessment data does the nurse recognize that can contribute to his risk of hypothermia? (Select all that apply.) a. Has a history of a cerebrovascular accident (CVA) b. Has a history of diabetes mellitus c. Builds miniature cars for a hobby d. Bathes three to four times a week e. Gets heat from a boiler in the cellar f. Becomes diaphoretic on warm days
a b c e
An older man who has hyperuricemia complains of severe pain in the right ankle. Which instructions should the nurse include in patient teaching to enhance the action of the medication the patient takes for his condition? (Select all that apply.) a. Avoid dehydration by drinking water. b. Take aspirin when joints are red and hot. c. Comply with antihypertensive diuretic regimen. d. Avoid game meat, asparagus, and alcohol.
a b d
An older man with myasthenia gravis lives with his wife. Which patient characteristics should the nurse use to identify areas for nursing care in the disability assessment of this man? (Select all that apply.) a. Successfully manages his finances. b. Lives in an adults-only community. c. Walks around the house for exercise. d. Health care is provided through Medicare. e. Has a history of peptic ulcer disease. f. Wife is in good health but has poor eyesight.
a b d f
Which factor(s) is(are) modifiable health risk behaviors for chronic illness? (Select all that apply.) a. Physical activity c. Poor nutrition b. Prescription medication use d. Tobacco use
a c d
Which is(are) potential result(s) of end-organ damage from chronic hypertension? (Select all that apply.) a. Carotid stenosis b. Diabetes mellitus c. Renal insufficiency d. Coronary artery disease e. Isolated systolic hypertension f. Familial hypercholesterolemia
a c d
An older man who has HF complains of increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy? (Select all that apply.) a. Check for peripheral edema. b. Ask about his bowel pattern. c. Auscultate the lungs bilaterally. d. Compare his weight to baseline. e. Determine coughing frequency. f. Assess his diet over last 48 hours.
a c d f
Which of the following statement(s) is(are) true about pain in older adults? (Select all that apply.) a. Pain is not a normal aging process. b. Pain sensitivity decreases with age. c. If patients do not complain, they do not have pain. d. Opioid analgesics are often the best treatment for persistent pain.
a d
An older man was oriented and responded appropriately in the hospital, but he is now disoriented and confused in his home after discharge. Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the patient's condition at home? a. Complaints of shivering b. Temperature of household c. Types of food preparation d. Presence of radon
b
An older man who has osteoarthritis (OA) tells the nurse that he has experienced fatigue for the past 2 weeks. Which nursing intervention should the nurse implement to help him manage his fatigue? a. Recommend an antidepressant. b. Help him plan exercise and rest. c. Plan two or three naps every day. d. Tell him the fatigue is due to his OA.
b
An older man who has tinnitus complains to the nurse that it is very annoying. Which should the nurse implement to alleviate the stress he is experiencing from tinnitus? a. Irrigate the bilateral Eustachian tubes. b. Assess for modifiable risk factors. c. Propose a hearing aid and a masker. d. Use white noise to override the tinnitus.
b
An older man who is right-handed works as a carpenter, but he has been left with a flaccid right arm after a thrombus occluded a cerebral artery. Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness? a. Maintain skin integrity of right arm. b. Collaborate with occupational therapy (OT). c. Promote plaque-reversing strategies. d. Support effective coping mechanisms.
b
The nurse can place an older adult into one of four patient rooms. Which is the most suitable room for an older adult? a. Brightly lit, blue room with cozy throw rugs b. Room with orange carpeting and soft lighting c. Brightly lit, blue room with waxed vinyl floors d. Room for television and children's playtime
b
The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult? a. Inform the staff about his risk for falls. b. Place a concave mattress on the bed. c. Provide frequent walks in the hallway. d. Help him learn to use an assistive device.
