Gerontology and medications for Geri Student Practice

Acyclovir 0.8 g by mouth is prescribed for a client with herpes zoster. The oral suspension contains 200 mg/5 mL. How many milliliters will the nurse administer? Record your answer using a whole number.

20 mL

Which statement made by the nursing student, after being taught about interventions for cognitively impaired older adults, indicates a need for further education?

"I should provide conditional positive support."

A decrease in circulating T lymphocytes occurs with cell-mediated immunity, resulting in an increased risk of bacterial and fungal infections. A client would need booster shots for old vaccinations and immunizations when there is a decline in natural antibodies. A reduced neutrophil function may be an implication when neutrophil function is decreased. The older adult should receive immunizations, such as flu shots, when the number of colony-forming B lymphocytes is diminished.

"Increase humidity at home." "Wear prescribed lens for best vision."

Which statement made by a student about psychotherapeutic medications in older adult clients indicates to the nurse that additional teaching is required?

"Low serum levels of the medication are reported in older adult clients on psychotherapeutic medications."

The nurse needs to administer lidocaine HCl at 1.5 mg per minute. The medication is available as 500 mg in 100 mL of D 5W. The nurse will set the intravenous (IV) infusion pump to deliver how many milliliters per hour? Record your answer using a whole number.

18 mL/h

Which intervention would the nurse include in the plan of care of an older adult client with decreased cell division in the epidermal layer of the skin? Select all that apply. One, some, or all responses may be correct.

Advise the client to prevent skin trauma. Advise the client to protect open areas of skin.

Which nursing action has a specific gerontological implication the nurse must consider when caring for an older adult receiving chemotherapy for cancer whose severe nausea and vomiting causes dehydration requiring hospital admission for rehydration therapy? Select all that apply. One, some, or all responses may be correct.

Assessment of skin turgor Administration of antiemetic medications Replacement of fluid and electrolytes

Which intervention would the nurse include in the nursing home plan of care for an older adult with Alzheimer disease who has nighttime wandering?

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

Which immune function change places older clients at risk for bacterial and fungal infections?

Decrease in circulating T lymphocytes

Which physical change would cause a nurse to advise an older adult client to apply moisturizer when the skin is moist?

Decreased dermal blood flow

Which nursing intervention would the nurse take for an older adult with delirium who begins acting out while in the dayroom?

Giving the client one simple direction at a time in a firm, low-pitched voice

Which effect of mild exercise on respirations would a nurse recall in an 82-year-old client scheduled for physical therapy after a fracture of the arm?

Increase to 24 breaths per minute

Which action would the home health nurse suggest to decrease risk for injury for an older adult with peripheral arterial disease?

Lower the thermostat setting on the hot water tank.

Which change as a result of aging would require the registered nurse to teach isometric exercises to an 80-year-old client?

Muscular atrophy

Which age-related finding would a nurse expect when performing a male reproductive system assessment of an older adult client?

Reduced size of testes

Which physical change seen in a 70-year-old would cause a nurse to instruct the client to dress warmly in cold weather? Select all that apply. One, some, or all responses may be correct.

Thinning of the subcutaneous layer Decreased vasomotor responsiveness