Gero final

An older client has been diagnosed with gout. When teaching the client, it is important to explain that: a. Exercise will decrease pain even though the pain may initially increase. b. The intake of organ meats can contribute to the exacerbation of gout. c. Fluid intake should be restricted to less than 2000 ml/day. d. The condition subsides by itself without intervention.

The intake of organ meats can contribute to the exacerbation of gout.

A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? a. The medication should be used when experiencing eye pain. b. The medication should be used until the client's intraocular pressure returns to normal. c. The medication should be used on a regular schedule for the rest of the person's life. d. The medication requires a dosing schedule that is tapered after 10 days.

The medication should be used on a regular schedule for the rest of the person's life.

Which of the following is an example of ageism? a. The nurse who asks her 85 year old patient if she would like to take a walk down the hall. b. The nurse who asks the daughter of an 85 year old patient if the patient would like to take a walk down the hall. c. The nurse who calls the physician when her 79 year old patient exhibits high blood pressure. d. The nurse who teaches her 80 year old female patients how to perform self-breast exams.

The nurse who asks the daughter of an 85 year old patient if the patient would like to take a walk down the hall.

An older adult is being taught about oral care. The nurse has included instructions about maintaining an oral hygiene program, signs and symptoms of oral infection, and the importance of maintaining regular professional dental care. What important teaching has been missed? a. Information about when to have teeth removed and dentures made. b. The necessity of using a hard bristled toothbrush to maintain cleanliness. c. The importance of avoiding meat and caffeine-containing products. d. The relationship between adequate nutrition and oral health.

The relationship between adequate nutrition and oral health.

The nurse notes on an older adult's medical record that she has undergone the Geriatric Depression Scale. Which of the following is true about the Geriatric Depression Scale? a. It is a diagnostic tool utilized when depression is suspected. b. It screens for cognitive impairment, along with depression. c. The results can provide information on a client's symptoms of depression at the time of administration. d. It can only be administered by a psychologist or psychiatrist.

The results can provide information on a client's symptoms of depression at the time of administration.

A nurse is caring for an older adult in a hospital who has an indwelling catheter. The nurse assesses the client based on the knowledge that which of the following are correct indications for an indwelling catheter? (Select all that apply.) a. To assist with incontinence management b. To manage acute urinary retention c. To assist in healing of open sacral or perineal wounds in incontinent clients d. To accurately measure urinary output in critically ill clients e. To prevent falls related to toileting in hospitalized older patients

To manage acute urinary retention, To assist in healing of open sacral or perineal wounds in incontinent clients, To accurately measure urinary output in critically ill clients

The educational level of today's older adult is what when compared with older adults of previous years? a. Today's older adults have the same educational level as previous older adults. b. Today's older adults have lower educational levels than previous older adults. c. Today's older adults have higher educational levels than previous older adults, and it is consistent among ethnic groups. d. Today's older adults have higher educational levels than previous older adults, however, there are differences among ethnic groups.

Today's older adults have higher educational levels than previous older adults, however, there are differences among ethnic groups.

The nurse's first response when told by a client during an assessment interview that he "can't take furosemide (Lasix)" is to ask: a. "Is your health care provider aware that you are allergic to Lasix?" b. "Can you describe what happened when you took Lasix?" c. "When was the last time you took Lasix?" d. "What questions do you have about Lasix?"

"Can you describe what happened when you took Lasix?"

The nurse has completed teaching sessions with an older adult on prevention of skin cancer. Which of the following statements, if made by the client, would indicate more teaching is required: a. "I will miss my gardening activities." b. "I'll buy sunscreen with SPF of 45 or higher." c. "Now I have a good excuse to wear the straw hat my wife hates." d. "My cool long-sleeved shirts will work just fine while I'm golfing."

"I will miss my gardening activities."

The nurse has just completed teaching a female client about changes that normally occur in the sexual system as one ages. Which statement indicates that the client needs more information? a. "I may need to use a vaginal lubricant because drying may occur." b. "I may experience some difficulty achieving orgasms." c. "My estrogen levels will increase as I age." d. "Leaking urine when I sneeze is not normal."

"My estrogen levels will increase as I age."

A nurse identifies that an older adult needs more education on nutritional needs when the older adult states the following: a. "Since I am an older person, I need more calories because my metabolic rate is slower." b. "Since I am an older person, I need fewer calories since my metabolic rate is slower." c. "Even though I am an older person, I still need the same amount of nutrients in order to be healthy." d. "Even though I am an older person, I still need to pay attention to my diet and activity levels."

"Since I am an older person, I need more calories because my metabolic rate is slower."

A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching? a. "Without treatment, glaucoma can cause blindness." b. "Double vision is common with glaucoma." c. "Glaucoma is caused by inadequate fluid in the eyes." d. "Use of eye drops should improve vision over time."

"Without treatment, glaucoma can cause blindness."

Which of the following people would most likely be considered a member of "the sandwich generation"? a. A 45-year old woman who cares for her school-aged children and her 70-year old father. b. A 30-year old woman caring for her pre-schooler. c. A 65-year old man who is retiring from his job. d. An 85-year old woman who is moving to a nursing home.

A 45-year old woman who cares for her school-aged children and her 70-year old father.

Which of the following are examples of elderspeak? (Select all that apply) a. A nursing assistant refers to one of her clients as "Grandma". b. A nurse attempts to medicate a client and states "Now come on and be a good girl." c. A nurse explains a procedure to a client using simple, nonmedical terms. d. A nurse faces an older adult client when speaking. e. A nurse tells a client "It's time for our bath!

A nursing assistant refers to one of her clients as "Grandma"., A nurse attempts to medicate a client and states "Now come on and be a good girl.", A nurse tells a client "It's time for our bath!"

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide? a. Administer the medications by touching the tip of the dropper to the sclera of the eye. b. Hold pressure on the conjunctiva sac for 2 min following application of drops. c. Administer the medications 5 min apart. d. It is not necessary to remove contact lenses before administering medications.

Administer the medications 5 min apart.

A 90 year old woman moves to an assisted living facility. She is depressed because she misses her vegetable garden she had at her previous home. The nurse who practices the continuity theory could best assist her by which of the following interventions? a. Helping her find a new hobby, such as needlepoint. b. Allowing her to plant a small garden outside of her apartment. c. Calling the physician for an antidepressant. d. Having someone drive her by her old house to see her garden.

Allowing her to plant a small garden outside of her apartment.

A client who has osteoarthritis takes Ibuprofen four times a day. The client begins to complain of heartburn. The best action of the nurse would be to: a. Call the physician. b. Instruct the client to stop the medication. c. Assess if the client has taken the medication with food. d. Suggest that the client take the ibuprofen less frequently.

Assess if the client has taken the medication with food.

A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse? a. Speak in a normal rate and volume. b. Assess if the client wears hearing aids. c. Stand directly in front of the client. d. Rephrase statements the client does not hear.

Assess if the client wears hearing aids

A 90-year old female patient is brought to the emergency department by her adult son. The son states that his mother was found at home in her bathroom after falling two days ago. The nurse suspects that the patient is suffering from dehydration. Which of the following would be the best way for the nurse to assess the patient for dehydration? a. Assess the client's mucus membranes. b. Assess the client's skin turgor. c. Assess the client's urine specific gravity. d. Assess the client's sodium level.

Assess the clients sodium level

While taking a health history, a client reveals that she has been experiencing tunnel vision. The nurse's further assessments would include: a. Use of an Amsler grid to test for macular degeneration. b. Assessing for risk factors of glaucoma to include frequency of routine eye exams. c. Monitoring of capillary blood glucose levels. d. Asking about ability to differentiate colors.

Assessing for risk factors of glaucoma to include frequency of routine eye exams.

An effective nursing activity to reduce or control pain in the older client with a hip fracture is for the nurse to: a. Administer higher dosages of the ordered pain medication initially. b. Assist client to use an abductor pillow while in bed. c. Elevate the client's knee on the affected side with a pillow. d. Contact the physician to request a pain block after the client has returned from surgery.

Assist client to use an abductor pillow while in bed.

A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? a. Request an order for an indwelling catheter from the patient's physician. b. Teach the patient how to meet hydration needs while still limiting fluid intake. c. Assist the client to use the bathroom at scheduled intervals d. Request an order for medication to decrease bladder spasms.

