Geri Exam 3 with precise |! |! |! |! |!
detailed answers |!
The leukocyte count of an older adult patient is elevated. Understanding the
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effects of aging on body functions, what action by the nurse is best? - Correct
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answer ✔take vital signs and perform a head to toe assessment.
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The nurse helps minimize an older adult patient's risk of developing
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pernicious anemia by which of the following actions? - Correct answer
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✔suggesting supplementing vitamin B12 |! |! |!
The nurse suspects that an older postoperative patient is developing a wound
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infection. What data best supports this inference? - Correct answer
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✔increasing c-reactive protein level. |! |! |!
On assessing the laboratory data of an older adult patient, the nurse notes the
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serum potassium level is 5.3 mEq/L. What action by the nurse is best? -
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Correct answer ✔asks if the patient has been using a NSAID.
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An older adult patient is experiencing symptoms commonly associated with
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hyperglycemia. Which laboratory test is most reliable for detecting |! |! |! |! |! |! |! |! |!
hyperglycemia in older adults? - Correct answer ✔an oral glucose tolerance
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test.
,An older patient has a pressure ulcer that is resistant to healing despite
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aggressive therapy and has developed pitting pedal edema. The patient's
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albumin is 3.4 g/dL. What action by the nurse is best? - Correct answer
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✔request a prealbumin level from the provider. |! |! |! |! |! |!
A 71-year-old patient has a triglyceride level of 112 mg/dL. What action by
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the nurse is best? - Correct answer ✔assess the patient for cardiovascular risk
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factors.
The nurse is caring for an 88-year-old patient who was admitted to the long-
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term care facility after a series of "accidents" at home. The resident's folic acid
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level is 2ng/mL. What action by the nurse is best? - Correct answer ✔assess
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the patient for alcohol abuse.
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A 66-year-old patient has a calcium level of 7.8 mg/dL. The nurse anticipates
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which other lab result? - Correct answer ✔phosphorus level 5.2mg/dL.
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A patient's oxygen saturation is 98%, but the patient reports shortness of
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breath with activity. What action by the nurse is best? - Correct answer
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✔assess the patient's hemoglobin. |! |! |!
A patient has increased total iron binding capacity and transferrin levels.
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What action by the nurse is best? - Correct answer ✔encourage the patient to
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eat protein.
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, An older female patient develops gout and says, "Why did I get this now?".
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What response by the nurse is best? - Correct answer ✔"uric acid rarely rises
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until after menopause."
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An older patient takes warfarin. The patient's INR is 1.0. What action by the
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nurse is best? - Correct answer ✔assess the patient's diet history.
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An older adult has been admitted for dehydration. Which laboratory value
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correlates with this condition? - Correct answer ✔Na+ 160 mEq/L
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A patient is in the emergency department with chest pain and shortness of
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breath. Which laboratory result does the nurse review as the priority? -
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Correct answer ✔troponin |! |!
A patient has heart failure and takes spironolactone. What diet selection from
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the menu shows that the patient needs more education? - Correct answer
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✔salt substitute and pepper
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An older patient's BUN is 28mg/dL and creatinine is 0.6 mg/dL. How does
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the nurse interpret these findings? - Correct answer ✔normal for older adults.
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An 85-year-old patient's blood gases are as follows: pH 7.4, PaO2 75mmHg,
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PaCO2 38. A patient's brain natriuretic peptide was elevated on admission
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from the emergency department. Two days later, it has been reduced by half.
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What explanation of these findings by the nurse is best? - Correct answer ✔"it
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shows your heart failure may be resolving."
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detailed answers |!
The leukocyte count of an older adult patient is elevated. Understanding the
|! |! |! |! |! |! |! |! |! |! |! |!
effects of aging on body functions, what action by the nurse is best? - Correct
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
answer ✔take vital signs and perform a head to toe assessment.
|! |! |! |! |! |! |! |! |! |!
The nurse helps minimize an older adult patient's risk of developing
|! |! |! |! |! |! |! |! |! |! |!
pernicious anemia by which of the following actions? - Correct answer
|! |! |! |! |! |! |! |! |! |! |!
✔suggesting supplementing vitamin B12 |! |! |!
The nurse suspects that an older postoperative patient is developing a wound
|! |! |! |! |! |! |! |! |! |! |! |!
infection. What data best supports this inference? - Correct answer
|! |! |! |! |! |! |! |! |! |!
