Gerontology HESI test Correct and Verified Answers Graded A

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Gerontology HESI test Correct and Verified Answers Graded A

• The practical nurse is reinforcing discharge instructions to the family of an older

client with failure to thrive. What information should the PN include to promote nutritional intake for the client?• Minimize stress level by providing the client quite environment during meals • Provide food variations that the client can manage without assistance Correct Answer: Provide food variations that the client can manage without assistance

• An older male client asks the practical nurse how he can reduce his incidents of

hemorrhoidal flare ups. What information should the PN offer the client to prevent rectal discomfort?• Increase fiber and liquids in diet to help prevent constipation and straining • Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting • Take frequent warm sitz baths and use non abrasive tissue that can traumatize tissues • Establish bowel habits by scheduling time where the client is not rushed to defecate daily Correct Answer: Increase fiber and liquids in diet to help prevent constipation and straining

• The practical nurse is caring for an elderly client with functional incontinence who

lives in an assisted living community. The client is alert, mildly confused, and can self ambulate. Which nursing intervention should the PN implement?

Correct Answer: Offer assistance with toileting q2 hours.

• The practical nurse is implementing a self-medication program for an older resident

who is newly admitted to an assisted living community. Which actions should the PN implement to provide the resident ways to maintain safe medication administration?

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• Locked medication storage in the clients room • Medication administration record (MAR) • Delivery of adequate supply of medication • List of findings indicating medication effectiveness

Correct Answer: Locked medication storage in the clients room

• An older client who recently moved into an assisted living community refuses to eat

or join any activities. When evaluating the client further what should the practical nurse focus on during the next examination?

Correct Answer: Depression

• During the quarterly evaluations of the clients in the assisted living community, the

practical nurse observes for findings of failure to thrive in the geriatric population.Which findings should the PN document and report as manifestations related to failure to thrive?• Unintentional weight loss • Increased weakness • Increased amounts of sleep Correct Answer: Unintentional weight loss (Note: Increased weakness and sleep are also associated signs)

• An older male client is seeking counseling about his recent sexual issues with his

partner. What issue should the practical nurse explore in this discussion?

Correct Answer: Certain medications may impact sexual function

• The practical nurse is re-enforcing discharge instructions with the family of an older

client who was recently admitted for an intestinal obstruction. Which statement indicates that the family understands the instructions?Correct Answer: Report abdominal distention, constipation or any nausea and vomiting to the health care provider.

• The healthcare provider prescribes a new medication, Atorvastatin (Lipitor), for an

older client who arrives at the clinic for an annual physical examination. What common side effect should the practical nurse advise the client to observe for with this medication?

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Correct Answer: Headaches

• Which age-related changes in the cardiovascular system should the practical

nurse document when evaluating an older client?• Cardiac Murmurs • Widening pulse pressure

Correct Answer: Widening pulse pressure

• An older woman asks the practical nurse how she can decrease her chances of

getting cystitis. What information should the PN provide?

Correct Answer: Void and empty bladder completely q2 to 3 hours

• An older male client with Parkinson's disease is discharged home with levodopa-

carbidopa (Sinemet) and instructions to his wife for his care. Which statement best indicates to the practical nurse that his wife understands her husband's needs?Correct Answer: "I will notify the healthcare provider if my husband has increasing involuntary movement of his extremities."

• The home health practical nurse visits an older woman with heart failure who is on

complete bed rest. Which intervention is most important for the practical nurse to suggest to the client to prevent complications related to immobility?

Correct Answer: Perform leg exercises while in bed

• An older client is admitted to the hospital with left sided heart failure. Which

finding should the practical nurse document that is consistent of HF?

Correct Answer: Coarse and fine crackles

• An older female client who has been taking hydrocodone/acetaminophen (Lortab)

q4 hours for chronic back pain for the past 5 years, tells the practical nurse that she cannot live without her pain pills. When asked if she is addicted, the client states that she is not an addict because the healthcare provider prescribed the pain pills. Which coping mechanism should the PN determine the client is using about her addiction?

Correct Answer: Rationalization to support narcotic use

• An older male client with heart failure complains of chronic constipation and

wants to retrain his bowel. Which information should the practical nurse offer the client in establishing regular bowel habits?

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Correct Answer: Add whole grain foods and fibrous vegetables to diet

• The home health practical nurse is visiting an older client with chronic

hypertension. What evaluation is most important for the PN to complete with each visit?

Correct Answer: Effectiveness of medication

• An older male client is admitted for emergency treatment of acute closed-angle

glaucoma. The practical nurse begins administering the prescribed miotic medications and glycerin (Glycol) therapy. Which intervention is most important for the PN to maintain during the client's therapy?

Correct Answer: Monitor intake and output q2 hours for 24 hours

• The practical nurse is assigned the care of an older client who returns to the unit

after surgery for closed angle glaucoma. Which intervention in the plan of care should the PN bring to the attention of the charge nurse?

Correct Answer: Administer morphine 4 mg IM q2 hours PRN

• The home health practical nurse is reinforcing instructions to the family about how

to prevent pressure ulcers for their older family member who is bedridden. Which measures should the PN discuss?

Correct Answer: Lift the client when turning instead of sliding

• The home health practical nurse is observing an older client for a pressure ulcer.

Which finding should the PN observe the area for Stage l of pressure ulcer?

Correct Answer: Deep pink, red, or mottled skin

• A frail elderly woman visits the healthcare provider because she has been getting

out of breath easily when walking long distances. Which pulmonary function change should the practical nurse expect to commonly occur with aging?

Correct Answer: Reduced vital capacity

• An older female client arrives for an annual visit by the urologist due to a history of

changes in serum values related to renal function. What changes should the practical nurse expect for an older client due to normal aging?

Correct Answer: Decrease in glomerular filtration rate (GFR)