Assist the client to use the bathroom at scheduled intervals

Which of the following objective data, if noted, supports the nursing diagnosis of self-care deficit for the older adult client with osteoarthritis? a. Client experiences weight loss of 10 lbs over 2-month period. b. Client complains of inability to wash or brush hair. c. Client takes frequent rest periods during bath time. d. Client spills food while attempting to feed self.

Client complains of inability to wash or brush hair.

The nurse is concerned that a 77-year old client, who is quiet and withdrawn, may have a hearing deficit related to impacted cerumen. Which of the following supports the presence of impacted cerumen? a. Frothy drainage from the client's ears. b Client complaints of dizziness. c. Client states having a feeling of fullness in his ears. d. Gray, metallic-appearing tympanic membrane.

Client states having a feeling of fullness in his ears.

A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confusion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital. The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to: a. Conduct a more thorough assessment of the urinary incontinence. b. Call the provider and obtain an order for an antibiotic for a suspected urinary tract infection. c. Send a urine specimen for culture and sensitivity. d. Develop a plan of care with the patient to control episodes of incontinence.

Conduct a more thorough assessment of the urinary incontinence.

Which of the following are age-related changes that affect hydration status? a. Decrease in ability of kidneys to maximally concentrate urine b. Decrease in bone marrow mass c. Increase in thirst sensation d. Decrease in bladder capacity

Decrease in ability of kidneys to maximally concentrate urine

Which of the following places the client at risk for falls? (select all that apply) a. Decreased sensation in lower extremities. b. Medications that include a diuretic. c. The client is confused. d. The client has a family member present.

Decreased sensation in lower extremities., Medications that include a diuretic., The client is confused.

A nurse manager is providing a novice geriatric nurse with guidelines when encouraging an older client to reminisce about his or her life and past experiences. Which suggestions will be included? (Select all that apply.) a. Don't correct the client even when you suspect the memory is incorrect. b. When the focus remains on sad topics, assess the client for possible depression. c. Refrain from interjecting personal stories into the reminiscing process. d. Expect and respect a degree of repetition. e. Use close-ended questions to help focus the reminiscing.

Don't correct the client even when you suspect the memory is incorrect., When the focus remains on sad topics, assess the client for possible depression., Expect and respect a degree of repetition.

A nurse is assessing a patient's activities of daily living. The nurse will assess which of the following? (Select all that apply.) a. Eating b. Continence c. Toileting d. Self-administration of medications e. Bathing

Eating, Continence, Toileting, Bathing

An antihypertensive medication has been prescribed for an older adult client with hypertension. The client tells the nurse at the clinic that he doesn't like medications and would like to try an herbal supplement to lower his blood pressure instead of the prescription medication. Which of the following should the nurse do? (select all that apply) a. Tell the client that herbal substances are less effective than prescription medications. b. Encourage the client to discuss the use of an herbal substance with his primary care provider. c. Explore with the client which herbal substance he is planning on taking. d. Educate the client on possible interactions of the herbal substance with his other medications. e. Instruct the client not to take the herbal substance, as it is dangerous.

Encourage the client to discuss the use of an herbal substance with his primary care provider., Explore with the client which herbal substance he is planning on taking., Educate the client on possible interactions of the herbal substance with his other medications.

An 80-year old client is experiencing diarrhea related to a gastrointestinal disorder. Which nursing intervention might increase the client's comfort? a. Keep the client NPO until the diarrhea subsides. b. Encouraging the intake of high calorie foods such as milk shakes. c. Encouraging the client to take sips of soda or Gatorade every 15 minutes. d. Keep the client in a supine position.

Encouraging the client to take sips of soda or Gatorade every 15 minutes.

When caring for an older patient, the nurse is most likely to encounter someone with which of the following illnesses? a. Osteomyelitis b. Glaucoma c. Hypertension d. Melanoma

Hypertension

An 80 year old client who used to be a farmer visits the clinic because he has noticed a new lesion to his left ear. It is a pearly black color with an indented center. Which of the following responses is appropriate to make to this client? a. I'm glad you came to the clinic. This lesion probably needs to be removed. b. Older adults often have lesions like this. It's no problem. c. I hope no one else has touched this lesion. It's contagious. d. Hydrocortisone cream is usually the best treatment for this type of lesion.

