Gero Exam 1

Interventions the nurse may implement to help prevent falls include

- keeping the call light within reach. - rounding on the patient every 1 to 2 hours. - using a bed alarm if the patient is disoriented. - teaching the patient to change positions slowly.

To decrease risk of CO2 intoxication which would the nurse do?

Administer oxygen at a low concentration to maintain respiratory drive

Which are extrinsic factors responsible for falls in older adults?

Environmental hazards Inappropriate footwear Improper use of assistive devices

A client who is legally blind has been admitted to the cardiac unit. Which of the following actions by the nurse would be best to promote adjustment to the environment?

Explain unit noises and physical surroundings

Which of the following are risk factors for the development of osteoporosis?

Smoking Advancing age Sedentary lifestyle High alcohol consumption

A nurse teaches an older adult client about misuse of medications. Which of these observations would indicate that the teaching was effective?

Taking medications on time and , if a dose is missed, taking the next one on time.

A nurse has selected a transparent film dressing for a stage 2 pressure ulcer. When is the most appropriate time for the nurse to change the dressing?

When the edges roll up and exudate leaks

The client asks about the benefit of the exercises. Which explanation would the nurse give?

Keeps the airway open longer to decrease the that goes into breathing

Which intrinsic factors may contribute to falls in older adults?

Lack of exercise Impaired vision

An older adult fell at home and fractured the left hip. Which clinical indicator would the emergency department nurse identify as typical with a fractured left hip

Left leg is noticeably shorter than the right

On admission, a 78-year-old client states he uses laxatives three times a week for constipation. What would be the most appropriate response by the nurse?

Long-term use of laxatives can cause constipation

The nurse assess that a 75-year-old client has lentigines and presbycusis. When planning care for this client, the nurse should do which of the following?

Look and speak to the client so that he or she can see the nurse's lips.

To reduce polypharmacy in an older adult, the nurse should

Obtain a complete medication assessment with each patient encounter.

Before administering a drug to an older adult, the nurse should understand that the dose may be impacted which age-related physiological change?

Older adults have a reduced glomerular filtration rates

While assessing for turgor in an older adult where would you check?

On the sternal area Back of the forearm

Which finding would be the most concerning when the nurse assesses a client with emphysema?

Oral cyanosis

A 75-year-old woman with a pathological fracture of the arm asks, "How did I get a broken bone?" The nurse most appropriately response by saying that which of the following is the most probable reason or the fracture?

Osteoporosis

The classic signs of OA include

Palpable crepitus Joint pain and stiffness Activity leading to pain which is relieved by rest

Patient was found lying on the ground. The client states, 'I was trying to get back to bed and slipped.' Which action would the nurse take first?

Arrange for the client to be examined by the in-house health care provider

Which interventions would the nurse implement when providing health education to an elderly client?

Assess the client for pain before teaching Ensure that the client is not preoccupied or anxious Explain one concept at a time based on the client's interest

Which nursing intervention would be most appropriate to meet safety needs when caring for an older adult with sensory changes?

Assist in preparing a bath because the client may not be able to determine the intensity of the heat

The classics of RA

Autoimmune bilateral generalized fatigue and malaise stiffening joints lasting more than 20-30 minutes after rest

The nurse is teaching a class about aging at a senior citizen center. The nurse would know that the client needed further instruction if he or she made which of the following statements?

Deterioration of body systems occurs at the same rate

Which assessment findings indicate increasing carbon dioxide retention?

Drowsiness Irregular pulse mental confusion

Which clinical manifestation would be significant when assessing the skin of an 85-year-old client?

Ecchymosis on both forearms

Which important points would the nurse keep in mind when caring for an older adult to promote health?

Encourage regular physical activity and the use of stress-management strategies Consider the client's social environment, and strengthen social support to promote health Assess the client for fear of falling and provide support by making environmental changes

Which activities reflect secondary prevention interventions in relation to health promotion?

Encouraging regular dental checkups Teaching the procedure for breast self examination

Which assessment would the nurse perform while assisting an older adult with her or his living arrangements

Financial status Environmental hazards and support systems Access to public transportation and community activities

Which of the following ambulatory aids are used mostly by clients who are diagnosed with arthritis of the hands or wrists?

Forearm crutches

Which age-related change would the nurse consider when formulating a plan of care for an older adult?

Increased sensitivity to glare Diminished sensation of pain