HESI Hints Questions & Answers

HESI Hints What is the most accurate measure of age? (a) chronologic age (b) health status and braden score (c) educational and developmental level (e) ability to perform activities of daily living (ADLs) - Answer- (e) ability to perform activities of daily living (ADLs) The nurse is doing teaching and designing a rehabilitation program for older adults, what should the nurse know about expected changes in the older adult? what should the teaching/design contain? - Answer- -Changes in heart+ lungs result in less efficient utilization of O2, which reduces an individual's capacity to maintain physical activity for long periods -physical activity can reduce BP and increase aerobic activity -should include EXERCISE and NUTRITION An older adult often complains that he or she cannot go to sleep at night. What does the nurse know about sleep that changes in the older adult? Select all that apply. (a) Older adults are less easily awakened by environmental stimuli (b) Older adult have shorter stages of sleep (c) Older adults should be discouraged to nap during the day (d) Older adults should use prescribed sleeping pills. - Answer- B, C no naps, no sleeping pills, more easily awakened The RN should regularly assess which part of the elder patient's body to check for skin integrity? (a) buttocks (b) feet (c) hands (e) back of head - Answer- (b) feet Peripheral circulation decreases as one ages. Regular assessment of the feet is very important because it increases the opportunity to discover and treat skin care problems early. •Seborrheic keratosis Occur totally within the _________.•Occur on the head, neck, trunk, and extremities, sparing the palms and soles.•Thought to be an autosomal dominantly inherited trait. •SK have __________ melanomas? - Answer- epidermis -RAISED LESIONS -NO malignant potential •Flesh-colored to tan, to brown, occasionally black•Oval to round•Greasy-appeari