Gerontology Practice B

Schilling test

A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Rinse the mouth after administration

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

I will sleep with the head of my bed elevated I will consume less caffeine and fewer spicy foods I will try not to gain weight

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of teaching? (Select all that apply.)

Intermittent ice and heat

A nurse is teaching a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self-care strategies should the nurse recommend?

Inhale deeply and then exhale completely Place her lips firmly around the mouthpiece Breathe in deeply over 2 to 3 seconds while pushing down on the canister Hold breath for 10 seconds Exhale slowly through pursed lips Wait 60 seconds between each puff

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequences of steps the client should follow.

Eggs

A nurse in a community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following?

Confusion

A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?

Antiplatelet aggregate

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Tell me more about these fears of dying from a heart attack.

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Fatigue

A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?

Assess the client's respiratory status

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?

Asthma

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have history of which of the following conditions?

15 mm induration

A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with tuberculosis (TB)?

Confusion

A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?

Wear a mask when providing care to the client

A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

Barrel

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?

Resonance

A nurse is assessing a client who has chronic bronchitis. Which of the following percussion sounds should the nurse expect?

Hacking cough

A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Hematemesis

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Lethargy

A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

Orthopnea

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Wheezes

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

Administer the medication 2 hr before exercise

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

Taking this medication between meals will help you absorb the medication more efficiently

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

I should expect the hospice team to help me manage my dyspnea.

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

Minimize environmental stimuli

A nurse is caring for a client who has an intracranial aneurysm and requires aneurysm precautions. Which of the following interventions should the nurse take?

Encouraging the client to drink 2 to 3 L of water daily

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions

Check the client's vital signs

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Increased calcium excretion

A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his days in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect?

Clubbing of fingers Dyspnea Barrel chest

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

Manifestations preceded by a severe headache

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

0.5 tablet(s)

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?

Apply pressure to the nares Place ice to the bridge of the client's nose Move the client into high-Fowler's position

A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take? (Select all that apply.)

Assist the client to the correct room.

A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?

Obtain a pair of slipper-socks for the client

A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Attach a humidifier bottle to the base of the flow meter

A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take?

Potassium

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

Perform a 12-lead ECG

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infraction?

Saw palmetto Glucosamine Gingko biloba

A nurse is caring for a male client who has peripheral vascular disease (PVD), is taking a dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

200 mg

A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mh/kg PO every 12 hr for 5 days. The client weighs 88 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Smoking cessation

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

Grilled chicken breast with white rice

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

Preoxygenate the client with 100% oxygen for up to 3 minutes

A nurse is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?

White coating in the mouth

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?

Avoid caffeine while taking this medication.

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

Take the medication early in the day

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

A history of left-sided heart failure

A nurse is reviewing the medical record of a client who has hypertension ans a new prescription for metoprolol. Which of the following findings should the nurse investigate further?

The client holds his breath for 10 seconds after inhaling the medication.

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Increased anteroposterior diameter of the chest

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?

Frothy sputum

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect?