gero exam 3 questions (13-20)
An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help determine the cause of the patient's complaint? a. Vitamin B deficiency b. Use of humidifier at home c. History of diabetes mellitus d. Prescription antihistamine use
d
The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use? a. Two full-length rails b. One ½-length rail c. No side rails d. Four ½-length rails a
b
An older man comes to a primary care setting, and his reason for seeking health care is to get a prescription for sildenafil (Viagra). Which of the following laboratory reports can help explain why this individual needs sildenafil? a. Serum potassium 4.5 mEq/L b. Prothrombin time 13 seconds c. Alanine transferase (ALT) 50 units/L d. Glycosylated hemoglobin (Hgb A1c) over 8%
d
Which of the following describes the nurse's role for an older patient with a chronic illness? a. Implement an individualized therapeutic regimen that brings about a cure. b. Provide caring to help the patient live at the optimal level of health and wellness. c. Suggest that the patient accept eventual death to reduce the burdens on the patient's family. d. Encourage the patient to minimize the use of services to control costs.
b
An older woman had hip replacement surgery 1 day ago, and the nurse thinks that the woman also has dementia. Which patient assessment does the nurse use to determine whether this woman is experiencing pain? a. Holds abdomen tightly. c. Is not verbalizing. b. Has stable vital signs. d. Moves during sleep.
a
Over 50% of the population, aged 65 years and older, suffers from which one of the following chronic health conditions? a. Hypertension b. Renal failure c. Multiple sclerosis d. Cancer
a
A new nurse in a long-term care facility is caring for a patient with PD. The nurse should note which one of the following actions related to PD that is observed during the assessment? a. Tremors during sleep b. Cogwheel rigidity c. Frequent blinking d. Fast movements
b
Which of the following statements is true about RA? a. Strikes unilaterally. b. Affects more men than women. c. Can affect body systems other than the joints. d. Glucosamine can be helpful for patients in the first 2 years of RA.
c
Which laboratory results are goals for reducing a person's risk for diabetes and heart disease? a. Triglycerides over 150 mg/dl b. Cholesterol 250 mg/dl c. High-density lipoprotein (HDL) over 40 mg/d d. Fasting blood glucose under 150 mg/dl
c
The nurse plans the care of an older female resident of a nursing home who has experienced a sudden deterioration in visual acuity. Which intervention should the nurse complete first? a. Prevent behavioral and social decline. b. Tell her to hold onto the rails during ambulation. c. Examine her mood and functional status. d. Use problem solving involving the resident.
c
The safest opioid analgesic choice for an older patient who has severe acute pain is which of the following? a. Meperidine (Demerol) b. Pentazocine (Talwin) c. Morphine sulfate (Morphine) d. Safe opioids do not exist.
c
A medical illustration shows a man with the blunt end of a tuning fork pressed to the center of his forehead. The man is being tested for which of the following? a. Sensorineural hearing loss b. Presbycusis c. Tinnitus d. Unilateral conductive hearing loss
d
Which is a healthy practice recommended for a person at risk for OA? a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert b. Long-term estrogen administration as adjunct therapy c. Alendronate (Fosamax) taken with a snack just before bedtime d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, celery, and red wine for dinner
a
Which of the following statements is true about dysarthria? a. Does not affect intelligence. b. Stems from severe rheumatoid arthritis. c. Physical therapy can be beneficial. d. Can affect the balance.
a
A client comes into a clinic having had a previous stroke. Family members state that they hope the client does not have another stroke. Which is the best response? a. More fruits and vegetables in his diet will decrease the risk for stroke. b. Prevention is the best way to manage clients who have had strokes. c. Wine daily will decrease any risk factor of having a stroke. d. Because of collateral circulation, the incidence of another stroke is extremely low.
b
An older woman has severe osteoporosis in the long bones, impaired mobility, and chronic pain. Which acute illness or condition is this woman most likely to experience as a result of osteoporosis? a. Peripheral neuropathy b. Chronic stable depression c. Intertrochanteric fracture d. Opioid analgesic addiction
b
Which of the following is a true statement about heart disease in older adults? a. Myocardial infarction (MI) has many of the same symptoms in older patients as in middle-aged persons. b. Both excessive urination at night and decreased urination can be signs of heart failure (HF). c. Any exertion on the part of an older adult patient with heart disease can bring on another heart attack. d. A person with HF is likely to have trouble breathing, except when lying down.
b
Which of the following statements is true about diabetes mellitus? a. Type 2 diabetes is the result of the failure of the pancreas to produce insulin. b. Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dl. c. Non-insulin-dependent diabetes mellitus is another name for type 1 diabetes. d. The incidence of diabetes mellitus does not increase with age.
b
The overall temperature in your unit is 62° F during the evening shift. In documenting this concern to the administration, which factor is the most important for the health and well-being of older adults? a. It is not fair for older adults to have to deal with an uncomfortable environment. b. Some of the residents are wearing blankets around their shoulders to keep warm. c. An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation. d. It feels much warmer in the administration wing than out in the patient care areas.
c
Which classic sign of an acute myocardial infarction (AMI) can be absent in an older man with an AMI? a. Vague complaints b. Epigastric burning c. Crushing chest pain d. Dyspnea and fatigue
c
Which of the following is used to treat the most common cause of impairment to an older person's hearing? a. Hearing aids b. Cochlear implants c. Ear canal irrigation d. Sign language
c
The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg. He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse implement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask if he has about discomfort at the surgical site or any other location.
d
Which of the following is a true statement about osteoporosis (OA)? a. OA is indicative of an underlying health problem. b. The most common site for OA fractures is in long bones. c. African-American women have the highest risk for OA. d. A high risk of death follows an OA-related fracture.
d
Which of the following is a true statement about tuberculosis (TB) in older adults? a. The principal threat from TB is its highly contagious nature. b. The tuberculin purified protein derivative (PPD) is a conclusive test for TB. c. Antimicrobial drugs have made TB an infection of the past. d. Older persons, particularly those in nursing homes, are at risk for TB.
d
Which of the following statements is true about Parkinson disease (PD)? a. Drinking large amounts of alcohol can relieve symptoms of essential tremor. b. Motor tremors and slow movement accompany severe cognitive impairment. c. Lewy body dementia (LBD) is the most common form of dementia. d. Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine
d
Which one of the following is a true statement about mobility and safety for older adults? a. Use of restraints on older patients helps prevent injuries from falls. b. Falls that do not cause physical injury are not significant. c. The get-up-and-go test provides a measure of a patient's energy and initiative. d. Lowering the bed and fluorescent tapes are interventions to increase safety.
d
