Which age-related changes in the cardiovascular system should the practical nurse (PN) doc-
ument when evaluating an older client? (Select all that apply.) - ANSWER - Cardiac mur-
murs.
- Widening pulse pressure.
The home health practical nurse (PN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure
should the PN discuss? - ANSWER Lift the client when turning instead of sliding
An older male client asks the practical nurse (PN) how he can reduce his incidents of hemor-
rhoidal flare-ups. What information should the PN offer the client to prevent rectal discom-
fort? (Select all that apply.) - ANSWER -Increase fiber and liquids in the diet to help pre-
vent 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.
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? - ANSWER Decrease in glomerular filtration rate
(GFR).
A frail elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is
most important for the practical nurse (PN) to report to the healthcare provider? - AN-
SWER Confusion and dehydration.
An older male client who is a new resident in an assisted living community is having difficulty
going to sleep since his arrival. Which intervention should the practical nurse (PN) imple-
ment first? - ANSWER Ask the client what has helped him in the past.
1
, The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client
who is a resident in a long-term care facility. The PN interrupts the continuous GT feeding. In
which sequence should the PN implement these actions for the administration of crushed
medications? (Place in the order from first to last step.) - ANSWER 1. Crush the medica-
tion into a powder or fine granules.
2. Dissolve each crushed medication in a medicine cup.
3. Flush the feeding tube of the feeding solution.
4. Administer each medication separately.
5. Flush GT to clear the medication from the tubing.
6. Reconnect the gastric feeding tube.
The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A
primary goal in the client's plan of care is to decrease swelling in the extremities. What
should the PN do to meet this goal? - ANSWER Elevate the legs on pillows.
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - ANSWER Attach a
larger drainage bag while sleeping.
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.) -
ANSWER - Verbal response.
- Motor response.
- Eye-opening.
Older clients are at the highest risk for abuse and neglect due to which factors? (Select all
that apply.) - ANSWER - Needs are greater than the caretaker's abilities.
- Client's declining strength.
2
ument when evaluating an older client? (Select all that apply.) - ANSWER - Cardiac mur-
murs.
- Widening pulse pressure.
The home health practical nurse (PN) is reinforcing instructions to the family about how to
prevent pressure ulcers for their older family member who is bedridden. Which measure
should the PN discuss? - ANSWER Lift the client when turning instead of sliding
An older male client asks the practical nurse (PN) how he can reduce his incidents of hemor-
rhoidal flare-ups. What information should the PN offer the client to prevent rectal discom-
fort? (Select all that apply.) - ANSWER -Increase fiber and liquids in the diet to help pre-
vent 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.
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? - ANSWER Decrease in glomerular filtration rate
(GFR).
A frail elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is
most important for the practical nurse (PN) to report to the healthcare provider? - AN-
SWER Confusion and dehydration.
An older male client who is a new resident in an assisted living community is having difficulty
going to sleep since his arrival. Which intervention should the practical nurse (PN) imple-
ment first? - ANSWER Ask the client what has helped him in the past.
1
, The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client
who is a resident in a long-term care facility. The PN interrupts the continuous GT feeding. In
which sequence should the PN implement these actions for the administration of crushed
medications? (Place in the order from first to last step.) - ANSWER 1. Crush the medica-
tion into a powder or fine granules.
2. Dissolve each crushed medication in a medicine cup.
3. Flush the feeding tube of the feeding solution.
4. Administer each medication separately.
5. Flush GT to clear the medication from the tubing.
6. Reconnect the gastric feeding tube.
The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A
primary goal in the client's plan of care is to decrease swelling in the extremities. What
should the PN do to meet this goal? - ANSWER Elevate the legs on pillows.
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - ANSWER Attach a
larger drainage bag while sleeping.
An older client who is unconscious is admitted after experiencing a head injury from a fall.
Glasgow Coma Scale (GCS) is prescribed to evaluate the client. Which focused assessments
should the practical nurse use to determine the client's GCS score? (Select all that apply.) -
ANSWER - Verbal response.
- Motor response.
- Eye-opening.
Older clients are at the highest risk for abuse and neglect due to which factors? (Select all
that apply.) - ANSWER - Needs are greater than the caretaker's abilities.
- Client's declining strength.
2
