Hesi PN-Gerontology Questions And Answers With Rationales | Verified 100%

Hesi PN-Gerontology Questions And Answers With Rationales | Verified 100% The oral temperature of a client with a urinary tract infection is 103° F. Which intervention should the practical nurse (PN) implement first? a. Instruct the client on proper hygienic practices. b. Observe the color or odor of urine. c. Recheck the temperature rectally. d. Encourage fluid intake. - ANSWER d. Encourage fluid intake. Fluids help to reduce fever as quickly and it is important to lower the temperature as soon as possible. An older adult client is being treated for toxicity related to medication use. When reviewing the client's medical records, the nurse is most likely to find which factor is correlated with this problem? a. The client has forgotten to take several doses of medication. b. The client's white blood cell count has steadily increased. c. The client's liver function has decreased since last year. d. The client has gained 40 pounds (18.2 kg) over 3 years. - ANSWER c. The client's liver function has decreased since last year. With aging, liver function decreases, affecting drug metabolism and detoxification. Forgetting to take doses of medication would not cause drug toxicity; excessive doses could cause toxicity. Elevated white blood cell counts and weight gain would not likely cause drug toxicity. The practical nurse (PN) assesses the older adult client's skin for signs of breakdown and observes that the skin is intact. What interventions by the PN will help maintain healthy skin integrity? a. Keep the client well hydrated. b. Remove adhesive tape quickly from the skin. c. Avoid creams or lotions to ensure that the skin stays dry. d. Scrub the perineum with a wet cloth after a bowel movement. - ANSWER a. Keep the client well hydrated. Keeping the client well hydrated helps prevent skin cracking and infection. The nurse has reinforced education regarding safety aspects for antihypertensive medication with an older adult. Which statement by the client best indicates learning has been effective? a. "I should rest in bed most of the day when I take this medication." b. "I will be sure to keep this medication out of the reach of children." c. "I will need to make sure that I take this medication with some food." d. "I will make sure that I stand up slowly if I have been sitting down." - ANSWER d. "I will make sure that I stand up slowly if I have been sitting down." Older adults are particularly likely to develop orthostatic hypotension after taking medications to treat hypertension. It is not necessary for the older adult to stay in bed while taking this medication. Some medications should be taken with food, others on an empty stomach. Each medication should be individually researched. While it is important to prevent children from consuming medications intended for the older adult, the focus of this question is the safety of the older adult. An older adult client tells the nurse "I do not understand how I could have a sexually transmitted disease! My partner seems like such a nice, clean person." Which explanation should the nurse provide