GERO HESI Exam Review 2023 A+

GERO HESI Exam Review 2023 A+ Which observation by the nurse indicates a client's decrease in hearing acuity? Select all that apply. One, some, or all responses may be correct. - *Frequent use of words such as "what" 2 *Postural changes while listening to the speaker 3 *Bending toward the other person while talking 4 *Mismatch between the questions asked and the responses given 5 Startled expression to any unexpected sound in the environment Which action would the nurse take for a daughter who states that she gives sleeping pills to her live-in mother who has dementia to stop wandering at night? - *Explore hiring a home health aide to stay with the client at night. 2 Discuss the possibility of having the client placed in a nursing home. 3 Suggest moving the client among family members on a monthly basis. 4 Empathize with the daughter but suggest that wrist restraints would be preferable Which actions would be considered in the collaborative plan of care for a client with increased lens density? Select all that apply. One, some, or all responses may be correct. - Performing keratoplasty 2 *Performing phacoemulsification 3 Monitoring for pain and eye redness 4 *Monitoring the client's blood glucose levels 5 *Assessing if the client is on antiplatelet medication The nurse instructs a 70-year-old client to dress warmly in cold weather. Which physical changes seen in the client necessitate this instruction? Select all that apply. One, some, or all responses may be correct. - Reduced sebum production 2 Degeneration of elastic fibers 3 Decreased dermal blood flow 4 *Thinning of the subcutaneous layer 5 *Decreased vasomotor responsiveness The nurse is advising an older adult client to apply moisturizer when the skin is moist. Which physical change in the client is associated with this advice? - Thinning subcutaneous layer 2 Degeneration of elastic fibers 3 *Decreased dermal blood flow 4 Benign proliferation of capillaries Which age-related changes would the nurse expect to find when assessing the reproductive health of an older female client? Select all that apply. One, some, or all responses may be correct. - *Smaller clitoris 2 *Shrunken vulva 3 Dimpled breasts 4 *Narrowed vaginal opening 5 Green vaginal discharge Which administration guidelines would the nurse follow when administering midazolam to an older client? - *The increments should be smaller, and the rate of injection should be slower. 2 The medication should be given as a rapid intravenous push. 3 It is important to monitor for spikes in blood pressure elevation during administration. 4 During the procedure, the medication should be given as needed for pain management. An 82-year-old client is scheduled for physical therapy after a fracture of the arm. Considering the older population, the nurse recalls that mild exercise is likely to have which effect on the client's respirations? - *Increase to 24 breaths per minute 2 Become progressively more difficult 3 Decrease in rate as their depth increases 4 Become irregular but remain within normal rates Which physiological change occurs in older adults and warrants the nurse teaching the client about safety tips to prevent falls? - Slowed movement 2 Cartilage degeneration 3 *Decreased bone density 4 Decreased range of motion (ROM) Which are extrinsic factors responsible for falls in older adults? Select all that apply. One, some, or all responses may be correct. - Impaired vision Incorrect2 Cognitive impairment Correct3 *Environmental hazards Correct4 *Inappropriate footwear Correct5 *Improper use of assistive devices Which action would the nurse take when caring for an older adult with a history of recent memory loss? - Instruct the client to move slowly when changing positions. 2 Remind the client to look where he or she places the feet while walking. 3 Adjust the daily schedule to accommodate sleep pattern. Correct4 *Employ electronic devices that provide alerts. The nurse is caring for an older adult client with dementia who has developed dehydration as a result of vomiting and diarrhea. Which assessment information best reflects the fluid balance of this client? - Skin turgor Incorrect2 Intake and output results 3 Client's report about fluid intake Correct4 *Blood lab results Which situation would the nurse address to meet the safety and security needs of the client according to Maslow's hierarchy of needs? - "Because my teeth hurt when I eat, I drink fruit juices and prefer a liquid diet." Correct2 *"I do not want to talk to any stranger because I fear that they might take away my things." 3 "My blood pressure level keeps on fluctuating, although I take medications regularly." 4 "Ever since my family members came to know about my problem, they are trying to avoid me." A debilitated older client who has glaucoma places great value on independence. What would the nurse encourage the client to do after discharge from the hospital? - Prevent stressful events that can increase symptoms 2 Conserve eyesight by not reading or watching television 3 Perform household chores and shopping without assistance 4 *Self-administer eye medications using appropriate technique An older client with shortness of breath is admitted to the hospital. The medical history reveals and a diagnosis of pneumonia 3 days ago. Which vital sign assessment would be seen as a sign that the client needs immediate medical attention? - *Oxygen saturation: 89% 2 Body temperature: 101°F 3 Blood pressure: 130/80 mm Hg 4 Respiratory rate: 26 beats/minute 1. Which ethical principle underlies nursing actions respecting each patient's values and beliefs? - CONTINUES...