with solutions 2025
The patient tells the gerontological nurse that the physician has advised the patient to limit
alcohol intake to one drink daily, and the patient asks how many ounces of wine are equal to
one drink. The gerontological nurse should reply: - ANSWER one drink equals 5 ounces of wine,
12 ounces of beer, or 1.5 ounces of liquor.
Which of the following atypical symptoms are common for an older patient presenting with an
acute abdomen? - ANSWER Hypothermia and mild or absent pain
At a support group for caregivers of people with Alzheimer's disease, one of the group members
reports that her mother, who has moderately severe Alzheimer's disease, has started to wander
off during the night and has gotten lost three times and been brought back to the home by
police. Which of the following is likely the best advice? - ANSWER Place a latch at the top or
bottom of outside doors.
An older patient who controls diabetes type 1 with regular insulin administered according to a
sliding scale is: - ANSWER At increased risk for hypoglycemia
The initial sign of an infection in a chronic wound is often: - ANSWER Delayed healing
If a patient has a full-thickness ulcer of the foot that extends down to the tendon but with no
indications of abscess or osteomyelitis, this would be classified according to the Modified
Wagner's Foot Ulcer Classification as: - ANSWER Grade 2
What is Grade 1 of Modified Wagner's Foot Ulcer Classification? - ANSWER Superficial ulcer,
extending into subcutaneous tissue; superficial infection with/without cellulitis.
, Describe Grade 2 of Modified Wagner's Foot Ulcer Classification. - ANSWER Full-thickness ulcer
to tendon or joint but no abscess or osteomyelitis.
Describe Grade 3 of Modified Wagner's Foot Ulcer Classification. - ANSWER Full-thickness ulcer
may extend to bone with abscess, osteomyelitis, or sepsis of joint and may include deep plantar
infections, abscesses, fasciitis, or infections of tendon sheath.
Describe Grade 4 of Modified Wagner's Foot Ulcer Classification. - ANSWER Gangrene of the
forefoot only, but the rest of foot is able to be salvaged.
A patient is taking daily warfarin because of a history of atrial fibrillation. Which of the following
medications on the patient's medication list should be avoided with warfarin? - ANSWER
antibiotics, ASA, NSAIDs, and acetaminophen.
Phase I of becoming bedridden (Zegelin) begins with: - ANSWER Phase I: Unstable
gait/imbalance, beginning difficulty with ambulation.
What is phase 2 of becoming bedridden (Zegelin) include: - ANSWER Fall or hospital stay that
limits mobility because of injury of lack of assistance.
What is phase 3 of becoming bedridden? - ANSWER Prescribed bedrest and chair. Patients are
often up for limited periods by choice even if ambulation not restricted.
What is phase 4 of becoming bedridden? - ANSWER Ability to transfer from bed to chair
independently is lost. Patients completely dependent on others.
Absorption of nutrients from the small bowel is often impaired in older adults because of:
(view) - ANSWER Broadening and shortening of villi