Kaplan Gerontology Focused POSSIBLE QUESTIONS AND ANSWERS 2022
An elderly client is admitted to the hospital to undergo abdominal surgery. Admitting
... [Show More] orders include activity as desired, standard bowel prep, and an intravenous infusion of 5% dextrose in water to infuse at 75 mL per hour starting at 1800 on the evening before surgery. The nurse understands the primary purpose of administering intravenous fluids to a client prior to surgery includes which reason? Correct answerEnsure the client remains adequately hydrated
An elderly client undergoes an open reduction and internal fixation of the left femoral head after a fracture. Which action by the nurse is best? Correct answerEncourage the client to cough and deep breathe every 2 hours.
An elderly patient asks the nurse what caused his cataract. The nurse's response should be based on which of the following? Correct answerCataracts are most common in the elderly.
An older client has a medical history that includes hypotension. A public health nurse visits the client regularly and on each visit records the vital signs. The nurse expects which of the following findings for this client? Correct answerTemperature 98.6, blood pressure 160/92, pulse 80, respirations 24.
An older client has been taking sustained-release nitroglycerin for several years. The client heard an advertisement for sildenafil and asks the nurse if there should be any concerns about taking both in the same day. Which response by the nurse is best? Correct answer"Taking both together can result in hypotension, which could be fatal."
An older client is admitted to the hospital for treatment of a fractured femur. The client's spouse tells the nurse that the client is very hard of hearing. The nurse should develop a plan of care that provides an opportunity for which of the following? Correct answerSocial interaction.
An older male comes to the emergency room with a history of urinary frequency, urgency, and low back pain. The nurse recognizes that these are symptoms of which of the following? Correct answerBenign prostatic hypertrophy.
An older male patient complains to the physician of urinary frequency, urgency, and dysuria. A cystoscopy is performed. After the cystoscopy, which of the following nursing actions has the highest priority? Correct answerObtain the patient's vital signs.
During the assessment of an elderly client, the nurse notes the following: blood pressure 88/55 mm Hg, apical heart rate 110/minute, and poor skin turgor. Which laboratory test result does the nurse expect to see? Correct answerIncreased serum hematocrit.
Nursing students discuss the effects of age on the use of pain medication. Which is the reason that elderly clients usually require less pain medication? Correct answerElderly clients have diminished renal and liver function.
The adult child of an elderly client brings the parent to the clinic. The client states, "I have indigestion and have been taking lots of over-the counter cimetidine for 3 weeks." Which client statement requires an immediate followup? Correct answer"My child tells me that I seem to be confused at times."
The client is older and confused. The nurse instructs the client's family how to prepare their home to be safe for the client. The home care nurse visits the client's home the afternoon of discharge to evaluate the home. Which safety measure is of most benefit to this client? Correct answerThe installation of stronger lighting.
The following clients are all newly admitted to the medical-surgical unit. Which client should the nurse assess FIRST? Correct answerThe client admitted from a nursing home with dehydration and pneumonia.
The home care nurse visits an elderly client living alone on a limited income. The client's diet consists primary of carbohydrates. Based on an understanding of the nutritional needs of the elderly, which interpretation of the client's diet by the nurse is most justified? Correct answerThe client should increase the intake of protein.
The home health nurse visits the older client. The client's family frequently discusses the fact that the client falls. Which intervention does the nurse suggest the client's family employ? Correct answerRemove small rugs and leave the lights on throughout the house.
The home health nursing assistive personnel (NAP) cares for the client after a hip replacement. The client is visually impaired. The client tells the nurse, "This person is constantly changing things around all the time." the home health NAP tells the nurse, "The client is so difficult to work with. The client always finds fault with the way I do things. I am trying to make the client's home more efficient." Which is the most appropriate way for the nurse to respond to the situation? Correct answerDiscuss with the home health NAP the implications of changing things in the environment when a person is visually impaired.
The nurse assess capillary refill time on a middle-aged client. Which result is considered to be within the normal range? Correct answer1-3 seconds
The nurse assess the elderly client at the long-term care facility. The client tells the nurse, "I have recently developed constipation." It is most important for the nurse to take which action? Correct answerDetermine the frequency and characteristics of bowel movements.
The nurse assess the older adult client diagnosed with dehydration. A liter of D5NS infuses intravenously at 100mL/hour. The nurse notes the client is having difficulty breathing. The blood pressure is 140/92 mm Hg. Earlier it was 132/86 mm Hg. Based on the analysis and plan, which action by the nurse is taken initially? Correct answerReduce the IV fluids to 75 mL/hour.
The nurse assess the older adult client in the outpatient clinic. Which statement does the nurse expect the client to make? Correct answer"Eating just does not appeal to me anymore."
The nurse assists a terminally ill elderly patient with the morning bath routine. The patient says to the nurse, "Why do you bother with me?" Which response by the nurse is best? Correct answer"I care about you and how you are doing."
The nurse cares for a patient after a total hip replacement due to degenerate joint disease. The nurse should intervene if which of the following is observed? Correct answerThe patient's heels are lying on the bed with toes pointed upward.
The nurse cares for an elderly client admitted for chest pain. The client says to the nurse, "I know my children visited me today, but they deny it. What is going on? I'm so mixed-up." The nurse suspects such distortions in thinking are due to sensory alterations. Which of these actions by the nurse is best? Correct answerAllow the client to discuss the "mixed-up" feelings. [Show Less]