Gero Final questions and answers
graded A+ updated passed
Ans: B, C, E
The age-related changes that impact the older adult's response to cold include inefficient
vasoconstriction, decreased cardiac output, diminished peripheral circulation, and delayed and
diminished shivering. There is no indication of respiratory or bowel issues - correct answer
✔✔1. A nurse assesses an 82-year-old client who states, "That waiting room is so cold!" Which
of the following systems should the nurse assess to determine the source of the clients
sensations? (Select all that apply.)
A) Bowel sounds
B) Capillary refill time
C) Oral temperature
D) Respiratory rate
E) Skin temperature
Ans: A, B, C
A healthy older adult in a comfortable environment will experience few, if any, functional
consequences of altered thermoregulation. In the presence of any risk factor, however,
hypothermia or heat-related illness may develop in an older adult. Even moderately adverse
environmental temperatures can precipitate hypothermia or heat-related illness in an older
adult, especially in the presence of additional predisposing factors, such as certain medications
or pathologic conditions. Age-related changes, which can affect processes involved with heat
loss or production, begin during the fifth decade, and their cumulative effects are experienced
during the seventh or eighth decade - correct answer ✔✔2. A nurse monitors a group of older
,adults. Which of the following older adults is a high risk for functional consequences of altered
thermoregulation? (Select all that apply.)
A) 78-year-old adult with heart failure
B) 75-year-old adult with a urinary tract infection
C) 80-year-old adult with vascular-type dementia
D) 71-year-old participant in a wellness center
E) 72-year-old adult with peptic ulcer disease
Ans: D
Older adults often report feeling cold, even in warm environments, and they generally prefer
environmental temperatures that are at least 75°F. This choice of attire seems appropriate for
the 60oF - correct answer ✔✔3. An 83-year-old puts on a sweatshirt and jacket preparing to go
outside where it is currently 60°F. What interpretation should the nurse give to these actions?
A) The client is experiencing a reaction to a medication.
B) The client has decreased circulation due to heart failure.
C) The client has a dementia and cannot make decisions.
D) The client dresses to maintain an adequate internal temperature
,Ans: D
The client with dementia has multiple risks for hypothermia including loss of sensation,
difficulty with decision, and living alone. Even in environmental temperatures of 68°F (20°C) an
older person may become hypothermic, especially if other risk factors are present. - correct
answer ✔✔4. A community care nurse plans care for older adults as the fall season sets in a
cooler weather starts. Which of the following clients is at greatest risk for development of
hypothermia?
A) Client who lives in an apartment building
B) Client who sets the thermostat at 76°F year round
C) Institutionalized older adult with cancer
D) Older adult who has dementia and lives alone
Ans: D
Antihistamines are a risk for heat-related illness. Alcohol is a risk factor for hyperthermia and
hypothermia. Diabetes is a risk factor that affects hyperthermia - correct answer ✔✔5. A nurse
evaluates the teaching done for an older adult with an upper respiratory infection during a heat
wave. Which of the following statements indicates a need for further teaching?
A) "The air conditioner increases the ventilation in my apartment."
B) "I know that having diabetes will impact my body temperature."
, C) "If I have an alcoholic drink, it will affect my body temperature."
D) "I can take an antihistamine; it will not have an effect on my temperature."
Ans: A
Delayed and diminished sweating are functional consequences of aging that create a risk for
health exhaustion and heat stroke among older adults. Endocrine, renal, and circulatory factors
have a less significant bearing on this risk - correct answer ✔✔6. It is July in Atlanta, and 90°F in
the shade. An 80-year-old client who lives alone in an apartment is struggling to stay cool. What
functional consequence of the aging process increases this client's susceptibility to heat
exhaustion and heat stroke?
A) Delayed and diminished sweating
B) Impaired peripheral blood circulation
C) Renal insufficiency
D) Changes in endocrine regulation
Ans: B
A reliable thermometer must be used in order to maintain a temperature as close to 75°F as
possible. This objective data source supersedes the subjective perceptions of nurses, care
providers, or certain residents, though each should likely be considered - correct answer ✔✔7.
