Geriatrics Quiz 1

Which adverse effect would the nurse continually assess for in a client receiving valproic acid? a) Yellow sclerae b) Motor restlessness c) Ringing in the ears d) Torsion of the neck

a) Yellow sclerae

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? a) Sensory deprivation b) Urinary tract infection c) Frequent use of diuretics d) Inaccessibility of a bathroom

b) Urinary tract infection

The nurse is caring for an older adult who was admitted to the hospital to be treated for dehydration. While the nurse is providing discharge teaching, the client asks what to do about itchy, dry skin. Which response by the nurse is appropriate? a) "Wear plenty of warm clothes to keep moisture in the skin." b) "Use a moisturizer on the skin daily to help reduce itching." c) "Take hot tub baths only twice a week to reduce drying of the skin." d) "Expose the skin to the air to help reduce the sensation of itching."

b) "Use a moisturizer on the skin daily to help reduce itching."

The nurse instructs an older client's adult child about age-related immune system changes and associated care measures. Which statement indicates a need for further instruction? a) "My parent has a private room at home." b) "My parent has received the pneumococcal vaccination recently." c) "My parent comes in for checkups only when experiencing a fever." d) "My parent has been given a second dose of the pertussis vaccination."

c) "My parent comes in for checkups only when experiencing a fever."

Which findings in the older adult client are associated with a urinary tract infection (UTI)? Select all that apply. One, some, or all responses may be correct. a) Fever b) Urgency c) Confusion d) Incontinence e) Slight rise in temperature

c) Confusion d) Incontinence e) Slight rise in temperature

An 85-year-old client is alert and able to participate in care. According to Erikson, which developmental stage will the client need to adjust to? a) Industry versus inferiority b) Identity versus role confusion c) Generativity versus stagnation d) Autonomy versus shame/doubt

c) Generativity versus stagnation

Which action would be used to decrease risk for postoperative respiratory complications in an older client with decreased vital capacity? a) Give prescribed intravenous antibiotic. b) Administer oxygen per nonrebreather mask. c) Teach the client coughing and deep-breathing exercises. d) Keep the client on the mechanical ventilation for several days.

c) Teach the client coughing and deep-breathing exercises

An 80-year-old client is admitted to the hospital with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated. Which response by the nurse is correct? a) "The body's fluid needs decrease with age because of tissue changes." b) "Access to fluid may be insufficient to meet the daily needs of the older adult." c) "Memory declines with age, and the older adult may forget to ingest adequate amounts of fluid." d) "The thirst reflex diminishes with age, and the recognition of the need for fluid is decreased."

d) "The thirst reflex diminishes with age, and the recognition of the need for fluid is decreased."

Which intervention would the nurse include in the nursing home plan of care for an older adult with Alzheimer disease who has nighttime wandering? a) Order a vest restraint for the client to be applied at night. b) Obtain a prescription for a sedative so the client will sleep better at night. c) Request that the family provide a companion to stay with the client at night. d) Assign the client to a room near the nurses' station for closer supervision at night.

d) Assign the client to a room near the nurses' station for closer supervision at night.

The nurse recognizes which mental process is associated with deterioration that accompanies aging? a) Judgment b) Intelligence c) Creative thinking d) Short-term memory

d) Short-term memory

Which response would the nurse make to a client's daughter who asks when it would be best to visit her mother who has Alzheimer disease? a) "Around 2:30 in the afternoon would be a good time to visit." b) "Whenever is most convenient for you. She'll be glad to see you." c) "Come at noon. You'll be able to go to the dining room and visit while she eats." d) "The longest uninterrupted time begins after supper and extends until bedtime, at 8:30 PM."

a) "Around 2:30 in the afternoon would be a good time to visit."

The nurse finds that an older adult has a new onset of decreased consciousness, fatigue, and hallucinations. Which condition would the nurse suspect in the client? a) Delirium b) Dementia c) Depression d) Alzheimer disease

a) Delirium

An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients? a) Doxepin b) Amoxapine c) Nortriptyline d) Trimipramine

c) Nortriptyline

A client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation will alert the nurse to the fact that the client may be developing a life-threatening response to the medication? a) Paroxysmal nocturnal dyspnea b) Supraventricular tachycardia c) Malignant hypertension d) Hyperglycemia

a) Paroxysmal nocturnal dyspnea

Which intervention would the home health nurse perform when conducting an initial visit to an older depressed client who lives alone and performs all tasks of daily living? a) Supporting the client's usual routine b) Helping the client in setting new goals c) Assisting the client in focusing on the future d) Arranging for the client to have help in the home

a) Supporting the client's usual routine

Which nursing intervention would be helpful in meeting the needs of an older adult with Alzheimer disease? a) Providing nutritious foods that are high in carbohydrates and protein b) Offering opportunities for choices in the daily schedule to stimulate interest c) Developing a consistent plan with a fixed time schedule to fulfill emotional needs d) Simplifying the environment as much as possible by limiting the need for decisions

d) Simplifying the environment as much as possible by limiting the need for decisions