b
The nurse is teaching older adults about maintaining health and wellness. Which recommendation should the nurse include in the teaching to maintain optimal vision? a. Take 50,000 units of vitamin A daily. b. Wear sunglasses that block sun rays. c. Read in good light to avoid eye strain. d. Visit the ophthalmologist every 5 years.
b
The nurse uses comfort measures to enhance an older adult's pharmacological pain management. Which of the following would be most helpful for the nurse to use to identify the relationships between the comfort measures, activity, and pharmacotherapy, and the older adult's pain level? a. Older adult's self-report b. Older adult's pain diary c. FPS-R d. Pain medication frequency
b
The nurse wants to use exercise according to the recommendations of the American Geriatrics Society (AGS) for an older woman who lost her balance and fell. Which nursing intervention is suitable for this older adult according to the AGS? a. Tell her to use an assistive device until her balance improves. b. Provide information on group exercises for balance training. c. Help her to learn how to exercise the core group of muscles. d. Instruct her to enroll in an exercise program for 8 weeks.
b
The older adult who has type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar? a. Requires reading glasses at 2.0 strength. b. Has difficulty hearing in crowded rooms. c. Enjoys spicy food more than bland food. d. Awakens with periodic left-foot numbness.
b
Which is the best goal when planning nursing care for an older patient with diabetes mellitus? a. Stabilize the serum glucose. b. Prevent disease progression. c. Set walking distance goals. d. Plan for consistent exercise.
b
Which of the following is a true statement about heart disease in older adults? a. Myocardial infarction (MI) has many of the same symptoms in older patients as in middle-aged persons. b. Both excessive urination at night and decreased urination can be signs of heart failure (HF). c. Any exertion on the part of an older adult patient with heart disease can bring on another heart attack. d. A person with HF is likely to have trouble breathing, except when lying down
b
Which of the following is a true statement about joints in older adults? a. OA is an inflammatory joint disorder. b. Surgical joint replacement can cure OA. c. Joint damage in OA is reversed with medication. d. Very old patients should avoid joint replacement surgery.
b
Which of the following statements is true about a safe, effective care environment for older adults? a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day. b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers. c. Barrier-free buses and low fares make public transit a safe transportation option. d. A nurse's perception of temperature is a useful guide for patient thermal needs.
b
Which of the following statements is true about analgesic medications for older adults? a. Opioids are less effective in older patients than in younger patients. b. Stool softeners and laxatives should be used with opioids. c. Over-the-counter NSAIDs are generally harmless. d. The dose limit for acetaminophen is difficult to reach for older adults.
b
Which of the following statements is true about medications taken by individuals with diabetes mellitus? a. Sitagliptin (Januvia) is indicated to treat type 1 diabetes mellitus. b. Nateglinide (Starlix) increases the secretion of insulin. c. Metformin (Glucophage) increases the secretion of insulin. d. Rosiglitazone (Avandia) decreases glucose absorption.
b
Which population groups are most at risk for developing macular degeneration? (Select all that apply.) a. African American b. Asian American c. Caucasian d. Hispanic
b c
Which of the following types of phases are included in the chronic illness trajectory (CIT)? (Select all that apply.) a. Caring b. Plateau c. Instability d. Bargaining e. Deterioration f. Rehabilitation
b c e
After an acute exacerbation of COPD, the nurse prepares an older adult for discharge to home. Which is the most important patient teaching for the nurse to include for the prevention of hospitalizations for exacerbations of COPD? a. Ease breathing by sitting upright. b. Use low-flow oxygen for dyspnea. c. Avoid sick people and wash hands. d. Eat nutrient- and calorie-dense foods.
c
An older female patient is diagnosed with a chronic illness. Which of the following principles should the nurse apply when answering her questions? a. The most prevalent form of disease in the United States is acute illness. b. Usually, chronic disease has a negligible impact on the family. c. Chronic illness is unending, and coping can be influenced by the perception of uncertainty. d. Older adults successfully cope with chronic disease by learning about the disease.