A nurse who oversees the care in a nursing home is aware that the older adults who reside in
the facility are vulnerable to impaired thermoregulation. What information source should the
nurse prioritize when regulating the temperature in the facility?
graded A+ updated passed
Ans: B, C, E
The age-related changes that impact the older adult's response to cold include inefficient
vasoconstriction, decreased cardiac output, diminished peripheral circulation, and delayed and
diminished shivering. There is no indication of respiratory or bowel issues - correct answer
✔✔1. A nurse assesses an 82-year-old client who states, "That waiting room is so cold!" Which
of the following systems should the nurse assess to determine the source of the clients
sensations? (Select all that apply.)
A) Bowel sounds
B) Capillary refill time
C) Oral temperature
D) Respiratory rate
E) Skin temperature
Ans: A, B, C
A healthy older adult in a comfortable environment will experience few, if any, functional
consequences of altered thermoregulation. In the presence of any risk factor, however,
hypothermia or heat-related illness may develop in an older adult. Even moderately adverse
environmental temperatures can precipitate hypothermia or heat-related illness in an older
adult, especially in the presence of additional predisposing factors, such as certain medications
or pathologic conditions. Age-related changes, which can affect processes involved with heat
loss or production, begin during the fifth decade, and their cumulative effects are experienced
during the seventh or eighth decade - correct answer ✔✔2. A nurse monitors a group of older
,adults. Which of the following older adults is a high risk for functional consequences of altered
thermoregulation? (Select all that apply.)
A) 78-year-old adult with heart failure
B) 75-year-old adult with a urinary tract infection
C) 80-year-old adult with vascular-type dementia
D) 71-year-old participant in a wellness center
E) 72-year-old adult with peptic ulcer disease
Ans: D
Older adults often report feeling cold, even in warm environments, and they generally prefer
environmental temperatures that are at least 75°F. This choice of attire seems appropriate for
the 60oF - correct answer ✔✔3. An 83-year-old puts on a sweatshirt and jacket preparing to go
outside where it is currently 60°F. What interpretation should the nurse give to these actions?
A) The client is experiencing a reaction to a medication.
B) The client has decreased circulation due to heart failure.
C) The client has a dementia and cannot make decisions.
D) The client dresses to maintain an adequate internal temperature
,Ans: D
The client with dementia has multiple risks for hypothermia including loss of sensation,
difficulty with decision, and living alone. Even in environmental temperatures of 68°F (20°C) an
older person may become hypothermic, especially if other risk factors are present. - correct
answer ✔✔4. A community care nurse plans care for older adults as the fall season sets in a
cooler weather starts. Which of the following clients is at greatest risk for development of
hypothermia?
A) Client who lives in an apartment building
B) Client who sets the thermostat at 76°F year round
C) Institutionalized older adult with cancer
D) Older adult who has dementia and lives alone
Ans: D
Antihistamines are a risk for heat-related illness. Alcohol is a risk factor for hyperthermia and
hypothermia. Diabetes is a risk factor that affects hyperthermia - correct answer ✔✔5. A nurse
evaluates the teaching done for an older adult with an upper respiratory infection during a heat
wave. Which of the following statements indicates a need for further teaching?
A) "The air conditioner increases the ventilation in my apartment."
B) "I know that having diabetes will impact my body temperature."
, C) "If I have an alcoholic drink, it will affect my body temperature."
D) "I can take an antihistamine; it will not have an effect on my temperature."
Ans: A
Delayed and diminished sweating are functional consequences of aging that create a risk for
health exhaustion and heat stroke among older adults. Endocrine, renal, and circulatory factors
have a less significant bearing on this risk - correct answer ✔✔6. It is July in Atlanta, and 90°F in
the shade. An 80-year-old client who lives alone in an apartment is struggling to stay cool. What
functional consequence of the aging process increases this client's susceptibility to heat
exhaustion and heat stroke?
A) Delayed and diminished sweating
B) Impaired peripheral blood circulation
C) Renal insufficiency
D) Changes in endocrine regulation
Ans: B
A reliable thermometer must be used in order to maintain a temperature as close to 75°F as
possible. This objective data source supersedes the subjective perceptions of nurses, care
providers, or certain residents, though each should likely be considered - correct answer ✔✔7.
A nurse who oversees the care in a nursing home is aware that the older adults who reside in
the facility are vulnerable to impaired thermoregulation. What information source should the
nurse prioritize when regulating the temperature in the facility?