I'm glad you came to the clinic. This lesion probably needs to be removed.

What factor is an important contribution to polypharmacy in older adults? (select all that apply) a. Inadequate communication among medical care providers. b. Implementation of Medicare Part D prescription drug benefit. c. Use of generic medications. d. Client expectations of receiving a medication with each provider visit.

Inadequate communication among medical care providers., Client expectations of receiving a medication with each provider visit.

An older client with lung cancer has just completed a course of radiation therapy. The home care nurse notes that the client's lips are dry and cracked, her mouth is dry, and her saliva is viscous. It is important for the nurse to revise the client's care plan to include: a. Frequent oral cleansing with lemon-glycerin swabs. b. Thorough cleansing of the tongue with a toothbrush. c. Frequent flossing and use of an alcohol-based mouthwash. d. Increasing oral fluid intake to a safe level for the client.

Increasing oral fluid intake to a safe level for the client.

Gerontology is unique because of which of the following characteristics? a. It is the oldest branch of medicine. b. It is the study of diseases in older people. c. It is a common specialty in medicine. d. It is a holistic, multi-disciplinary approach to the study of aging.

It is a holistic, multi-disciplinary approach to the study of aging.

To ensure a successful health interview with an older adult, the nurse should do which of the following? a. Discourage the client from reminiscing. b. Keep the interview goal-directed c. Touch the client often d. Avoid setting time limits

Keep the interview goal-directed

The nurse recognizes that the newly admitted patient is at risk for falling because of which of the following: a. The client uses a walker to ambulate. b. The client's medications include: Lasix, Lopressor, Nitroglycerin, and Senokot for constipation. c. The client is alert and oriented. d. The client's daughter is in the room with him.

Lasix, Lopressor, Nitroglycerin, and Senokot for constipation.

A nursing student asks why there aren't more clinical experiences in nursing homes. Which of the following responses, if made by the instructor, is true regarding where older adults live. a. Most older adults live in nursing homes. b. Most older adults live with their adult children. c. Most older adults live in their own homes. d. Most older adults live in public housing.

Most older adults live in their own homes.

According to Erickson's Eight Stages of Life theory, which of the following characteristics would the person in despair exhibit? a. Optimism about the future. b. Obsessive fear of death. c. Contentment with achievements in life. d. Satisfaction with personal accomplishments.

Obsessive fear of death.

Several nurses are discussing an older client's need for intimacy. Which statement, if made, represents a myth about the intimacy needs of older adults in general? a. Older adults require less physical contact than younger adults. b. Sexual expression may enhance the quality of the older adult's life. c. Sexual expression may be difficult for some elders. d. Sexual interest tends to persist throughout the life span.

Older adults require less physical contact than younger adults.

A nursing student is preparing a presentation on arthritis. The nursing student knows that differences between osteoarthritis (OA) and rheumatoid arthritis (RA) include that: a. initial treatment of both Osteoarthritis and Rheumatoid arthritis is usually nonpharmacological using heat or exercise. b. both Osteoarthritis and Rheumatoid arthritis present with joint stiffness lasting 20-30 minutes after rest. c. Osteoarthritis is a localized process, whereas Rheumatoid arthritis may be systemic. d. both Osteoarthritis and Rheumatoid arthritis have an acute onset in older adults.

Osteoarthritis is a localized process, whereas Rheumatoid arthritis may be systemic.

Which of the following statements is true about pernicious anemia? a. Pernicious anemia is caused by a lack of intrinsic factor. b. To treat pernicious anemia, a person must take Vitamin B12 PO or IM for life. c. Pernicious anemia is caused by blood loss or a lack of dietary iron. d. Leafy green vegetables and dried fruits are helpful in the treatment of pernicious anemia.

Pernicious anemia is caused by a lack of intrinsic factor.

Which of the following is true of Jung's Theory of Personality? a. Personality remains constant throughout a lifetime. b. Personality grows increasingly introverted with aging. c. Personality grows increasingly extroverted with aging. d. Personality has no bearing on one's sense of self-acceptance.

Personality remains constant throughout a lifetime.

