and Correct Detailed Answers Already Graded A+
1. An 80-year-old patient has nausea and vomiting related to a gastrointestinal
disorder. The nursing intervention most likely to help the patient is to:
a. offer sips of soda every 15 minutes until more is tolerated.
b. encourage the patient to lie in a prone position while nauseated.
c. encourage the intake of high-calorie foods such as milkshakes.
d. keep the patient on a nothing-by-mouth (NPO) order until the nausea subsides.
- CORRECT ANSWER-A
2. When preparing to discharge an older patient with mild dysphagia, the nurse
suggests that the patient can minimize symptoms by:
a. eating small meals every 2 to 3 hours
b. cutting a sandwich into bite-sized peicees.
c. eating less but choosing nutrient-dense foods.
d. drinking thin liquids instead of eating solids. - CORRECT ANSWER-A
3. An older patient is being taught about oral gingivitis. The nurse has included
instruction about maintaining an oral hygiene program, signs and symptoms of
,oral infection, and the importance of maintaining regular professional dental care.
What important teaching has been missed?
a. Information about when to have teeth removed and dentures made
b. The necessity of using a hard-bristled toothbrush to maintain cleanliness
c. The importance of avoiding meat and caffeine-containing products
d. The importance of adequate nutrition for maintaining oral health - CORRECT
ANSWER-D
4. An older adult patient has recently diagnosed gastritis. What statement made
by this patient indicates the need for further teaching?
a. "The abdominal pain is caused by acidity."
b. "I should avoid taking aspirin."
c. "Smoking has little effect on my stomach problem."
d. "I could develop pernicious anemia." - CORRECT ANSWER-C
5. The nurse is planning to teach an older patient about diverticulitis. What topic
does the nurse include?
a. Dietary fiber and fluids will reduce the symptoms.
b. It is unusual to see diverticula in older persons.
c. Abdominal cramping and severe diarrhea should be reported.
,d. Diverticulosis rarely reoccurs once it has been treated. - CORRECT ANSWER-
A
6. The nurse caring for an older adult diagnosed with hyperplastic polyps instructs
him that:
a. this type of polyp is rarely malignant and usually does not require treatment.
b. follow-up colonoscopies should be performed every 3 to 4 years after
diagnosis.
c. stool should be guaiac tested every week for 1 year after diagnosis.
d. the presence of blood in the stool requires a repeat sigmoidoscopy
examination. - CORRECT ANSWER-D
7. An older adult reports chronic constipation. When asked why this problem has
gotten worse with age, the nurse responds:
a. "As we age, our bodies require more fiber to bring about healthy bowel
function."
b. "We need to discuss the proper use of laxatives to minimize constipation."
c. "It's possible that you have lost the ability to feel when you need to move your
bowels."
d. "Aging brings about decreased gastric motility that often results in
constipation." - CORRECT ANSWER-A
, 8. An older adult patient reports episodes of fecal incontinence. The nurse
provides appropriate emotional support when assuring the patient that:
a. it is a common problem that occurs in response to normal aging.
b. the incontinence is rarely a result of a serious problem.
c. disposable absorbent underwear will help manage the problem.
d. the problem generally responds well to bowel control programs. - CORRECT
ANSWER-D
9. The daughter of a dependent older patient reports to the nurse that the patient
requires regular soapsud enemas to manage chronic constipation. The nurse
responds that:
a. an alternative management technique should be discussed.
b. enemas are generally the most effective interventions for the older adult.
c. chronic constipation is best managed with oral medications.
d. her mother's diet is the most likely cause of the constipation. - CORRECT
ANSWER-A
10. A 74-year-old adult is experiencing dumping syndrome after gastric resection
surgery. The nurse caring for the patient instructs the patient to:
a. stop smoking.