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NUR 254: Gerontological Adult Health Nursing Q&A|Accurate|Verified

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NUR 254: Gerontological Adult Health Nursing Q&A|Accurate|Verified

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NUR 254: Gerontological Adult Health Nursing Q&A



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1 of 35

Term



Which of the following assistive devices for walking is most appropriate
for a patient with paralysis of the left arm?


a. Stationary walker.
b. Reciprocal walker.
c. Walkane.
d. Hemiwalker.



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c. 2 mL. d. Hemiwalker.




b. epinephrine. c. incivility.

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2 of 35

Definition



b. notify adult protective services.



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A patient's friend is visiting and expresses concern about the patient and asks for an
update on her prognosis. The gerontological nurse should:


a. provide a general update about the patient without going into detail.
b. tell the visitor it's not appropriate to ask for information about the patient.
c. tell the visitor that the patient's condition cannot be discussed due to privacy
laws.
d. deny knowledge of the patient's prognosis.




If a patient has suspected heart failure, which of the following tests should the
gerontological nurse expect will show the severity of the heart failure?


a. C-reactive protein (CRP).
b. Homocysteine.
c. lschemia modified albumin (IMA).
d. 8-type natriuretic peptide (BNP).




A patient with dementia is admitted to an acute hospital from a residential care
facility with rib fractures and patterns of bruising about her face and body
(including both arms) that are associated with abuse, although the staff
member from the facility states that the patient fell out of bed. The
gerontological nurse should:

, a. file a police report.
b. notify adult protective services.
c. accept the staff member's account.
d. ask administration for guidance.



A patient in end-of-life hospice care for stage 4 multiple myeloma has developed
severe skeletal pain and is scheduled to undergo radiation therapy to reduce his
discomfort. How will this treatment affect hospice care?


a. Hospice care must be discontinued.
b. Hospice care is put on hold until treatment is finished, and then hospice is
resumed.
c. Hospice care will continue without interruption.
d. Hospice care may be continued if preauthorization is received.


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3 of 35

Definition



d. have a frank discussion with the family.



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A patient in end-of-life hospice care for stage 4 multiple myeloma has developed
severe skeletal pain and is scheduled to undergo radiation therapy to reduce his
discomfort. How will this treatment affect hospice care?


a. Hospice care must be discontinued.
b. Hospice care is put on hold until treatment is finished, and then hospice is
resumed.

, c. Hospice care will continue without interruption.
d. Hospice care may be continued if preauthorization is received.

A 65-year-old patient with hypertension is planning a 6-hour flight to visit family
members. What advice should the gerontological nurse provide to help reduce the
risk of developing deep vein thrombosis?


a. Move around often and stay hydrated.
b. Ask the physician about taking an anticoagulant.
c. Take the train instead of the plane.
d. Fly in first class so there is more legroom.




A 76-year-old female ate Escherichia coli (E.coli 0157:H7)-contaminated vegetables
and developed abdominal cramps and non-bloody diarrhea that persisted for 48
hours, after which the diarrhea became bloody and has remained so for 4 days. If
the patient's condition does not resolve, she is at risk for developing:


a. intestinal necrosis.
b. small-bowel obstruction.
c. intestinal perforation.
d. hemolytic uremic syndrome.




A 66-year-old recently widowed patient with limited income is planning to
move into the home of her daughter and son-in-law and their two adolescent
children in order to share expenses, and she is concerned about the transition
and a lack of independence. The best advice is for the patient to:


a. accept the changes in her life.
b. apply for low-cost housing elsewhere.
c. set the ground rules for living together.
d. have a frank discussion with the family.


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4 of 35

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