An older client is being treated for oral cancer. Upon assessing the client, you note the presence of a lump on the floor of the mouth and foul breath odor. The client complains of moderate to severe pain, and is generally withdrawn. Surgery has been scheduled as a method of treatment. Which nursing diagnosis is priority at this time? a.Foul breath related to inadequate oral hygiene. b. Body image disturbance related to disfiguring surgical repair. c. Potential altered nutrition: less than body requirements related to pain. d. Poor prognosis related to need for radical surgery.

Potential altered nutrition: less than body requirements related to pain.

Which of the following should be considered when teaching older adults? a. Processing time increases, therefore it may take them longer to respond to questions. b. Conductive hearing loss is common and may make it difficult to communicate. c. Visual acuity decreases, therefore providing written teaching materials is unnecessary. d. Processing time decreases, therefore it may take them longer to respond to questions.

Processing time increases, therefore it may take them longer to respond to questions.

Which of the following statements describing oral care for the older population is correct? a. Losing one's teeth is considered a normal part of the aging process. b. Oral malignancies seldom occur in older adults so oral examinations are of low priority. c. Preventative dental care is covered under Medicare. d. Regular dental examinations can prevent tooth loss and improve the ability to chew healthful foods.

Regular dental examinations can prevent tooth loss and improve the ability to chew healthful foods.

A client with Parkinson's disease usually exhibits which of the following symptoms? (Select all that apply.) a. Rigidity b. Resting tremor c. Bradykinesia d. Orthostatic hypotension e. Progressive cognitive decline

Rigidity, Resting tremor, Bradykinesia

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? a. Electrical cords are placed alongside the walls. b. Scatter rugs are used in the kitchen. c. Handrails are present in the bathroom. d. A microwave is used for cooking

Scatter rugs are used in the kitchen.

Which age-related change is the nurse most likely to encounter when assessing the older client's musculoskeletal system? a. Increased muscle mass in the legs and torso b. Shorter height compared with that of younger years c. Hyperextension of the spine d. Increased bone density of the spine and long bones

Shorter height compared with that of younger years

During a clinic visit with an older client who is experiencing age related vision and hearing impairments, which of the following would enhance the teaching process? (Select all that apply) a. Sit facing the client b. Shout loudly at the client c. Minimize background noise d. Provide written instructions in large clear print.

Sit facing the client, Minimize background noise, Provide written instructions in large clear print

Because most hospitalized clients are older adults, it is most important for the nurse to be familiar with the: a. Special communication and teaching needs of older adults. b. Process by which clients are transferred from acute care facilities to long term care. c. Herbal remedies and their effects on labwork. d. Braden scale to accurately assess for functional disability.

Special communication and teaching needs of older adults.

The practitioner who believes in the free radical theory of aging would likely make which of the following recommendations to their clients? a. Avoid excessive intake of zinc and magnesium. b. Supplement his or her diet with vitamins C and E. c. Increase intake of complex carbohydrates. d. Avoid the use of alcohol and tobacco.

Supplement his or her diet with vitamins C and E.

A nurse is caring for a hospitalized client who has Parkinson's disease. The client states that he takes his levodopa/carbidopa (Sinemet) at 9am, 3pm, and 10pm. The schedule while in the hospital is 7am, 3p, and 7pm. Which of the following is the best action for the nurse to take? a. Tell the client that the physician sets the time for medication administration and it can't be changed. b. Tell the client that there isn't enough difference in the times at home compared to the times while in the hospital. c. Tell the client that the timing he uses at home is incorrect. d. Tell the client that the pharmacy will be notified to update the administration schedule to match the one at home.

Tell the client that the pharmacy will be notified to update the administration schedule to match the one at home.

