GERONTOLOGY EVOLVE
QUESTIONS & ANSWERS 100%
CORRECT!!
Myxedema can be described as a(n):
A. Complication of hyperthyroidism
B. Combination of peripheral and central edema
C. Serious complication of untreated hypothyroidism in the older adult
D. Apathetic thyrotoxicosis - ANSWERC. Serious complication of untreated
hypothyroidism in the older adult
When teaching a client about taking his thyroid medication, the nurse needs to
ensure that he follows all of the following instructions EXCEPT: (Select all that
apply.)
A. Take the medication at the same time every day.
B. Always take the same brand of medication.
C. Do not take mineral products (e.g., calcium) at the same time.
D. Take an extra dose if you feel any fluttering in the chest. - ANSWERD. Take an
extra dose if you feel any fluttering in the chest.
As a nurse, you will be responsible for teaching self-management skills to an older
adult client. Which one of the following skills would not be something you would
teach your client?
A. What to do during periods of other illnesses
B. How to use a personal glucose monitor
C. The importance of eating fats and carbohydrates
D. How to take care of his or her feet - ANSWERC. The importance of eating fats
and carbohydrates
You have read that your older adult client has a history of thyroid disease. After
assessing him, you realize he has signs of hyperthyroidism and note which of the
following symptoms? (Select all that apply.)
A. Atrial fibrillation
B. Muscle weakness
C. Slowed thinking
D. Heat intolerance
E. Diarrhea
F. Anorexia - ANSWERA. Atrial fibrillation
B. Muscle weakness
F. Anorexia
,As a nurse taking care of an older adult with pre-diabetes, you need to teach her
which of the following? (Select all that apply.)
A. Smoking cessation
B. Keeping the fasting blood sugar (FBS)
C. Keeping the low-density lipoprotein (LDL) level
D. Maintaining her blood pressure (BP) 130/80 mm Hg
E. Keeping the triglycerides level >150 mg/dl
F. Maintaining a cholesterol level >200 mg/dl - ANSWERA. Smoking cessation
B. Keeping the fasting blood sugar (FBS) below 126 mg/dL
C. Keeping the low-density lipoprotein (LDL) level below 100 mg/dL
D. Maintaining her blood pressure (BP) 130/80 mm Hg or less
You notice that your older adult client frequently knocks his arm or hand against door
frames or chair backs and then develops a purpura. You advise your client to do all
the following EXCEPT:
A. Wear a long-sleeved shirt.
B. Protect the skin from trauma.
C. Tape a nonadherent dressing over the site of a skin tear.
D. Remind the health care personnel to be gentle when handling this client's skin. -
ANSWERC. Tape a nonadherent dressing over the site of a skin tear.
When an older adult client complains of itching and pain and several days later show
you a rash, you realize she has:
A. Herpes zoster
B. Actinic keratosis
C. Scabies
D. Skin cancer - ANSWERA. Herpes zoster
Of all the following malignant skin cancers, which one is the most common?
A. Actinic keratosis
B. Squamous cell carcinoma
C. Melanoma
D. Basal cell carcinoma - ANSWERD. Basal cell carcinoma
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting
from pressure or in combination with shear, usually over a bony prominence. To
prevent pressure ulcers, you know that you must perform all the following EXCEPT:
A. Turn immobile clients every 2 hours off bony prominences.
B. Keep the skin moist.
C. Use lift or draw sheets to move clients in bed.
D. Ensure that your client maintains a healthy nutritional status. - ANSWERB. Keep
the skin moist
After working with the older adults, you know that the following skin problems are
common: (Select all that apply.)
, A. Xerosis
B. Pruritus
C. Seborrheic keratosis
D. Pressure ulcers
E. Eschar
F. Hyperemia - ANSWERA. Xerosis
B. Pruritus
C. Seborrheic keratosis
The change in the effectiveness of two or more substances when used in
combination refers to which one of the following terms?
A. biotransformation
B. potentiation
C. bioavailability
D. iatrogenic - ANSWERB
Which classification of drugs is on the list of potentially inappropriate medications
(PIM) for older adults and should be avoided except in extreme cases?
A. warfarin
B. acetaminophen
C. benzodiazepines
D. narcotic analgesics - ANSWERC
__ is the use of multiple medications that can increase the risk for drug interactions
and increase the risk for an adverse event.
A. pharmacokinetics
B. chronopharmacology
C. pharmacodynamics
D. polypharmacy - ANSWERD
An older adult client has recently been diagnosed with gout. You will need to teach
him all of the following EXCEPT
A. side effects of medications.
B. how to decrease the likelihood of another attack.
C. care of the joint.
D. reassurance that this is a one-time occurrence. - ANSWERD
You are taking care of a female older adult client with a loss of height and kyphosis.
She is also postmenopausal. Which one of the following diagnostic tools would you
order?
A. Computed tomography (CT) scan of her bones
B. Magnetic resonance image (MRI) of her bones
C. Bone scan
D. Dual-energy x-ray absorptiometry (DEXA) scan - ANSWERD
In visiting with an older adult client in his home, you see that he has more
medications left in his bottles than he should have if he were taking them as
instructed. You also note that his glasses are on the side table and broken. After
QUESTIONS & ANSWERS 100%
CORRECT!!
