CONCEPTUALIZED
GERONTOLOGIC
NURSING HESI PREP
The PN is implementing a self-medication program for an older resident who is newly admitted
to an assisted living community. Which actions should the PN implement to provide the resident
ways to maintain safe medication administration (select all that apply) - CORRECT ANSWER -
A- Locked medication storage in the client's room
B- Medication administration record (MAR)
D- Delivery of adequate supply of medication
E- List of findings indicating medication effectiveness
The nurse is caring for an 80-year-old female patient. The patient should be given how many
liters of water daily? Record your answer using one decimal place. - CORRECT ANSWER -2.1
Rationale
Elderly patients are susceptible to dehydration. When fluid loss is excessive, water and
electrolytes must be replaced. Women whose age is more than 70 years need 2.1 liters of water
to prevent dehydration. Women in the age group of 51 to 70 require 2.7 liters of water daily.
The nurse is caring for an elderly female patient. What should the nurse suggest to the patient
to protect her from bone demineralization? Select all that apply. - CORRECT ANSWER -
Encourage the patient to undertake weight-bearing exercisesEncourage the patient to increase
intake of calcium |rich |foodsEncourage |the |patient |to |talk |to |her |physcian |about |hormone
|replacement |therapy
Rationale:Hormone |replacement |therapy |(HRT) |and |adequate |dietary |or |supplemental
|calcium |and |vitamin |D |in |combination |with |weight-bearing |exercises |are |protective |against
|osteoporosis |in |women. |All |of |these |help |to |rebuild |bone |or |stop |its |loss. |Craft |activities |can
|assist |with |the |preservation |of |fine |motor |movement. |Etanercept |(Enbrel), |an
|immunomodulator, |is |used |for |patients |with |rheumatoid
,arthritis |if |they |have |a |poor |response |to |other |treatment. |Enbrel |is |used |as |a |treatment |for
|psoriasis |and |several |types |of |arthritis.
The |nurse |is |caring |for |an |80-year-old |female |patient. |The |patient |should |be |given |how |many
|liters |of |water |daily? |Record |your |answer |using |one |decimal |place. |2.1 |- |CORRECT
|ANSWER |-RationaleElderly |patients |are |susceptible |to |dehydration. |When |fluid |loss |is
|excessive, |water |and |electrolytes |must |be |replaced. |Women |whose |age |is |more |than |70
|years |need |2.1 |liters |of |water |to |prevent |dehydration. |Women |in |the |age |group |of |51 |to |70
|require |2.7 |liters |of |water |daily.
The |nurse |is |caring |for |an |elderly |female |patient. |What |should |the |nurse |suggest |to |the
|patient |to |protect |her |from |bone |demineralization? |Select |all |that |apply. |- |CORRECT
|ANSWER |-Encourage |the |patient |to |undertake |weight-bearing |exercises
Encourage |the |patient |to |increase |intake |of |calcium |rich |foods
Encourage |the |patient |to |talk |to |her |physcian |about |hormone |replacement |therapy
Rationale:
Hormone |replacement |therapy |(HRT) |and |adequate |dietary |or |supplemental |calcium |and
|vitamin |D |in |combination |with |weight-bearing |exercises |are |protective |against |osteoporosis
|in |women. |All |of |these |help |to |rebuild |bone |or |stop |its |loss. |Craft |activities |can |assist |with
|the |preservation |of |fine |motor |movement. |Etanercept |(Enbrel), |an |immunomodulator, |is |used
|for |patients |with |rheumatoid |arthritis |if |they |have |a |poor |response |to |other |treatment. |Enbrel
|is |used |as |a |treatment |for |psoriasis |and |several |types |of |arthritis.
The |nurse |in |the |memory |care |unit |occasionally |must |use |protective |devices |for |her |patients.
|Under |which |circumstances |are |protective |devices |allowed |to |be |used? |Select |all |that
|apply. |- |CORRECT |ANSWER |-When |there |is |a |documented |reason
When |the |primary |health |care |provider |orders |so
|When |there |is |permission |from |the |patient's
|guardian
Rationale:
, Encouraging |fluids |can |decrease |the |urine |concentration |so |it |is |less |irritating, |less
|predisposing |to |urinary |tract |infections, |and |less |odoriferous. |Indwelling |catheters |are |not
|recommended. |Nurses |may |not |order/prescribe |medications. |Nurses |should |not |recommend
|herbal |preparations |without |first |consulting |with |the |physician.
The |patient |has |urinary |incontinence. |Which |intervention |should |the |nurse |take |which |would
|be |most |appropriate |for |this |patient? |Encourage |fluids |to |decrease |the |urine |concentration |so
|it |is |less |irritating. |- |CORRECT |ANSWER |-Rationale:
Encouraging |fluids |can |decrease |the |urine |concentration |so |it |is |less |irritating, |less
|predisposing |to |urinary |tract |infections, |and |less |odoriferous. |Indwelling |catheters |are |not
|recommended. |Nurses |may |not |order/prescribe |medications. |Nurses |should |not |recommend
|herbal |preparations |without |first |consulting |with |the |physician.