✔increasing c-reactive protein level. |! |! |!
On assessing the laboratory data of an older adult patient, the nurse notes the
|! |! |! |! |! |! |! |! |! |! |! |! |!
serum potassium level is 5.3 mEq/L. What action by the nurse is best? -
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔asks if the patient has been using a NSAID.
|! |! |! |! |! |! |! |! |! |!
An older adult patient is experiencing symptoms commonly associated with
|! |! |! |! |! |! |! |! |! |!
hyperglycemia. Which laboratory test is most reliable for detecting |! |! |! |! |! |! |! |! |!
hyperglycemia in older adults? - Correct answer ✔an oral glucose tolerance
|! |! |! |! |! |! |! |! |! |! |!
test.
,An older patient has a pressure ulcer that is resistant to healing despite
|! |! |! |! |! |! |! |! |! |! |! |! |!
aggressive therapy and has developed pitting pedal edema. The patient's
|! |! |! |! |! |! |! |! |! |!
albumin is 3.4 g/dL. What action by the nurse is best? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔request a prealbumin level from the provider. |! |! |! |! |! |!
A 71-year-old patient has a triglyceride level of 112 mg/dL. What action by
|! |! |! |! |! |! |! |! |! |! |! |! |!
the nurse is best? - Correct answer ✔assess the patient for cardiovascular risk
|! |! |! |! |! |! |! |! |! |! |! |! |!
factors.
The nurse is caring for an 88-year-old patient who was admitted to the long-
|! |! |! |! |! |! |! |! |! |! |! |! |!
term care facility after a series of "accidents" at home. The resident's folic acid
|! |! |! |! |! |! |! |! |! |! |! |! |!
level is 2ng/mL. What action by the nurse is best? - Correct answer ✔assess
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the patient for alcohol abuse.
|! |! |! |!
A 66-year-old patient has a calcium level of 7.8 mg/dL. The nurse anticipates
|! |! |! |! |! |! |! |! |! |! |! |! |!
which other lab result? - Correct answer ✔phosphorus level 5.2mg/dL.
|! |! |! |! |! |! |! |! |!
A patient's oxygen saturation is 98%, but the patient reports shortness of
|! |! |! |! |! |! |! |! |! |! |! |!
breath with activity. What action by the nurse is best? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |!
✔assess the patient's hemoglobin. |! |! |!
A patient has increased total iron binding capacity and transferrin levels.
|! |! |! |! |! |! |! |! |! |! |!
What action by the nurse is best? - Correct answer ✔encourage the patient to
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
eat protein.
|!
, An older female patient develops gout and says, "Why did I get this now?".
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
What response by the nurse is best? - Correct answer ✔"uric acid rarely rises
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
until after menopause."
|! |!
An older patient takes warfarin. The patient's INR is 1.0. What action by the
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
nurse is best? - Correct answer ✔assess the patient's diet history.
|! |! |! |! |! |! |! |! |! |!
An older adult has been admitted for dehydration. Which laboratory value
|! |! |! |! |! |! |! |! |! |! |!
correlates with this condition? - Correct answer ✔Na+ 160 mEq/L
|! |! |! |! |! |! |! |! |!
A patient is in the emergency department with chest pain and shortness of
|! |! |! |! |! |! |! |! |! |! |! |! |!
breath. Which laboratory result does the nurse review as the priority? -
|! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔troponin |! |!
A patient has heart failure and takes spironolactone. What diet selection from
|! |! |! |! |! |! |! |! |! |! |!
the menu shows that the patient needs more education? - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |!
✔salt substitute and pepper
|! |! |!
An older patient's BUN is 28mg/dL and creatinine is 0.6 mg/dL. How does
|! |! |! |! |! |! |! |! |! |! |! |! |!
the nurse interpret these findings? - Correct answer ✔normal for older adults.
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An 85-year-old patient's blood gases are as follows: pH 7.4, PaO2 75mmHg,
|! |! |! |! |! |! |! |! |! |! |! |!
PaCO2 38. A patient's brain natriuretic peptide was elevated on admission
|! |! |! |! |! |! |! |! |! |! |!
from the emergency department. Two days later, it has been reduced by half.
|! |! |! |! |! |! |! |! |! |! |! |! |!
What explanation of these findings by the nurse is best? - Correct answer ✔"it
|! |! |! |! |! |! |! |! |! |! |! |! |!
shows your heart failure may be resolving."
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