c
An older man in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity; consequently, 2 minutes later, he passes out but quickly regains consciousness. Which instruction does the nurse include in patient teaching to reinforce the importance of cooling down after exercising to this man? a. Cardiac output diminishes with age. b. Mobility capacity decreases with age. c. Baroreceptor function diminishes with age. d. Sensory perception diminishes with age.
c
An older man who had a gastric resection states that he wants to ambulate but the osteoarthritis (OA) in his knees causes too much pain. Which intervention should the nurse implement to increase the amount of walking this man can perform? a. Encourage the patient to keep his leg elevated. b. Instruct him to rest until the pain disappears. c. Suggest taking pain medication before walking. d. Collaborate with the health care provider to make a walker available.
c
The nurse assists an older man who has type 2 diabetes mellitus to improve his glucose control. Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day? a. Omit antidiabetic medication. b. Wear sturdy open-toed shoes. c. Supplement caloric intake. d. Prepare to administer insulin.
c
The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual. Which should the nurse do to determine if pneumonia is a potential cause of the change in her status? a. Obtain a specimen for aerobic blood cultures. b. Promptly send the resident for a chest x-ray examination. c. Analyze sputum for color, texture, and volume. d. Compare tympanic temperature to the baseline.
c
The nurse prepares an older man who has OA for discharge. Which instruction does the nurse include in patient teaching to maintain safety for this man? a. Take ibuprofen (Motrin) rather than opioid analgesics. b. Increase rest periods to slow disease progression. c. Report joint instability to the health care provider. d. Avoid stretching the affected joint during exercise.
c
The nurse sees an older woman with OA and a low-grade fever. The patient tells the nurse that her pain is changing; it is worse at night and in her shoulder muscles. Which of the following does the nurse perform to prevent complications of this patient's condition? a. Assess her joints for swelling and redness. b. Obtain blood specimens for blood cultures. c. Direct her to report temporal or scalp pain. d. Tell her to apply moist heat for 20 minutes.
c
The older adult is at a higher risk for acute psychological pain than a younger adult because older adults: a. Have many illnesses. c. Experience more loss. b. Possess fewer assets. d. Live with impairments.
c
When teaching a patient about foods that do not increase blood glucose, which should the nurse include? a. White bread b. Baked beans c. Broccoli d. Corn
c
Which of the following nursing interventions are suitable for a patient who has gout? a. Nonsteroidal antiinflammatory drugs (NSAIDs) b. Liquid paraffin hand baths c. Colchicine (Colsalide) by mouth d. Hyaluronic acid injections
c
Which of the following statements is true about rehabilitation and restorative care for older adults? a. The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition. b. Rehabilitation consists primarily of regular physical therapy sessions. c. A person can learn skills and gain abilities that enable functioning. d. The patient's capabilities are recognized at the time of admission.
c
The nurse identifies which risk factor(s) for OA? (Select all that apply.) a. Men b. African Americans c. Old age d. Steroid use
c d
The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)? (Select all that apply.) a. Rarely causes severe visual impairment b. Yellow deposits under the retina c. Decrease in central vision d. Visual distortion
c d
1. Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina? a. Glaucoma b. Presbyopia c. Cataract d. Macular degeneration
d
After assessing the older man in his bed, the nurse determines that he is at high risk for falls. The nurse leaves the room to get a fall risk sign and returns to find him on the floor pleading for help. Which of the following was the most important intervention the nurse should have implemented to prevent this event? a. Call for someone to bring the sign. b. Show the older man how to use the call bell. c. Provide a urinal and drinking water. d. Instruct the patient to call for help.
d
After living with OA for 2 years, an older woman's bone density scan shows no improvement, despite consistent bisphosphonate therapy. Which intervention should the nurse implement to reduce bone loss for this older adult? a. Add tai chi or yoga exercises. b. Instruct her to drink fortified milk. c. Increase weight-bearing exercises. d. Review her daily nutritional habits.
