ATI LEARNING SYSTEM GERONTOLOGY END OF YEAR

ATI LEARNING SYSTEM GERONTOLOGY END OF YEAR a nurse is conduction an admission assessment for an older adult client. which of the following actions should the nurse take to collect subjective data - CORRECT ANSWER-allow sufficient time for the clients to respond to the questions a nurse is admitting an older adult client who fell at home 3 days ago. the client has a fractured hip, malnutrition and dehydration. which of the following laboratory values noted on admission, should indicate to the nurse prolonged malnutrition - CORRECT ANSWER-decreased albumin a nurse in the clinic is assessing an older adult client for the second time in a week. the client reports a decreased energy level, insomnia and anorexia. the clients diagnostic tests are within the expected reference ranges. for which of the following conditions should the nurses screen the client - CORRECT ANSWER-depression a nurse is planning care for an older adult client following abdominal surgery for a bowel obstruction. which of the following information about pain management should the nurse consider when planning care - CORRECT ANSWER-older adult clients are sensitive to the analgesic effects of opiates a nurse in a long term care facility is promoting reminiscence among older adult clients. which of the following action should the nurse take - CORRECT ANSWER-institute a daily story telling hour a nurse is planning to administer diphenhydramine hydrochloride to an older adult client. which of the following actions should the nurse plan to take prior to administration - CORRECT ANSWER-review the medical record for a client history of glaucoma a nurse is participating on a committee that is developing age appropriate care standards for an older adult clients. which of the following of Erikson's developmental stages should the nurse recommend as the focus - CORRECT ANSWER-integrity a nurse is assessing an older adult client who states he is homeless. which of the following findings would the nurse document as comorbidities for this client - CORRECT ANSWER-dementia and tuberculosis a nurse is providing teaching to an older adult client who has osteoarthritis of the right hip and lower lumbar vertebra. which of the following statements by the client indicates an understanding of the teaching - CORRECT ANSWER-"to relieve the pressure on my hip I can use a cane while ambulating" a nurse is providing discharge instructions about calcium supplements to an older adult client who has osteoporosis and a recent repair of a fracture in her right hip, which of the following instructions should the nurse include - CORRECT ANSWER-you should take your calcium supplement with a large glass of water a nurse caring for an older adult client who has a new onset of type 2 diabetes mellitus. which of the following physiologic changes can contribute to the development of type 2 diabetes - CORRECT ANSWER-decrease sensitivity to the circulating insulin A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements, which of the following statements about the role of folic acid should the nurse make - CORRECT ANSWER-adequate folic acid intake is associated with a reduced risk for heart disease a nurse is teaching an older adult client who is on bedrest following development of deep vein thrombosis (DVT) about methods to increase peristalsis. which of the following high fiber food choices should the nurse recommend - CORRECT ANSWERnavy bean soup a nurse is assessing an older adult client for signs of dehydration. which of the following findings should the nurse consider an expected part of the aging process - CORRECT ANSWER-decreased creatinine clearance a nurse is caring for an older adult client. which of the following physiological changes associated with aging can affect medication dosage in this client - CORRECT ANSWER-decreased gastric motility a nurse at a long term care facility is providing teaching to a group of adolescents who are new volunteers. the nurse should explain that older clients are most likely to exhibit a decrease in which of the following - CORRECT ANSWER-short term memory A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract. which of the following client reports should the nurse recognize is consistent with cataracts - CORRECT ANSWER-halos when looking at lights a nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. the client has a new prescription for alendronate sodium. which of the following findings in the client history should the nurse recognize is a contradiction to this medication - CORRECT ANSWER-esophageal achalasia a nurse is caring for an older client who has pneumonia. which of the following physiological changes associated with aging places the client at risk for pneumonia - CORRECT ANSWER-decreased number of cilia a nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). which of the following instructions should the nurse include regarding clients who are hearing impaired - CORRECT ANSWERmaintain eye contact with the clients a nurse is teaching a group of healthy older clients about health screening after age 50 years. which of the following health screenings should the nurse recommend that a client completes annually - CORRECT ANSWER-visual acuity a nurse is caring for an older adult client who has gout and refuses to eat. the clients provider has approved the family to bring food from home. which of the following foods should the nurse recommend that the client not eat - CORRECT ANSWER-lentil soup a nurse is planning care for a client who had a stroke. which of the following goals should the nurse identify as priority for this client - CORRECT ANSWER-the clients airway will remain clear, as evidenced by clear breath sounds a nurse is caring for a client who has Alzheimer's disease and refuses to take her morning anti hypertensive medication, the client is orientated to name and place and is able to perform ADLs with minimal supervision. which of the following action should the nurse take - CORRECT ANSWER-ask the client to express her reason for refusing medication and document the event a nurse is developing a plan of care for a client who had a recent stroke and has a history of gastroesophageal reflux disease (GERD). for which of the following disorders should the nurse plan to monitor this client - CORRECT ANSWER