NURS 601 final review questions with correct answers

Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit most warrants further investigation? a. A 78-year-old man has recently developed urinary incontinence. b. A 78-year-old male's stomach pH is increased. c. A 71-year-old male client's echocardiogram reveals slight left ventricular hypertrophy. d. An 81-year-old woman's glomerular filtration rate (GFR) is low. A. A 78-year-old man has recently developed urinary incontinence. Decreased renal mass and reduced glomerular filtration make it especially important that nurses: a. Ensure that age-adjusted drug dosages are prescribed b. Look for signs of urinary tract infections c. Assist elderly patients with frequent toileting d. Frequently check urine for glucose a. Ensure that age-adjusted drug dosages are prescribed Which of the following is the most common urinary problem among men aged 65 years and older? a. Glucose in the urine b. Stress incontinence c. High urinary volume d. Frequent urination d. Frequent urination Which of the following are typical activities of daily living? (Select all that apply.) a. eating b. toileting c. dressing d. cooking e. moving a. eating, b. toileting, c. dressing, e. moving Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction? a. Reality orientation is provided to patients who exhibit cognitive deficits. b. Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. c. The discharge planning process is begun immediately following admission. d. Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis. b. Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. An elderly woman suffering from abdominal pain, nausea, urinary incontinence, fever, and vomiting is brought to the emergency department. What is the most likely preliminary diagnosis? a. Appendicitis b. Aneurysm c. Urinary tract infection d. Colon cancer c. urinary tract infection The nurse discusses hand hygiene with the staff specifically regarding Clostridium difficile. Which of the following should the nurse include in teaching plan? a. Hand washing is required with running water and soap to remove the spores from the caregivers' hands. b. Avoid the use of bleach and bleach cleaners in C. difficile isolation rooms, as the bleach does not kill the spores. c. Use of alcohol-based hand cleansers is appropriate for use before and after each patient contact. d. The spores are transmitted only from direct contact, so wear gloves when touching the patient. a. Hand washing is required with running water and soap to remove the spores from the