Gerontology HESI Final Prep Exam Test | Latest Updates
Gerontology HESI Final Prep Exam Test | Latest Updates An older resident is newly admitted to an assisted living community. Which actions should the registered nurse (RN) implement to provide the resident ways to maintain safe medication administration? (Select all that apply) A) Locked medication storage in the client's room B) Medication forms for prescribed medications C) Payment forms for prescribed medications D) Delivery of adequate supply of medication E) List of findings indicating medication effectiveness - ANSWER A,B,D,E For safe self-medication in an assisted living community, the resident should be provided a locked storage box, create a medication administration record to monitor medication, establish adequate medication supply, and a reference to evaluate the effectiveness of medication When assessing an older client, which age-related changes in the cardiovascular system should the registered nurse (RN) document? (Select all that apply.) A) Dyspnea B) Chest pain C) Cardiac murmurs D) Widening pulse pressure E) Irregular heart rate - ANSWER C,D For older clients the expected age-related changes in the cardiovascular system include murmurs and widening pulse pressure An older client who recently moved into an assisted living community refuses to eat or join any activities. When evaluating the client further, what should the registered nurse (RN) focus on during the next examination? A) Anxiety B) Depression C) Exhaustion D) Confusion - ANSWER B Depression is a symptom that an older client is likely to experience with a sudden change in living accommodations when a loss of personal identity can create low self-esteem The registered nurse (RN) is caring for an elderly client with functional incontinence who lives in an assisted living community. The client is alert and mildly confused and can self ambulate. Which nursing intervention should the RN implement? A) Offer assistance with toileting q2 hours B) Use protective disposal undergarment instead of underwear C) Ask if the client has attempted to void q2 hours D) Obtain a prescription for intermittent catherization - ANSWER A Maintaining independence and self-esteem is important for an older client with incontinence. Toilet assistance decreases the client's chances of accidents and embarrassment by introducing a toilet training program The healthcare provider prescribes a new medication, atorvastatin (Lipitor, for an older client who arrives at the clinic for an annual physical examination. What common side effect should the registered nurse (RN) advise the client to observe for with this medication? A) Constipation B) Headaches C) Muscle weakness D) Nausea and vomiting - ANSWER B Headaches are the most common side effect with this medication, which the RN should direct the client to report The registered nurse (RN) i
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