ATI Learning System: Gerontology Final

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? A. "You should consume 1,200 milligrams of calcium daily." B. "Consume 4 percent of your diet as fat." C. "You should drink 1,500 milliliters of fluid daily." D. "Consume 40 percent of your diet as protein."

A. "You should consume 1,200 milligrams of calcium daily."

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? A. Impaired mobility B. Decreased independence C. Decreased self-esteem D. Impaired socialization

A. Impaired mobility

A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Cottage cheese is a good source of calcium." B. "Increase your caffeine intake." C. "Brisk walking will help prevent bone loss." D. "Hormone replacement therapy with estrogen will increase your risk of osteoporosis."

C. "Brisk walking will help prevent bone loss."

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? A. Turn the client on his side before starting oral care B. Use the thumb and index finger to keep the client's mouth open C. Cleanse the client's oral mucosa with a toothbrush D. Perform oral care using sterile gloves

A. Turn the client on his side before starting oral care

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? A. "Limit physical activity during the day." B. "Set a time limit of 10 minutes when attempting to defecate." C. "Increase the fiber content of your diet." D. "Increase your fluid intake to 5,000 milliliters per day."

C. "Increase the fiber content of your diet."

A nurse is an assisted living facility is assisting in the care of an older adult client who moved in 3 months ago following the death of his partner. The client reports awakening early in the morning and admits to feeling very sad. The nurse should identify that the client is experiencing which of the following types of grief? A. Anticipatory grief B. Delayed grief C. Acute grief D. Disenfranchised grief

C. Acute grief

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? A. Once during the client's lifetime B. Every 10 years C. Every 5 years D. Annually in the fall

D. Annually in the fall

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? A. Omeprazole B. Ferrous sulfate C. Digoxin D. Furosemide

D. Furosemide This can cause ototoxicity

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? A. A banana B. Hash brown potatoes C. An egg and cheese omelet D. Stewed prunes

D. Stewed prunes

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? A. Capsaicin topical gel B. Oxycodone/acetaminophen 7.5/325 tablet PO C. Celecoxib 200 mg capsule PO D. Aspirin 325 mg tablet PO

B. Oxycodone/acetaminophen 7.5/325 tablet PO

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? A. Music therapy B. Reminiscence therapy C. Meditation therapy D. Pet therapy

B. Reminiscence therapy

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? A. Listen attentively and allow the client to talk about the past B. Change the topic of conversation C. Let the client know that this is a common issue for older adult clients D. Tell the client about some younger clients who are in worse shape than he is

A. Listen attentively and allow the client to talk about the past

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? A. "If I miss a dose, I will double it the next day." B. "I can continue to eat green salads." C. "I will need to have laboratory blood testing every 6 months to monitor the effects of the warfarin." D. "I should expect my urine to be pink-tinged while I am taking this medication."

B. "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 and has been losing weight. Which of the following statements by the client indicates an understanding of the teaching? A. "I will choose hot foods to decrease the sense of fullness when eating." B. "I should add grated cheese to sauces and vegetables." C. "I will eat my largest meal of the day in the evening." D. "I should consume a diet high in carbohydrates."

B. "I should add grated cheese to sauces and vegetables."

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? A. The clients adjusts the height of the walker so the hand grips are at the level of her waist B. The client moves the walker ahead about 15.24 cm and then steps into the walker C. The client uses the walker to pull herself up from a sitting to a standing position D. The client uses the walker to climb the stairs

B. The client moves the walker ahead about 15.24 cm and then steps into the walker

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? A. "A lot of clients who are cared for at home have the same problem." B. "Don't worry about it. She will get a bath, and that will take care of the odor." C. "It must be difficult to care for someone who has incontinence." D. "When was the last time that she had a bath?"

C. "It must be difficult to care for someone who has incontinence."

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? A. Place the client in wrist restraints at night B. Request a prescription for a psychotropic medication C. Assign the client to a room closer to the nurse's station D. Keep the television on at night

C. Assign the client to a room closer to the nurse's station

A nurse is collecting data from an 85-year-old client. Which of the following findings should the nurse report to the provider? A. A widened anterior-posterior chest diameter B. Presence of an S4 heart sound C. Differences in pulse strength between lower extremities D. Post-void residual of 75 mL

C. 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? A. "The medication may be crushed if you have difficulty swallowing it." B. "Drink a full glass of milk when you take the medication." C. "Take the medication at bedtime." D. "Discontinue the medication if you develop heartburn."

D. "Discontinue the medication if you develop heartburn."

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? A. Clarify the client's list of medications with the pharmacist B. Compare the current list against the new medication prescriptions C. Investigate any discrepancies on the list D. Ask the client about over-the-counter medications she is taking

D. Ask the client about over-the-counter medications she is taking

A nurse is reviewing the record of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestations of the aging process? A. Decreased absorption of nutrients B. Impaired excretion of medications C. High-pitched frequency hearing loss D. Obesity

D. Obesity