GERIATRICS FINAL|UPDATED&VERIFIED|GUARANTEED SUCCESS

Following an appointment with the primary care provider, the nurse is performing patient education to an independent living older adult about a newly prescribed medication. Which factor is most likely to interfere with the effectiveness of this process? 1 - The patient wears a hearing aid. 2 - The patient has a history of hypothyroidism. 3 - The nurse provided written handouts. 4 - The nurse is in a hurry. 4 - The nurse is in a hurry. What is an example of a medication that can be crushed? 1 - A potassium tablet 2 - Enteric coated aspirin 3 - Sublingual nitroglycerin 4 - A calcium tablet 4 - A calcium tablet You are administering medication through a transdermal patch. What are some precautions? (Select all that apply.) 1 - Remove all old patches before applying a new patch. 2 - Use the same location each time for consistent absorption. 3 - Cleanse the skin after removing an old patch. 4 - Dispose of old patches in the toilet. 5 - Verify the dosage strength of the patch. 6 - Wear gloves. 7 - Tape over the patch to keep it secure. 1 - Remove all old patches before applying a new patch. 3 - Cleanse the skin after removing an old patch. 5 - Verify the dosage strength of the patch. 6 - Wear gloves. A resident in a long-term care facility has an order for digoxin 0.25 mg every morning in tablet form. If the nurse assesses that this resident has been having difficulty swallowing, what should the nurse do? 1 - Administer the digoxin in liquid form. 2 - Crush the digoxin for administration. 3 - Withhold the digoxin and document. 4 - Discuss the possibility of an order change to liquid form with the primary care provider. 4 - Discuss the possibility of an order change to liquid form with the primary care provider. Family members are caring for their aging mother at home. Which statement by the daughter indicates the need for further teaching? (Select all that apply.) 1 - "I change mom's brief whenever it is really wet." 2 - I make sure mom eats good meals and extra snacks." 3 - "We try to change mom's position at least every 2 hours." 4 - "I try to use lotion on mom's skin every morning and evening." 5 - "I'm glad we don't have to see the dentist anymore now that mom has dentures." 1 - "I change mom's brief whenever it is really wet." 5 - "I'm glad we don't have to see the dentist anymore now that mom has dentures." In helping the registered nurse perform an admission and assessment of a new patient, you mutually recognize this patient is at risk for skin tears. Which would be appropriate to include in the care plan? (Select all that apply.) 1 - Apply lotion after the daily bath to moisten the skin. 2 - Dress patient in short sleeves to allow for better visualization of skin. 3 - Apply steri-strips if a skin tear appears. 4 - Move and position the patient gently and carefully. 5 - Use a safe sunblock when sun exposure is expected. 4 - Move and position the patient gently and carefully. 5 - Use a safe sunblock when sun exposure is expected. Select the factors that contribute to the development of hypothermia in older adults. (Select all that apply.) 1 - Decreased muscle tissue. 2 - Decreased sensory perception of cold. 3 - Decreased subcutaneous fat. 4 - Increased metabolism. 5 - Increased muscle activity. 1 - Decreased muscle tissue 2 - Decreased sensory perception of cold 3 - Decreased subcutaneous fat When taking a radial pulse of an older adult, the nurse finds it difficult to count a weak and thready pulse. What should the nurse do? 1 - Gently apply more pressure with three fingers to obtain a stronger pulse. 2 - Take the person's blood pressure to get the heart rate reading from the machine. 3 - Take an apical pulse instead. 4 - Document, "Weak, thready pulse, rate N/A." 3 - Take an apical pulse instead. When performing an assessment of the gastrointestinal system of an older adult, the nurse would proceed in what order? Place the parts of a gastrointestinal system assessment in sequence from first to last. 1 - Palpate abdomen. 2 - Observe abdomen for scars. 3 - Obtain a health history. 4 - Inspect the oral cavity. 5 - Auscultate bowel sounds. 5 - Auscultate bowel sounds. 3 - Obtain health history. 1 - Palpate abdomen. 2 - Observe abdomen for scars. 4 - Inspect the oral cavity. When performing an interview with an older adult, the nurse should consider physical environment factors by: (Select all that apply.) 1 - Explaining what will take place during the assessment. 2 - Ensuring privacy and minimum noise levels. 3 - Selecting a room with a comfortable temperature. 4 - Ensuring bright lighting to enable the older adult to see clearly. 5 - Having the interview done by a nurse of the same gender to build rapport. 6 - Seeking a location in close proximity to a restroom. 1 - Explaining what will take place during the assessment. 2 - Ensuring privacy and minimum noise levels. 3 - Selecting a room with a comfortable temperature. 6 - Seeking a location in close proximity to a restroom. An older adult who resides in a long-term care facility has been refusing food and fluids for the past 2 days. He repeatedly says, "Leave me alone!" What is the best initial nursing intervention? 1 - Obtain an order from the primacy care provider to insert a feeding tube. 2 - Assess to identify changes in physical or emotional status. 3 - Discuss use of high nutrient supplemental shakes with the dietitian. 4 - Request assistance with feeding from the family. 2 - Assess to identify changes in physical or emotional status. In promoting sleep hygiene practices for her older adult patient, what should the nurse suggest? (Select all that apply.) 1 - Implement a routine of bedtime cocoa. 2 - Make the bedroom warm for a comfortable sleep. 3 - Eat a light snack before bedtime. 4 - Develop a daily exercise program, preferably outdoors. 5 - If the older adult cannot fall asleep, lie there until it eventually happens. 3 - Eat a light snack before bedtime. 4 - Develop a daily exercise program, preferably outdoors. List four factors that are likely to cause sleep problems in older adults. 1 - medical conditions 2 - medications 3 - psychological 4 - behvaior/environmental Which statement is incorrect? 1 - If the patient complains of respiratory difficulties even though vital signs and oxygen saturation are normal, he is most likely developing delirium. 2 - A dying woman with end-stage kidney disease should be allowed to choose foods she enjoys even if they are not part of the renal diet. 3 - The primary goal of end-of-life care is to alleviate suffering and provide the dying person the best quality of life possible. 4 - Artificial nutrition and hydration may cause a greater burden than benefit to a dying person. 1 - If the patient complains of respiratory difficulties even though vital signs and oxygen saturation are normal, he is most likely developing delirium. What are patients who have had Parkinson disease for 10 years likely to exhibit? (Select all that apply.) 1 - Rigidity and tremors when at rest 2 - Hemiparesis and aphasia 3 - Dementia 4 - Unilateral tremors with movement 5 - Tremors present during sleep 1 - Ridigity and tremors when at rest 3 - Dementia