Age-Related Risks HESI Case Study Guide with Verified Answers
(With the following information,) the nurse sets the insulin drip to deliver how many mL/hr?
- Mr. Rogers weighs 226 lbs (102.7 kg)
- His blood glucose is 312 mg/dL
- Insulin drip is pre-mixed 100 units per 100 mL NS
- Insulin infusion protocol (for CBG 300-329) = 4 - ans4
Along with clinical manifestations, which common laboratory findings indicate dehydration? - ansA. Elevated
hemoglobin and hematocrit.
B. Increased serum glucose.
C. Increased serum osmolarity.
E. Increased urine specific gravity.
How many mL of fluid should the client drink per day?
- At least 30 mL/kg
- At least 1500 mL/day
- Mr. Rogers weighs 226 lbs (102.7 kg) - ans3081
In addition to the insulin, which of the following immediate measures would be indicated in the treatment of
Mr. Rogers? - ansA. Potassium supplements.
C. Sodium bicarb.
E. 0.9% normal saline.
It is important for the client to report which potential adverse or side effect associated with gabapentin
(Neurontin)? - ansTarry stool.
Prior to changing the dressing on Mr. Rogers' right heel ulcer, the nurse should first take which actions? -
ansInspect the feet carefully for temp, sensation, and drainage.
, The nurse anticipates that the client will receive which treatment for pernicious anemia? - ansIntramuscular
injection of vitamin B-12.
The nurse considers which pharmacological age-related principles when administering medications or
monitoring the effects of medications in the elderly client? - ansA. Dehydration can decrease the half-life of
drugs.
C. Drugs administered intravenously have a faster absorption rate than oral drugs.
E.. Decreased cardiac output increases the risk for adverse drug reactions.
The nurse should instruct the client to take which action first when collecting a urine sample? - ansWipe the
genital area clean.
The nurse understand that which symptoms are commonly associated with BPH? - ansA. Straining while
urinating.
B. Frequent stopping and starting of urinary stream.
C. Bladder distention.
E. Dribbling at the end of urination.
The nurse understands that which concept is important when addressing the client's physiological and
psychosocial needs? - ansThe client's diabetes mellitus should not present a problem for community dining.
The nurse understands that which information is correct regarding the prescribed insulin? - ansGlargine
(Lantus) does not have a peak interval.
The nurse understands that which physiological age-related change is often responsible for dehydration in the
elderly? - ansThirst decreases, contributing to less fluid intake.
The nurse understands that which symptoms are associated with diabetic peripheral neuropathy? - ansB.
Reduced ability to feel pain or temperature in the extremities.
(With the following information,) the nurse sets the insulin drip to deliver how many mL/hr?
- Mr. Rogers weighs 226 lbs (102.7 kg)
- His blood glucose is 312 mg/dL
- Insulin drip is pre-mixed 100 units per 100 mL NS
- Insulin infusion protocol (for CBG 300-329) = 4 - ans4
Along with clinical manifestations, which common laboratory findings indicate dehydration? - ansA. Elevated
hemoglobin and hematocrit.
B. Increased serum glucose.
C. Increased serum osmolarity.
E. Increased urine specific gravity.
How many mL of fluid should the client drink per day?
- At least 30 mL/kg
- At least 1500 mL/day
- Mr. Rogers weighs 226 lbs (102.7 kg) - ans3081
In addition to the insulin, which of the following immediate measures would be indicated in the treatment of
Mr. Rogers? - ansA. Potassium supplements.
C. Sodium bicarb.
E. 0.9% normal saline.
It is important for the client to report which potential adverse or side effect associated with gabapentin
(Neurontin)? - ansTarry stool.
Prior to changing the dressing on Mr. Rogers' right heel ulcer, the nurse should first take which actions? -
ansInspect the feet carefully for temp, sensation, and drainage.
, The nurse anticipates that the client will receive which treatment for pernicious anemia? - ansIntramuscular
injection of vitamin B-12.
The nurse considers which pharmacological age-related principles when administering medications or
monitoring the effects of medications in the elderly client? - ansA. Dehydration can decrease the half-life of
drugs.
C. Drugs administered intravenously have a faster absorption rate than oral drugs.
E.. Decreased cardiac output increases the risk for adverse drug reactions.
The nurse should instruct the client to take which action first when collecting a urine sample? - ansWipe the
genital area clean.
The nurse understand that which symptoms are commonly associated with BPH? - ansA. Straining while
urinating.
B. Frequent stopping and starting of urinary stream.
C. Bladder distention.
E. Dribbling at the end of urination.
The nurse understands that which concept is important when addressing the client's physiological and
psychosocial needs? - ansThe client's diabetes mellitus should not present a problem for community dining.
The nurse understands that which information is correct regarding the prescribed insulin? - ansGlargine
(Lantus) does not have a peak interval.
The nurse understands that which physiological age-related change is often responsible for dehydration in the
elderly? - ansThirst decreases, contributing to less fluid intake.
The nurse understands that which symptoms are associated with diabetic peripheral neuropathy? - ansB.
Reduced ability to feel pain or temperature in the extremities.
