Gerontology Questions And Answers
2023-2024
(A+)
- An older adult patient comes to your clinic with a family member. The patient
complains of
... [Show More] urinary burning, difficulty starting the stream of urine, frequency, and
incontinence. The patient has a history of enlarged prostate and takes Flomax daily.
The patient voices concern because of the recurring urinary tract infections this year.
Which of the following interventions for risk for infection is congruent with the principles
of gerontology nursing?
A. Instruct the patient/family on taking blood pressure medication on time daily as
ordered.
B. Instruct on the importance of complying with a diabetic diet to control blood sugar.
C. Instruct the patient/family on including cranberry or cranberry juice in the diet daily.
D. Instruct the patient/family on taking the entire antibiotic prescription as ordered to
completion. - ANS-C
An older adult patient was confined to home for 4 days when a neighbor entered and
found the patient frail, immobile, and quite ill. The neighbor listened as the patient
reported an inability to get out of bed, nausea that created an inability to eat or drink
much, and dizziness which led the patient to think they might fall when attempting to get
up to use the bathroom. The patient called the neighbor to come over and help until
paramedics arrived. The nurse in the emergency room (ER) asks the patient to describe
the reason for coming into the ER today, and the patient replies, "I don't feel well at all."
The patient proceeds to describe the symptoms to the nurse. Which of the following
most accurately captures the complexity involved in assessing the older adult in this
scenario?
A. Older adults present with fewer symptoms of illness than do younger patients.
B. Signs and symptoms of illness are often obscure and less predictable in older adults.
C. Care must be taken to always avoid assessing normal age-related changes.
D. Older adults experience fewer acute health problems but more chronic illness than
do younger adults. - ANS-B
A 95-year-old patient with a history of osteoarthritis, hypertension, and urinary
incontinence has been Foley dependent for longer than 20 years. The patient has a
history of recurrent urinary tract infections. The family calls to report a marked change in
the patient's mental status overnight. They tell you, the nurse working in the
gerontologist's practice, that the patient doesn't recognize certain family members and
isn't aware of their surroundings, even though the patient is at home. The family is very
concerned. They tell you that the patient had a mild fever of 99°F last night, but today
the patient's temperature is below normal at 96.2°F. The urine in the patient's Foley bag
is a bit cloudy and amber. The odor is the same as baseline on review. What do you tell
the family?
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