N300 Gero ATI study questions (Not finished :)

A nurse is teaching a group of clients at a senior center about the risk factor for osteoporosis. Which of the following statements should the nurse include in the teaching A. "extend periods of immobility increase your risk of osteoporosis" B. "prolonged periods of sun exposure increase your risk of osteoporosis" C. "Eating a diet high in protein can reduce your risk of osteoporosis" D. "corticosteroid therapy will reduce your risk of osteoporosis"

A. "extend periods of immobility increase your risk of osteoporosis" R: osteoporosis is a disorder of weakened bones d/t a loss of bone mass and change in bone structure

An older adult client in a cardiac clinic asks the nurse how the cardiovascular system changes with aging. The nurse's explanation should include which of the following alterations? A. Hypotension when standing up B. Increased elasticity of BV walls C. Decreased thickness of the valves of the heart D. Non-palpable peripheral pulses

A. Hypotension when standing up R: the circulatory systems ability to compensate for changes in position decreases with aging, causing orthostatic hypotension when the older adult client moves from sitting to standing

A nurse is performing an assessment on 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 R: Nurse should apply safety risk reduction priority setting framework. which assigns priority to the factor/situation posing great safety risk to the client: Review Maslow's hierarchy of needs

A nurse is teaching an older adult client who is on bed rest following the development of DVT about methods to increase peristalsis. Which of the following high fiber food choices should the nurse recommend? A. Navy bean soup B. Canned fruit juice C. White rice pudding D. Soy milk

A. navy bean soup R: older adult clients on bedrest has an increased risk for constipation d/t decreased peristalsis associated with the aging process. Increasing dietary fiber by adding foods s/a; legumes to the diet and ensuring adequate fluid intake will promote bowel regularity

A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A. leave the client a written questionnaire to fill out in private B. Allow sufficient time for the client to respond to the questions C. Talk to family members to obtain the clients health history D. Obtain the clients health history from the medical record

B. Allow sufficient time for the client to respond to the questions R: A nurse should recognize that an older adult client may take longer than other clients to process and respond to questions

A nurse is teaching 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? A. Decreased refractory time B. Decreased vaginal lubrication C. Loss of female clients orgasm ability D. Premature ejaculation

B. Decreased vaginal lubrication R: The nurse should inform clients that decreased vaginal secretions is an expected age related change in older female adult clients. Vaginal dryness might lead to painful intercourse, which clients can manage with use of water soluble lubricants during intercourse

A community health nurse is visiting the home of an older adult client and her caregiver. The client has excoriations to her wrist and ankles. Which of the following actions should the nurse take? A. Refer the caregiver to a support group B. Interview the client in private C. Document the clients wounds D. Contact adult protective services

B. Interview the client in private R: The nurse should apply the nursing process priority setting frame work to plan client care and prioritize nursing process. The nurse should interview the client in private to gain info about possible abuse b/c the client may be reluctant to talk with the caregiver

A nurse is assessing an older adult client for age-related changes. Which of the following should the nurse identify as an age related physical change? A. Prolonged hypertension B. Loss of ventricular compliance C. Increased loose stools and diarrhea D. Decreased response to diuretics

B. loss of ventricular compliance R: older adult client loses ventricular compliance d/t diminished muscle elasticity of the heart. The decline in the workload response of the L vent. at rest.

A nurse in a long term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take? A. establish a weekly pet therapy visitation program B. Place a calendar and a clock in each residents room C. Institute a daily storytelling hour D. Encourage all clients to eat their meals in the dining room

C. Institute a daily storytelling hour

A nurse is transferring an older adult client who has R sided weakness from a bed to a wheelchair. Which of the following actions should the nurse take to promote a safe transfer? A. keep the client at arms length while performing the transfer B. Bend at the waist to get down to the clients level C. Maintain a straight back and bend at the knees D. Place the wheelchair at the head of the bed on the clients R side

C. Maintain a straight back and bend at the knees R: the nurse should maintain a straight back and bend at the hips and knees when transferring a client in order to allow the larger muscles of the thighs to do the lifting

A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse conduct a hearing assessment of the client? A. omeprazole B. Ferrous sulfate C. Digoxin D. Furosemide

D. Furosemide R: Furosemide can cause ototoxicity, especially in older adult clients, dt a decrease in medication metabolism in the kidneys. The nurse should monitor clients ototoxic medications and teach the client about the symptoms of ototoxicity, s/a tinnitus and difficulty hearing

During a team meeting, a staff nurse recommends placing a client, who is confused and wanders during the night, in restraints. Which of the following responses about the use of restrains should the nurse manager make? A. "restraints can be used if a family member requests them" B. "Restraints area safe method for preventing clients from falling" C. "Restraints are considered as a part of routine care" D. "Restraints are used to prevent harm to clients and others"

D. Restraints are used to prevent harm to clients and others

A nurse is assessing an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. which of the following should the nurse identify as a factor in the clients sleep? A. older adults require much less sleep than young adults B. older adults seldom awaken at night once they have fallen asleep C. Older adults have an increase in stages III & IV of sleep D. Anxiety can cause disturbed sleep patterns

D. anxiety can cause disturbed sleep patterns R: The sleep patterns of older adults are different than those of younger adults. However, anxiety and emotional stress can result in sleep disturbances in people of all ages. The nurse should further the clients sleep problems

A nurse is assessing an older adult client who has R sided heart failure. Which of the following findings is the nurses priority? A. the clients O2 sat is 92% on room air B. The client consumes 20% of her meals C. the clients weight has increased by 0.91kg (2lb) in 24hr D. The client has 1+ edema in the lower extremities

C. the clients weight has increased by 0.91kg (2lb) in 24hr R: clients needs/ evaluate clients weight with R sided heart failure