Myxedema can be described as a(n):
A. Complication of hyperthyroidism
B. Combination of peripheral and central edema
C. Serious complication of untreated hypothyroidism in the older adult
D. Apathetic thyrotoxicosis - ANSWERC. Serious complication of untreated
hypothyroidism in the older adult
When teaching a client about taking his thyroid medication, the nurse needs to
ensure that he follows all of the following instructions EXCEPT: (Select all that
apply.)
A. Take the medication at the same time every day.
B. Always take the same brand of medication.
C. Do not take mineral products (e.g., calcium) at the same time.
D. Take an extra dose if you feel any fluttering in the chest. - ANSWERD. Take an
extra dose if you feel any fluttering in the chest.
As a nurse, you will be responsible for teaching self-management skills to an older
adult client. Which one of the following skills would not be something you would
teach your client?
A. What to do during periods of other illnesses
B. How to use a personal glucose monitor
C. The importance of eating fats and carbohydrates
D. How to take care of his or her feet - ANSWERC. The importance of eating fats
and carbohydrates
You have read that your older adult client has a history of thyroid disease. After
assessing him, you realize he has signs of hyperthyroidism and note which of the
following symptoms? (Select all that apply.)
A. Atrial fibrillation
B. Muscle weakness
C. Slowed thinking
D. Heat intolerance
E. Diarrhea
F. Anorexia - ANSWERA. Atrial fibrillation
B. Muscle weakness
F. Anorexia
,As a nurse taking care of an older adult with pre-diabetes, you need to teach her
which of the following? (Select all that apply.)
A. Smoking cessation
B. Keeping the fasting blood sugar (FBS)
C. Keeping the low-density lipoprotein (LDL) level
D. Maintaining her blood pressure (BP) 130/80 mm Hg
E. Keeping the triglycerides level >150 mg/dl
F. Maintaining a cholesterol level >200 mg/dl - ANSWERA. Smoking cessation
B. Keeping the fasting blood sugar (FBS) below 126 mg/dL
C. Keeping the low-density lipoprotein (LDL) level below 100 mg/dL
D. Maintaining her blood pressure (BP) 130/80 mm Hg or less
You notice that your older adult client frequently knocks his arm or hand against door
frames or chair backs and then develops a purpura. You advise your client to do all
the following EXCEPT:
A. Wear a long-sleeved shirt.
B. Protect the skin from trauma.
C. Tape a nonadherent dressing over the site of a skin tear.
D. Remind the health care personnel to be gentle when handling this client's skin. -
ANSWERC. Tape a nonadherent dressing over the site of a skin tear.
When an older adult client complains of itching and pain and several days later show
you a rash, you realize she has:
A. Herpes zoster
B. Actinic keratosis
C. Scabies
D. Skin cancer - ANSWERA. Herpes zoster
Of all the following malignant skin cancers, which one is the most common?
A. Actinic keratosis
B. Squamous cell carcinoma
C. Melanoma
D. Basal cell carcinoma - ANSWERD. Basal cell carcinoma
Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting
from pressure or in combination with shear, usually over a bony prominence. To
prevent pressure ulcers, you know that you must perform all the following EXCEPT:
A. Turn immobile clients every 2 hours off bony prominences.
B. Keep the skin moist.
C. Use lift or draw sheets to move clients in bed.
D. Ensure that your client maintains a healthy nutritional status. - ANSWERB. Keep
the skin moist
After working with the older adults, you know that the following skin problems are
common: (Select all that apply.)
, A. Xerosis
B. Pruritus
C. Seborrheic keratosis
D. Pressure ulcers
E. Eschar
F. Hyperemia - ANSWERA. Xerosis
B. Pruritus
C. Seborrheic keratosis
The change in the effectiveness of two or more substances when used in
combination refers to which one of the following terms?
A. biotransformation
B. potentiation
C. bioavailability
D. iatrogenic - ANSWERB
Which classification of drugs is on the list of potentially inappropriate medications
(PIM) for older adults and should be avoided except in extreme cases?
A. warfarin
B. acetaminophen
C. benzodiazepines
D. narcotic analgesics - ANSWERC
__ is the use of multiple medications that can increase the risk for drug interactions
and increase the risk for an adverse event.
A. pharmacokinetics
B. chronopharmacology
C. pharmacodynamics
D. polypharmacy - ANSWERD
An older adult client has recently been diagnosed with gout. You will need to teach
him all of the following EXCEPT
A. side effects of medications.
B. how to decrease the likelihood of another attack.
C. care of the joint.
D. reassurance that this is a one-time occurrence. - ANSWERD
You are taking care of a female older adult client with a loss of height and kyphosis.
She is also postmenopausal. Which one of the following diagnostic tools would you
order?
A. Computed tomography (CT) scan of her bones
B. Magnetic resonance image (MRI) of her bones
C. Bone scan
D. Dual-energy x-ray absorptiometry (DEXA) scan - ANSWERD
In visiting with an older adult client in his home, you see that he has more
medications left in his bottles than he should have if he were taking them as
instructed. You also note that his glasses are on the side table and broken. After