An 80-year old client is being treated in an acute care setting. The nurse needs to assess his functional level this morning to determine the effects of the last week's treatment intended to restore his function. In this case, which of the following is the most useful tool for the nurse to use? a. Lawton's Instrumental Activities of Daily Living Scale b. The Katz Index of Activities of Daily Living c. The Mini-Cog d. The Clock drawing test

The Katz Index of Activities of Daily Living

A client complains of constipation with no bowel movement in six days. The best laxative choice for this situation would be: a. A stool softener, such as Colace. b. A stimulant cathartic, such as Cascara. c. A bulk-forming laxative, such as Metamucil. d. A lubricant, such as mineral oil.

a stimulant cathartic, such as Cascara

The nurse in a clinic setting that provides care for an ethnically diverse population of older clients shows an understanding of the LEARN Model to direct the assessment process when: a. suggesting to the client that it would be beneficial if she would trust her health care provider to prescribe the correct treatment. b. asking the client to describe what he thinks will help him feel better. c. failing to recognize the client's posture and eye contact while answering questions d. asking the client to do whatever the physician orders.

asking the client to describe what he thinks will help him feel better

An older adult patient presents to the ambulatory clinic for a flu shot. The patient tells the nurse that his mouth is dry and that he has difficulty swallowing. The nurse assesses the patient's oral cavity and finds that he has red, inflamed gums, decaying teeth, and missing teeth. A priority intervention for this patient would be: a. Suggest that he have the remaining teeth pulled and get fitted for dentures. b. Assess that his nutritional needs are being met. c. Teach him proper flossing technique. d. Order a swallowing study.

assess that his nutritional needs are being met

Your older client has been diagnosed with osteoarthritis. Based on your understanding of this disease, you recognize that your client will most likely be experiencing: a. Severe flexion and fixation of the spine. b. Symmetrical joint pain and stiffness. c. Asymmetrical joint pain d.Aching pain that is not relieved by rest o r applications of heat.

asymmetrical joint pain

A client who reported "a problem sleeping" shows an understanding of good sleep hygiene by: a. doing 10 pushups before bed to encourage a "pleasant tiredness." b. seldom eating a bedtime snack. c. engaging in computer games as a pre-bed activity. d. avoiding daytime napping.

avoid daytime napping

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report which of the following? a. loss of central vision b. loss of peripheral vision c. blurred vision d. pain with reading

blurred vision

An older adult client has been diagnosed with pernicious anemia and needs to increase vitamin B12 in his diet. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12? a. Broccoli b. Chicken c. Kale d. Legumes

chicken

Which of the following objective data, if noted, supports the nursing diagnosis of self-care deficit for the older adult client with osteoarthritis? a. Client experiences weight loss of 10 lb. over a 2-month period. b. Client complains of inability to wash or brush hair. c. Client takes frequent rest periods during bath time. d. Client spills food when attempting to feed self.

client spills food when attempting to feed self

Which of the following would be an abnormal finding, if made by the nurse, when examining a 60-year old female patient? a. Complaint of vaginal dryness during intercourse b. A heart murmur c. Complaint of frequent bouts of vaginitis d. A seborrheic keratosis on her face

complaint of frequent bouts of vaginitis

You are conducting a blood pressure screening at a local senior center. A 90-year-old client of the center has a blood pressure reading of 150/88. He reports no other symptoms, and no acute medical illness. You should instruct him to: a. not worry because this reading is consistent with his age. b. go to the emergency department for immediate evaluation. c. contact his primary care provider for evaluation. d. return to your next screening in 6 weeks.

contact his primary care provider for evaluation

The nurse implements the concepts of the activity theory of aging when instructing the older client with osteoarthritis to: a. continue her daily walking routine. b. curtail further increases in physical activity. c. document preferred end-of-life interventions. d. avoid exposing herself to crowds.

continue her daily walking routine

A client is 2 days post-operative for repair of a fractured hip. Which of the following is priority teaching for this client? a. Do not bend at the waist when sitting in a chair. b. Keep the extremity adducted while in the bed. c. You will ambulate immediately after surgery. d. Pain medicine is rarely needed after hip surgery.

do not bend at the waist when sitting in a chair

The family member of a patient asks if antioxidants will prevent aging. In formulating an appropriate response, the nurse considers the: a. free radical theory b. autoimmune theory c. wear-and-tear theory d. continuity theory

free radical theory

Your client tells you he is worried because Macular Degeneration runs in his family. In teaching him the signs and symptoms, the nurse would include all of the following except: a. straight lines that appear wavy b. loss of central vision c. dimming of vision when reading d. ghost-like distortions around images

ghost-like distortions around images

Factors that affect the pharmacokinetics of lipophilic medications in older adults include: a. greater adipose tissue ratio to body mass b. decreased total body water c. increased glomerular filtration rate d. increased creatinine clearance

greater adipose tissue to body mass

The Beer's Criteria is an effective tool for health care professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population: a. are not typically covered by drug benefit plans. b. have a higher than usual risk for injury. c. are likely to be abused. d. generally cause allergic reactions.

