Gerontological Nursing Questions With Complete Solutions

Gerontological Nursing Questions With Complete Solutions A 78 yr old female presents to the ED with complaints of nausea and sudden onset shortness of breath. The initial workup includes ____________, a. upper endoscopy b. CT of the head c. liver function studies d. EKG and serial enzymes for determination of an MI - ANSWER- D The following statement is not true. a. osteoarthritis is progressive erosion of articular cartilage with formation of new bone in this space b. rheumatoid arthritis is symmetrical inflammation of peripheral joints c. osteoarthritis occurs more commonly in the hands, elbows and shoulders whereas rheumatoid arthritis occurs in weight bearing joints more commonly d. osteoarthritis is associated with obesity, trauma, cold climate and overuse of a joint - ANSWER- C A 75 yr old client is recovering from abdominal surgery. The DR. has ordered morphine 2-6 mg every 4 hrs prn for pain. As the nurse plans to administer this medication, what intervention would the nurse choose to administer this drug to an older person. a. administer the highest dose of 6 mg b. administer the lowest dose of 2 mg c. avoid the narcotic because of the risk of addiction d. administer the dose only when the client asks for the medication 2 times - ANSWERB ________ is a factor that contributes to a high incidence of falls in the elderly. a. increased muscle mass and tone b. high likelihood of orthostatic hypotension upon rising quickly c. increasing acuity in eyesight in dim light d. constipation - ANSWER- B Identify the correct statement describing the abuse of elderly persons in the United States. a. Elder abuse is the most often reported form of domestic violence b. Statistically, neglect is the most common form of elder abuse c. Most cases of elder abuse are reported to the proper authorities d. Healthcare practitioners are only mandated to report verified, not suspected, cases of elder abuse - ANSWER- B An 81 yr old female presents to the ED with altered level of consciousness. All of the following except____ are possible causes for this condition. a. peripheral arterial disease b. hypoglycemia c. pneumonia d. hypotension from dehydration - ANSWER- A Pneumonia in the older client can be caused by all of the following except_____ a. aspiration from a poor swallow b. community acquired pneumonia c. sleep apnea d. compromised immune function and decreased pulmonary antibodies - ANSWER- C Which of the following cases seen by a nurse working in the ED identifies a situation that suggests a case of elder mistreatment? a. an 85 yr old male who has several areas of bruising on the back of the hands and is taking Clopidogrel sisulfate(Plavix) and aspirin daily b. an 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh c. a 77 yr old woman who fell at home after tripping over her dog and broke her arm about 30 minutes earlier d. a 73 yr old male with a history of gastric ulcers who is found to be anemic after vomiting blood 3 hours earlier - ANSWER- B Mr J., an 80 yr old who has had flu like symptoms with diarrhea and has vomited 4 times in the last 24 hours is seen in the ED. Mr. J seems confused and is lethargic. The nurse notes that Mr. J has dry skin, a brown tongue, sunken cheeks and concentrated urine. This array of symptoms indicates: a. congestive heart failure b. dehydration c. urinary tract infection d. bowel obstruction - ANSWER- B The microvascular changes that occur as a result of uncontrolled diabetes include all of the following except___: a. Retinopathy b. nephropathy c. neuropathy d. cerebral vascular disease - ANSWER- D All of the following conditions except___ can cause renal failure, especially in the older adult. a. diabetes mellitus b. prostate hypertrophy causing obstruction of urine thru the urethra c. heart failure d. ingesting more than 4 gms of acetaminophen (Tylenol) per day consistently for 2 years - ANSWER- D Which of the following clients is at greatest risk for orthostatic hypotension? a. a 75 yr old woman who uses a walker b. an 80 yr old male hypertensive who strains to void when using the bedside commode c. a 69 yr old is a long leg cast on his right leg d. an 80 yr old woman who is taking Premarin for post menopausal osteoporosis - ANSWER- B Which of the following can occur as a result of decreased hearing in the older person ? a. Decreased stressful interactions due to need to have verbal communication repeated. b. Increased danger due to inability to hear smoke or security alarms c. Decreased danger when driving or walking in traffic due to inability to hear car horns or traffic sounds d. Increased incidence of falls - ANSWER- B Which of the following interview questions would be mo