The practical nurse (PN) is caring for an older female client with a 20 year history of rheuma-
toid arthritis (RA) who is admitted for carpel tunnel release. Which finding associated with
RA should the PN document? - ANSWER small joint involvement in finger
The healthcare provider prescribes a new medication, atrovastatin (Lipitor), for an older cli-
ent 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? - AN-
SWER headaches
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.) -
ANSWER verbal response
motor response
eye opening
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - ANSWER attach a larger
drainage bag while sleeping
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? - ANSWER certain medi-
cations may impact sexual functions
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that
apply.) - ANSWER needs are greater than caretaker ability
clients declining strength.
1
, When needs are not being met due to lack of ability of the caretaker (A), stress and feelings
of failure of the care provider may be expressed through neglect and abuse. Decline in
strength (B) increases the older client's vulnerability to resist or respond to elder abuse. A
fixed income (C), a longer life expectancy (D) and the lack of exposure to technology, and
trends (E) do not increase the risk for neglect and abuse.
An older male client asks the practical nurse (PN) how he can reduce his incidents of hemor-
rhoidal flare ups. What information should the PN offer the client to prevent rectal discom-
fort? (Select all that apply.) - ANSWER Use a therapeutic cushion or frequent reposition-
ing for periods of prolonged sitting.
Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
increase fiber and liquids in the diet to help prevent . constipation and straining
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 cigarettes a day. Which finding should the
practical nurse (PN) report to the charge nurse? - ANSWER crackles and pulse oxemitry
level of 88%
An older man returns to the medical surgical floor with a 3-way indwelling urinary catheter
after a transurethral resection of the prostate (TURP). The practical nurse (PN) observes the
catheter's tubing for drainage when he states he needs to void. What should the PN imple-
ment based on this finding? - ANSWER Irrigate the bladder through the catheter port.
2
toid arthritis (RA) who is admitted for carpel tunnel release. Which finding associated with
RA should the PN document? - ANSWER small joint involvement in finger
The healthcare provider prescribes a new medication, atrovastatin (Lipitor), for an older cli-
ent 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? - AN-
SWER headaches
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.) -
ANSWER verbal response
motor response
eye opening
The home health practical nurse (PN) visits an older female client with an ileal conduit who
has been experiencing chronic urinary tract infections (UTI). Which intervention should the
PN recommend the client do to manage the frequency of UTIs? - ANSWER attach a larger
drainage bag while sleeping
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? - ANSWER certain medi-
cations may impact sexual functions
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that
apply.) - ANSWER needs are greater than caretaker ability
clients declining strength.
1
, When needs are not being met due to lack of ability of the caretaker (A), stress and feelings
of failure of the care provider may be expressed through neglect and abuse. Decline in
strength (B) increases the older client's vulnerability to resist or respond to elder abuse. A
fixed income (C), a longer life expectancy (D) and the lack of exposure to technology, and
trends (E) do not increase the risk for neglect and abuse.
An older male client asks the practical nurse (PN) how he can reduce his incidents of hemor-
rhoidal flare ups. What information should the PN offer the client to prevent rectal discom-
fort? (Select all that apply.) - ANSWER Use a therapeutic cushion or frequent reposition-
ing for periods of prolonged sitting.
Take frequent warm sitz baths and use non-abrasive tissue that can tramatize tissues.
Establish bowel habits by scheduling time where the client is not rushed to defecate daily.
increase fiber and liquids in the diet to help prevent . constipation and straining
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 cigarettes a day. Which finding should the
practical nurse (PN) report to the charge nurse? - ANSWER crackles and pulse oxemitry
level of 88%
An older man returns to the medical surgical floor with a 3-way indwelling urinary catheter
after a transurethral resection of the prostate (TURP). The practical nurse (PN) observes the
catheter's tubing for drainage when he states he needs to void. What should the PN imple-
ment based on this finding? - ANSWER Irrigate the bladder through the catheter port.
2