have a higher risk than usual for injury

An older client developed herpes zoster after surgical repair of a hip fracture. Which nursing diagnosis should be given priority? a. Social isolation related to isolation precautions. b. Self-care deficit related to severe pain and fatigue. c. Self-esteem disturbance related to presence of lesions. d. High risk for infection related to ruptured vesicles.

high risk for infection related to ruptured vesicles

Factors that complicate assessment of older adults include: (Select all that apply.) a. inability of the older adult to tolerate a long assessment b. the presence of several chronic illnesses c. the difficulty in distinguishing normal changes of aging from illness d. the different presentation of illness in older adults

inability of the older adult to tolerate a long assessment, the presence of several chronic illnesses, the difficulty in distinguishing normal changes of aging from illness, the different presentation of illness in older adults

A client suffering from esophagitis has been instructed to take Amphojel as directed. The nurse's teaching should include: a. Increase fluids to prevent constipation. b. Take after meals for effectiveness. c. Swallow the tablet without chewing. d. Avoid liquids for 30 minutes after administration.

increase fluids to prevent constipation

A nurse implements a nursing care plan for a client with constipation. Which of the following should the nurse include in the plan? a. Increasing fiber in the diet. b. Administering aluminum hydroxide antacids. c. Bed rest d. Restricting fluids

increasing fiber in the diet

Which nursing diagnosis is most accurate for the older adult client with normal age-related skin changes? High risk for: a. infection related to decreased sebum production b. hyperthermia related to increased subcutaneous fat c. decreased medication absorption related to thickened epidermis d. fluid volume excess related to impaired sebaceous gland activity

infection related to decreased sebum production

When assessing the older client's skin for indications of melanoma, the nurse should inspect for a (n): a. thick, adherent scale with a soft center b. small, inflamed lesion that bleeds easily c. irregularly shaped nevus (mole) d. small, purple, hard nodule beneath the skin surface

irregularly shaped nevus (mole)

An effective nursing activity to reduce or control pain in the older client with a hip fracture is for the nurse to: a. Administer higher dosages of the ordered pain medication initially. b. Administer ordered pain medication with aspirin or Tylenol. c. Elevate the client's knee on the affected side with a pillow. d. Keep the affected limb in alignment during turning.

keep the affected limb in alignment during turning

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? a. Piperacillin/tazobactam b. Levothyroxine c. Levodopa/carbidopa d. Carbamazepine

levodopa/caridopa

Prevention is the best treatment for pressure ulcers. The nurse demonstrates this by doing all of the following except: a. Systematically inspecting the skin everyday. b. Applying thick lotion to the skin everyday. c. Massaging bony prominences. d. Cleaning the perineal area after soiling.

massaging bony prominences

Because glomerular filtration rate (GFR) declines with age, the nurse knows that when taking care of an 85-year old client in the hospital setting: a. incontinence will be expected. b. medication dosages might require adjustment. c. a foley catheter is necessary to monitor intake and output. d. fluid restrictions are necessary to prevent fluid overload.

medication dosages might require adjustment

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? a. "Take this medication with food if nausea develops." b. "Monitor for muscle pain." c. "Expect to have increased bruising." d. "Increase your intake of grapefruit juice."

monitor for muscle pain

When planning care for the older adult with rheumatoid arthritis, it is important to remember: a. More time is needed to complete am care due to stiffness upon rising. b. The affected limb should be avoided when checking blood pressures. c. Presence of a fever is uncommon with Rheumatoid arthritis. d. Exercise will prevent joint deformities.

