Gerontology Final

A nurse at a long-term care facility is reinforcing teaching with an older adult client about ambulating with a quad-cane. Which of the following statements should the nurse include in the teaching?

"hold the cane in the hand on the stronger side of your body"

A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The client's partner, who has been caring for her at home, states that he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make?

"it must be difficult to care for someone who has incontinence"

A nurse is caring for an older adult client who reports that she has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse make?

A. "Do you know about the local senior citizen group?"

A nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client?

A. Avoid using a heating pad on the area with the patch

A nurse is assisting in the planning of an immunization clinic for older adults. At which of the following times should an older adult client receive the influenza vaccine?

Annually in the fall the nurse should recommend that older adult clients receive the influenza vaccine annually. influenza outbreaks occur annually, and the influenza virus changes constantly. consequently, an influenza vaccine from a previous year will not protect a client exposed to this year's influenza strain. influenza in older adults can result in the development of primary viral influenza pneumonia, which causes several deaths a year. an influenza vaccine given in the fall, prior to the onset of flu season, will be most effective in preventing influenza in this target population

A nurse at a long-term care facility is contributing to the plan of care for a client who has Alzheimer's disease and wanders at night. Which of the Following interventions should the nurse include in the plan?

Assign the client to a room closer to the nurses station the nurse should place the client who wanders in a room that allows for close observation. the nurse should provide clients who wander a safe place to walk and supervision when the client is ambulating

A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching?

Brisk walking will help prevent bones loss

A nurse is reinforcing teaching with a group of healthy, older adult clients about expected age-related changes and sexual response. Which of the following changes should the nurse include as an age-related change?

Decreased vaginal lubrication

A nurse is collecting data from an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. Which of the following actions should the nurse take?

Determine the client's usual sleep habits

A nurse is collecting data from an 85-year-old client. Which of the following findings should the nurse report to the provider?

Differences in pulse strength between lower extremities

A nurse is reinforcing teaching with a client who is to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching?

Discontinue the medication if you develop heartburn

A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse request a hearing assessment of the client?

Furosemide

A nurse is reinforcing teaching with a client who is to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching?

I should see a decrease in my PSA levels the nurse should emphasize that the decreased in PSA levels with this medication will be measured 6 month after starting treatment. the expected decline is 30% to 50% in the psa level

A nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. Which of the following statements should the nurse include in the teaching?

Increase the fiber content of your diet

A nurse is collecting data from an older adult client who had a right-sided stroke two days ago. For which of the following findings should the nurse notify the provider immediately?

Increased restlessness

A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take?

Listen attentively and allow the client to talk about the past

A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take?

Present one idea in a sentence

A nurse is collecting data from an older adult female client. Which of the following findings should the nurse identify as a priority?

Rales heard in the bases of the lungs

A nurse in an adult day care facility is contributing to the development of treatment plans for older adult clients. Which of the following therapeutic strategies should the nurse use to help the clients achieve Erikson's developmental task for this age group?

Reminiscence therapy

A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication?

Speak at a moderate rate

A nurse is caring for an older adult client who is on bed rest. Which of the following foods should the nurse plan to include on the client's breakfast tray to prevent constipation?

Stewed prunes

A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing oral care?

Turn the client on his side before starting oral care

A nurse is collecting data from an older adult client who has right-sided heart failure. Which of the following findings is the nurse's priority to report?

Weight increase of 0.91 kg ( 2 lb ) in 24 hours

A nurse is reinforcing teaching with a group of older adult clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching?

You should consume 1200 mg of calcium daily

A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following actions should the nurse take first?

ask the client about over-the-counter medications she is taking

A nurse is caring for an older adult client who has a terminal illness. The client tells the nurse, "I just want to live one more month so I can see my grandchild get married." Which of the following Kübler-Ross stages of grief should the nurse identify the client is experiencing?

bargaining

A nurse is reviewing the basic needs of older adult clients with a group of assistive personnel. Which of the following statements should the nurse include?

deep sleep is decreased

A nurse is reinforcing teaching with an older adult client who is to start taking warfarin. Which of the following statements indicates the client understands the teaching?

i can continue to eat green salads

A nurse is reinforcing teaching about ways to improve nutritional intake with a client who has chronic obstructive pulmonary disease (COPD) and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching?

i should add grated cheese to sauces and vegetables

A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report?

impaired mobility

A nurse is caring for a client who is using a continuous passive motion (CPM) device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device?

line up the frame joints of the CPM device with the clients knee

A nurse is reinforcing teaching about skin changes in the older adult client with a newly licensed nurse. Which of the following findings should the nurse identify as a benign, age-related skin change commonly seen in older adult clients?

liver spots

A nurse is reviewing the records of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process?

obesity

A nurse is caring for an older adult client who has a hip fracture and is rating his pain at 8 on a scale of 0 to 10. Which of the following medications should the nurse administer?

oxycodone/acetaminophen 7.5/325 tablet PO

A nurse is reinforcing teaching with an older adult client who had a total hip arthroplasty about ambulating with a standard walker. Which of the following actions by the client indicates an understanding of the teaching?

the client moves the walker ahead about 15.24 cm (6 in) and then steps into the walker