Hesi PN-Gerontology Exam
Terms in this set (73)
A male client is seen in the c. Assess the client for urinary hesitancy and weak or
clinic for benign prostatic split urinary stream.
hypertrophy (BPH). Which
intervention is essential for
the practical nurse (PN) to These symptoms may indicate progression of BPH to
include in the client's visit? partial obstruction of the urethra, a medical emergency,
and need to be reported to the health care provider.
a. Reeducate the client Fluids should be encouraged, not limited; hydration
about limiting fluid intake. needs to be maintained.
b. Reassure the client that
his BPH is a non-life-
threatening condition.
c. Assess the client for
urinary hesitancy and weak
or split urinary stream.
d. Inform the client that
there may be a genetic
predisposition for male
family members.
,The oral temperature of a d. Encourage fluid intake.
client with a urinary tract
infection is 103° F. Which
intervention should the Fluids help to reduce fever as quickly and it is important
practical nurse (PN) to lower the temperature as soon as possible.
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.
An older adult client is c. The client's liver function has decreased since last
being treated for toxicity year.
related to medication use.
When reviewing the client's With aging, liver function decreases, affecting drug
medical records, the nurse metabolism and detoxification. Forgetting to take doses
is most likely to find which of medication would not cause drug toxicity; excessive
factor is correlated with this doses could cause toxicity. Elevated white blood cell
problem? counts and weight gain would not likely cause drug
toxicity.
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.
,The practical nurse (PN) a. Keep the client well hydrated.
assesses the older adult
client's skin for signs of Keeping the client well hydrated helps prevent skin
breakdown and observes cracking and infection.
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.
, The nurse has reinforced d. "I will make sure that I stand up slowly if I have been
education regarding safety sitting down."
aspects for antihypertensive
medication with an older Older adults are particularly likely to develop orthostatic
adult. Which statement by hypotension after taking medications to treat
the client best indicates hypertension. It is not necessary for the older adult to
learning has been stay in bed while taking this medication. Some
effective? medications should be taken with food, others on an
empty stomach. Each medication should be individually
a. "I should rest in bed most researched. While it is important to prevent children
of the day when I take this from consuming medications intended for the older
medication." adult, the focus of this question is the safety of the older
b. "I will be sure to keep this adult.
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."
Terms in this set (73)
A male client is seen in the c. Assess the client for urinary hesitancy and weak or
clinic for benign prostatic split urinary stream.
hypertrophy (BPH). Which
intervention is essential for
the practical nurse (PN) to These symptoms may indicate progression of BPH to
include in the client's visit? partial obstruction of the urethra, a medical emergency,
and need to be reported to the health care provider.
a. Reeducate the client Fluids should be encouraged, not limited; hydration
about limiting fluid intake. needs to be maintained.
b. Reassure the client that
his BPH is a non-life-
threatening condition.
c. Assess the client for
urinary hesitancy and weak
or split urinary stream.
d. Inform the client that
there may be a genetic
predisposition for male
family members.
,The oral temperature of a d. Encourage fluid intake.
client with a urinary tract
infection is 103° F. Which
intervention should the Fluids help to reduce fever as quickly and it is important
practical nurse (PN) to lower the temperature as soon as possible.
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.
An older adult client is c. The client's liver function has decreased since last
being treated for toxicity year.
related to medication use.
When reviewing the client's With aging, liver function decreases, affecting drug
medical records, the nurse metabolism and detoxification. Forgetting to take doses
is most likely to find which of medication would not cause drug toxicity; excessive
factor is correlated with this doses could cause toxicity. Elevated white blood cell
problem? counts and weight gain would not likely cause drug
toxicity.
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.
,The practical nurse (PN) a. Keep the client well hydrated.
assesses the older adult
client's skin for signs of Keeping the client well hydrated helps prevent skin
breakdown and observes cracking and infection.
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.
, The nurse has reinforced d. "I will make sure that I stand up slowly if I have been
education regarding safety sitting down."
aspects for antihypertensive
medication with an older Older adults are particularly likely to develop orthostatic
adult. Which statement by hypotension after taking medications to treat
the client best indicates hypertension. It is not necessary for the older adult to
learning has been stay in bed while taking this medication. Some
effective? medications should be taken with food, others on an
empty stomach. Each medication should be individually
a. "I should rest in bed most researched. While it is important to prevent children
of the day when I take this from consuming medications intended for the older
medication." adult, the focus of this question is the safety of the older
b. "I will be sure to keep this adult.
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."