more time is needed to complete am care due to stiffness upon rising

A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers the clock-drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the client: a. has Alzheimer's disease b. has Delirium c. needs further evaluation d. needs a functional status assessment

needs further evaluation

Which of the following is considered a normal change of aging? a. Hypertension b. Pneumonia c. Erectile dysfunction d. Nocturia

nocturia

A client states that when she turned 40 she found she needed to wear reading glasses. Which of the following normal changes of aging is this client experiencing? a. Macular degeneration b. Presbyopia c. Diabetic retinopathy d. Glaucoma

presbyopia

When caring for the older adult client who has suffered a hip fracture, it is essential that the nurse take measures to prevent the occurrence of which common complication? a. Chronic renal failure b. Hypertension c. Hypoglycemia d. Pressure ulcers

pressure ulcers

When planning care for the older client with rheumatoid arthritis, nursing activities should focus on the: a. prevention of deformities. b. Reduction of activities to control pain. c. Elimination of systemic manifestations of the disease. d. Reduction in the buildup of uric acid in the joint.

prevention of deformities

You are caring for an older adult client who is being treated for rheumatoid arthritis. Because the client is taking oral Prednisone to reduce inflammation, it is important that you: a. Protect the client from infection. b. Ambulate the client at least twice daily. c. Provide a laxative or stool softener daily. d. Monitor urinary output for changes in urine color.

protect the client from infection

A nurse is auscultating an older client's heart and notes a systolic murmur heard between the S1 and S2 heart sounds. The first action by the nurse is to: a. question the client about the presence of the murmur. b. note it in the chart as this is always a normal finding for an older adult. c. contact the medical provider as this is an abnormal finding. d. immediately implement emergency interventions.

question the client about the presence of a murmur

The nurse notes a stage one pressure ulcer on a client's sacral area during initial assessment. The best first step for the nurse to take would be to: a. Add an eggcrate mattress to the client's bed. b. Clean the area with normal saline and apply a hydrocolloid wafer. c. Culture the area for possible infection. d. Remove the causative factor.

remove the causative factor

While caring for someone with Meniere's disease, the nurse's most important consideration is: a. Assuring the client is wearing a hearing aid. b. Decreasing the amount of endolymph in the ear. c. Treat the tinnitus. d. Safety.

safety

When working with older clients with hearing difficulties, it is important to: a. Speak at a normal rate and volume b. Shout c. Overarticulate your words. d. Avoid using gestures.

speak at a normal rate and volume

During the nurse's assessment, the nurse noticed the older adult client had a pressure site on her right heel. The heel appeared blistered and a shallow crater was visible. The pressure ulcer was what stage? a. Stage 1 b. Stage 2 c. Stage 3 d. Stage 4

stage 2

A client tells the nurse, "Every time I laugh or cough, I wet myself." Which type of urinary incontinence is this client describing? a. Urge b. Functional c. Stress d. Mixed

stress

Your older adult female client has been given a prescription for Fosamax to retard the progression of her osteoporosis. Important teaching regarding this drug is that it should be: a. Taken daily, 30 minutes before the intake of food or fluids. b. Taken with as little water as necessary to swallow the pill. c. Followed by 1 hour of rest in a reclining position. d. Followed with 8 oz. of milk or milk substitute such as soy protein.

taken daily, 30 minutes before the intake of food or fluids

When collecting a history from an older client, which data should alert the nurse to the client's increased risk for the development of dehydration? a. Drinks 8 to 10 glasses of water a day. b. Eats two to three servings of fruit each day. c. Takes a laxative everyday. d. Walks at least a mile every day.

takes a laxative everyday

What is the only accurate conclusion that can be drawn when a 76-year old nursing home resident develops a stage 2 pressure ulcer on her sacral area? a. The client has a superficial skin abrasion. b. The client was not turned every 2 hours. c. The client is incontinent. d. Pressure ulcers are inevitable in older adults.

the client has a superficial skin abrasion

A nurse completing an admission assessment performs a Braden scale on a new client. The client's score is 10. This score indicates: a. The client demonstrates no risk factors for skin breakdown. b. The client is at risk for skin breakdown. c. The nurse did not perform the assessment correctly. d. The client was admitted with several pressure ulcers.

the client is at risk for skin breakdown

A 73 year old neighbor tells you that she sponge bathes daily but takes a full tub bath only every three days. Which of the following is an appropriate response? a. Do you need assistance bathing? b. This is a good practice. c. You should take a tub bath everyday. d. Do you have a problem with tub baths?

this is a good practice