Gerontology Exam
2
1. Side rails: do NOT prevent falls/ increase injury risk
2. What are best prevention strategies to prevent falls: • teach call bell use
(most impor-tant)
• address environmental hazards
• improve balance & gait
• provide education to client & family
3. Fall risk factors: • visual impairment (ex. cataracts)
• previous falls
• gait/ balance impairment
• environmental hazards
• poorly controlled chronic illness (ex. diabetes)
4. Nursing interventions to help prevent falls: • modify home environment
• educate patient & family
• encourage balance training (ex. group exercises)
5. What are some indicators of effective care regarding chronic
illness man-agement?: • Active patient & caregiver engagement
• Collaborative care plans
• Flexible (not fixed) care plans
• Access to community resources
6. What are the nursing roles in regards to effective care?: • Advocate
• Promote self management
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, Gerontology Exam
2
• Support patient education
• Coordinate care (leadership!)
7. Common challenges while managing chronic illness: • Lack of geriatric
expertise/ experience
• Chronic illness is evolving
8. Glucose abnormalities require
: immediate follow up
9. Hypo/Hyperkalemia require :
Immediate follow up
10. What is the normal range of potassium (K+)?: 3.5 - 5.0
11. What does elevated creatinine levels indicate?: impaired kidney
function/ renal issue
12. What is the normal range for creatinine?: 0.6 - 1.2 (men)
0.5 - 1.0 (women)
13. What is a common cause of acute renal failure?: dehydration
14. What are some indicators for pneumonia?: • Cough
• Crackles/ rhonchi
• Low oxygen saturation
15. What is the main priority action?: Administer oxygen! (ABCs)
16. How does medication affect older adults?: • Reduced renal function =
lower drug doses
• High risk for adverse ettects
17. What should we remember in regards to sleep meds & older
adults?: • Minimal benefit
• High risk ’avoid if possible
18. Interventions for urinary incontinence: • Scheduled voiding
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2
1. Side rails: do NOT prevent falls/ increase injury risk
2. What are best prevention strategies to prevent falls: • teach call bell use
(most impor-tant)
• address environmental hazards
• improve balance & gait
• provide education to client & family
3. Fall risk factors: • visual impairment (ex. cataracts)
• previous falls
• gait/ balance impairment
• environmental hazards
• poorly controlled chronic illness (ex. diabetes)
4. Nursing interventions to help prevent falls: • modify home environment
• educate patient & family
• encourage balance training (ex. group exercises)
5. What are some indicators of effective care regarding chronic
illness man-agement?: • Active patient & caregiver engagement
• Collaborative care plans
• Flexible (not fixed) care plans
• Access to community resources
6. What are the nursing roles in regards to effective care?: • Advocate
• Promote self management
1/
8
, Gerontology Exam
2
• Support patient education
• Coordinate care (leadership!)
7. Common challenges while managing chronic illness: • Lack of geriatric
expertise/ experience
• Chronic illness is evolving
8. Glucose abnormalities require
: immediate follow up
9. Hypo/Hyperkalemia require :
Immediate follow up
10. What is the normal range of potassium (K+)?: 3.5 - 5.0
11. What does elevated creatinine levels indicate?: impaired kidney
function/ renal issue
12. What is the normal range for creatinine?: 0.6 - 1.2 (men)
0.5 - 1.0 (women)
13. What is a common cause of acute renal failure?: dehydration
14. What are some indicators for pneumonia?: • Cough
• Crackles/ rhonchi
• Low oxygen saturation
15. What is the main priority action?: Administer oxygen! (ABCs)
16. How does medication affect older adults?: • Reduced renal function =
lower drug doses
• High risk for adverse ettects
17. What should we remember in regards to sleep meds & older
adults?: • Minimal benefit
• High risk ’avoid if possible
18. Interventions for urinary incontinence: • Scheduled voiding
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