GERO HESI EXAM TB

1. Which statement is true about rehab and restorative care for older adults? A PERSON CAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING 2. An older adult is in the hospital because of HF and has become incontinent of urine. Which EB resource should the nurse use to guide continence care for this pt? NURSING STANDARD PRACTICE PROTOCOL 3. The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED INTRAABDOMINAL PRESSURE 4. A large residual urine volume characterizes what type of incontinence? OVERLFOW Which action should be included in all bladder-retraining programs? TOILETING AT BEDTIME 5. The nurse assess a male resident in a NH for urinary incontinence and determines that he is unaware of the problem. Which recommendation should the nurse implement? PROVIDE REGULAR TOILETING 6. The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills. Which intervention should the nurse implement? SCHEDULE VOIDING AT 2-4 HR INTERVALS 7. What is the most important aspect of care for the nurse to maintain when assisting an older pt with urinary incontinence? MAINTAINING AN ATTITUDE THAT IS RESPECTFUL ABOUT RESLOVING THE PROBLEM 8. An older woman tells the NP that she fears her family will place her in a NH because she developed stress incontinence. Which recommendation should the nurse implement? RECOMMEND EXERCISES TO STRENGTHEN THE PELVIC FLOOR 9. The nurse is caring for a pt who has recently had an indwelling catheter placed. The nurse should assess the pt for? A CHANGE IN MENTAL STATUS 10. An older adult who is on bedrest after surgery is prescribed morphine for pain. Which of the following is the nurse’s priority for preventive care? CONSTIPATION 11. Which of the following statements is a true about elimination in older adults? DEFACATION 1 DAY IS NOT NECESSARILY CONSTIPATION 12. Which option is part of the program that addresses bowel incontinence in an older adult pt? ENSURING THAT A TOILET OR COMMODE IS READILY ACCESSIBLE TO THE PT 13. Which is an important consideration about the skin of an older adult person? THE SKIN BECOMES MORE VULNERABLE TO DAMAGE 14. Which topical agent is safe to apply? LIGHT MINERAL OIL TO MOISTEN SKIN AFTER BATHING 15. A 70 yr old woman complains of dry skin and asks for advice. Which advice should the nurse offer to this woman for improving dry skin? KEEP BATH WATER BETWEEN 90* AND 105*F 16. The nurse monitors for which clinical indicator when the older adult complains of pruritus? COARSE SKIN 17. Which infection control practice should the nurse implement when caring for an older adult who has active herpes zoster? COVER RUPTURED SKIN LESIONS WITH A NONABSORBENT DRESSING 17. The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance. Which assessment approach should the nurse use? ABCD RULE (ASYMMETRY, BORDER, COLOR, DIAMETER) 18. The nurse cares for an older man who has a malignant melanoma. Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future? INSTRUCT HIM TO WEAR SUN-PROTECTIVE CLOTHING AND A HAT AT ALL TIMES 19. Which of the following is a true statement about impaired skin integrity? MUSCLE AND FAT CANNOT REGENERATE 20. An older adult is vitamin deficient. Which of the following does the nurse offer to the older adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair? ORANGE SLICES 21. An older adult woman complains of foot plain from a corn. After assessing her feet, which intervention should the nurse implement to alleviate her from discomfort? CUT OUT AN OVAL CORN PAD TO MAKE A U SHAPE 22. Which of the following statements is true about Medicare for older adults? 80% OF MEDICARE’S ANNUAL EXPENDITURES ......................................CONTINUED.............................