HESI PN Gerontology Practice Exam (Answered) Verified Solution

HESI PN Gerontology Practice Exam (Answered) Verified Solution The practical nurse (PN) 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? (select all that apply.) A. Locked medication storage in the client's room. B. Medication Administration Record (MAR). D. Delivery of adequate supply of medication. E. List of findings indicating medication effectiveness. Which age-related changes in the cardiovascular system should the practical nurse (PN) document when evaluating an older client? (select all that apply.) C. Cardiac murmurs. D. Widening pulse pressure. 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 (PN) focus on during the next examination? Depression. The practical nurse (PN) 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? Offer assistance with toileting q2 hours. The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who arrives at the clinic for an annual physical examination. What common side effect should the practical nurse (PN) advise the client to observe for with this medication? Headaches. The practical nurse (PN) 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? Report abdominal distention, constipation, or any nausea and vomiting to the health care provider. An older client asks the practical nurse (PN) how he can reduce his incidents of hemorrhoidal flare ups. What information should the PN offer the client to prevent rectal discomfort?( Select all that apply.) A. Increase fiber and liquids in the diet to help prevent constipation and straining. C. Use a therapeutic cushion or frequent repositioning for periods of prolonged sitting. D. Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues. E. Establish bowel habits by scheduling time where the client is not rushed to defecate daily. 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? Certain medications may impact sexual function. During the quarterly evaluations of the clients in the assisted living community, the practical nurse (PN) observes for findings of failure to thrive in the gerian population. Which findings should the PN document and report as manifestations related to failure to thrive? (selct all that apply.) A. Unintentional weigh loss B. Increased weakness. C. Increased amounts of sleep. The practical nurse (PN) 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? (Select all that apply.) A. Minimize stress level by providing the client a quiet environment during meals. B. Provide food variations that the client can manage without assistance. An older woman asks the practical nurse (PN) how she can decrease her chances of getting cystitis. What information should the PN provide? Void and empty bladder completely q2 to 3 hours. An older male client with Parkinson's disease (PD) is discharged home with levopoda-carbidopa (Sinemet) and instructions to his wife for his care. Which statement best indicated to the practical nurse that the wife understands her husband's needs? "I will notify the healthcare provider if my husband has increasing involuntary movements of his extremities. The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to prevent complications related to immobility? Perform leg exercises while in bed. An older male client is admitted to the hospital with left sided heart failure (HF). Which finding should the practical nurse document that is consistent of HF? 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 (PN) 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? Rationalization to support narcotic use. An older male client with heart failure (HF) complains of chronic constipation and wants to retrain his bowel. Which information should the practical nurse (PN) offer the client in establishing regular bowel habits Add whole grain foods and fibrous vegetables to diet. The home health practical nurse (PN) is visiting an older client with chronic hypertension. What evaluation is most important for the PN to complete with each visit? Effectiveness of medication. An older client is admitted for emergency treatment of acute closed-angle glaucoma. The practical nurse (PN) 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? Monitor intake and output q2 hours for 24 hours. The practical nurse (PN) 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? Administer morphine 4 mg IM q2 hour PRN pain. The home health practical nurse (PN) is reinforcing instructions to the the family about how to prevent pressure ulcers for their older family member who is bedridden. Which measure should the PN discuss? Lift the client when turning instead of sliding. The home health practical nurse (PN) is changing an older client's wet to dry dressing. Which observation should the PN evaluate as a therapeutic response with the removal of the dry dressing? Debridment and removal of slough and eschar. The home health practical nurse (PN) is observing an older client for a pressure ulcer. Which finding should the PN observe the area for a stage I pressure ulcer? 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? 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? Decrease in glomerular filtration rate (GFR) A frail elderly couple ask the practical nurse (PN) if they have to watch their salt intake because food does not taste as good as it used to so they have to season most foods. What information should the PN offer the couple? Taste buds often are dull due to atrophy so older client should use other seasonings instead of salt. 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.) A. Verbal response. B. Motor response. C. Eye opening. 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? Elevate the legs on pillows. A frail elderly client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia after taking a 10 day course of an antibiotic that was ineffective. The client has a long history of smoking and still smokes a pack of