d
An older Hispanic man states that he is not having pain, but he had knee replacement surgery 2 days ago. Which is the best pain assessment tool as recommended by the Hartford Institute for Geriatric Nursing (HIGN) from "Try This" for the nurse to apply for this man? a. Numeric Rating Scale b. Verbal Descriptor Scale c. Iowa Pain Thermometer d. Faces Pain Scale-revised (FPS-R)
d
An older woman has severe ischemic heart disease, hypertension, and low cardiac output. Which medication does the nurse administer to counteract the neurohormonal activation of this patient's cardiovascular status? a. Loop diuretic c. Cardiac glycoside b. Nitroglycerin d. Beta-adrenergic blocker
d
An older woman seeks advice from the nurse about preventing further bone loss after being diagnosed with osteopenia. To achieve the woman's goal, which of the following patient teachings should the nurse provide to enhance the activity of the osteoblasts? a. Limit sodium intake. c. Eat high-fiber foods. b. Refrain from alcohol use. d. Exercise with weights.
d
An older woman who has diabetes mellitus takes glipizide (Glucotrol) and tells the nurse that her blood sugar levels have been higher than normal since she began using a vaginal cream for hot flashes. Which one of the following interventions is the best for the nurse to implement? a. Ask the patient if she has had a fever or infection recently. b. Verify the expiration date of the medication. c. Review her diet for increased carbohydrates. d. Ascertain whether the vaginal cream contains estrogen.
d
An older woman who receives intravenous (IV) fluids is making wide gesticulations with her arms and loudly insulting the nursing staff. Which intervention should the nurse implement to maintain safe, effective nursing care initially? a. Apply bilateral upper extremity restraints. b. Administer haloperidol (Haldol) for agitation. c. Close the door to her room to reduce the noise. d. Determine the patients needs.
d
Compared with acute pain, which of the following statements is true of persistent pain? a. Leads to significantly altered vital signs. b. Is usually described as a burning pain. c. Is generally gone within 4 months. d. Can bring about long term changes in lifestyle.
d
The nurse administers an opioid analgesic to an older male postoperative patient in the surgical unit. Which is the most important intervention for the nurse to implement before leaving the patient's room? a. Place side rails up x 4. b. Position the patient comfortably. c. Offer toileting and a sip of water. d. Instruct him to ask for help before getting up.
d
Which of the following characteristics of RA are unlike those of OA? a. Myalgia and stiffness c. Crepitus and instability b. Joint pain that is curable d. Systemic and symmetrical
d
Which of the following is a true statement about assistive devices to aid older adults with impaired mobility? a. A walker can be used when climbing stairs. b. Cane tips should be smooth. c. Older adults save money by adapting assistive devices from their friends. d. A cane is most useful for unilateral disabilities but not bilateral problems.
d
Which of the following is a true statement about heart disease in older men and women? a. More women than men die from MIs. b. Cardiac care for men and women is equally aggressive. c. Cardiac medications have been tested on men and women equally. d. Women generally receive less aggressive treatment than men do.
d
Which of the following pain sensation(s) is(are) associated with neuropathic pain? (Select all that apply.) a. Infection b. Obstruction c. Inflammation d. Postamputation
d
Which of the following qualities does the nurse need to provide caring? a. Sensitivity to the needs of other nurses b. Longing to help others live a healthy life c. Desire to have a stable career and income d. Ability to create a trusting environment
d
Which of the following statements is true about cardiopulmonary disease in older adults? a. COPD can be reversed with proper treatment. b. Chest radiographic studies are a reliable indicator of whether pneumonia is present in an older patient. c. Persons older than 65 years should receive Pneumovax annually. d. Mouth hygiene is essential to prevent and treat pneumonia.
d
Which type of pain tends to occur persistently along a well-defined path in a region of the body? a. Unrelenting pain c. Postoperative pain b. Osteoarthritic pain d. Postherpetic pain
d