An |elderly |patient |with |diminished |renal |function |is |given |digoxin |(Lanoxin). |The |nurse
|understands |the |provider |will |take |into |consideration |which |age-related |change |when
|determining |the |dosing |of |all |medications |the |patient |is |to |receive? |- |CORRECT |ANSWER |-
Retention |of |drugs |in |the |system
Rationale:
Medications, |such |as |digoxin |(Lanoxin), |cause |retention |of |other |drugs |in |the |presence |of
|diminished |renal |function. |Decreased |body |water, |increased |ratio |of |fat |to |muscle, |decreased
|effectiveness |of |liver |are |all |age-related |factors |that |may |cause |drug |toxicity |in |older |adults.
An |elderly |patient |with |diabetes |complains |of |impaired |vision. |The |nurse |asks |further
|questions |to |determine |if |the |patient |might |be |suffering |from |which |vision |disorder |that |is
|associated |with |diabetes? |- |CORRECT |ANSWER |-Cataract
Rationale:
The |nurse |suspects |the |patient |to |be |suffering |from |cataract |because |the |patient |is |old |and |is
|suffering |from |diabetes. |Frequently, |the |elderly |with |diabetes |develop |cataracts, |a |clouding |of
|the |lens.
Presbyopia |is |mostly |seen |in |persons |in |their |40s. |The |ability |to |focus |on |near |objects
|decreases |in |the |elderly. |Glaucoma, |a |common |disorder |of |the |aging |eye, |is |the |accumulation
|of |fluids |inside |the |eye |that |exert |pressure |on |the |optic |nerve, |eventually |causing |blindness.
|In |age-related |macular |degeneration |(AMD), |the |elderly |person |gradually |loses |acute, |central,
|and |color |vision. |Diabetes |is |not |considered |a
GERONTOLOGIC
NURSING HESI PREP
The PN is implementing a self-medication program for an older resident who is newly admitted
to an assisted living community. Which actions should the PN implement to provide the resident
ways to maintain safe medication administration (select all that apply) - CORRECT ANSWER -
A- Locked medication storage in the client's room
B- Medication administration record (MAR)
D- Delivery of adequate supply of medication
E- List of findings indicating medication effectiveness
The nurse is caring for an 80-year-old female patient. The patient should be given how many
liters of water daily? Record your answer using one decimal place. - CORRECT ANSWER -2.1
Rationale
Elderly patients are susceptible to dehydration. When fluid loss is excessive, water and
electrolytes must be replaced. Women whose age is more than 70 years need 2.1 liters of water
to prevent dehydration. Women in the age group of 51 to 70 require 2.7 liters of water daily.
The nurse is caring for an elderly female patient. What should the nurse suggest to the patient
to protect her from bone demineralization? Select all that apply. - CORRECT ANSWER -
Encourage the patient to undertake weight-bearing exercisesEncourage the patient to increase
intake of calcium |rich |foodsEncourage |the |patient |to |talk |to |her |physcian |about |hormone
|replacement |therapy
Rationale:Hormone |replacement |therapy |(HRT) |and |adequate |dietary |or |supplemental
|calcium |and |vitamin |D |in |combination |with |weight-bearing |exercises |are |protective |against
|osteoporosis |in |women. |All |of |these |help |to |rebuild |bone |or |stop |its |loss. |Craft |activities |can
|assist |with |the |preservation |of |fine |motor |movement. |Etanercept |(Enbrel), |an
|immunomodulator, |is |used |for |patients |with |rheumatoid
,arthritis |if |they |have |a |poor |response |to |other |treatment. |Enbrel |is |used |as |a |treatment |for
|psoriasis |and |several |types |of |arthritis.
The |nurse |is |caring |for |an |80-year-old |female |patient. |The |patient |should |be |given |how |many
|liters |of |water |daily? |Record |your |answer |using |one |decimal |place. |2.1 |- |CORRECT
|ANSWER |-RationaleElderly |patients |are |susceptible |to |dehydration. |When |fluid |loss |is
|excessive, |water |and |electrolytes |must |be |replaced. |Women |whose |age |is |more |than |70
|years |need |2.1 |liters |of |water |to |prevent |dehydration. |Women |in |the |age |group |of |51 |to |70
|require |2.7 |liters |of |water |daily.
The |nurse |is |caring |for |an |elderly |female |patient. |What |should |the |nurse |suggest |to |the
|patient |to |protect |her |from |bone |demineralization? |Select |all |that |apply. |- |CORRECT
|ANSWER |-Encourage |the |patient |to |undertake |weight-bearing |exercises
Encourage |the |patient |to |increase |intake |of |calcium |rich |foods
Encourage |the |patient |to |talk |to |her |physcian |about |hormone |replacement |therapy
Rationale:
Hormone |replacement |therapy |(HRT) |and |adequate |dietary |or |supplemental |calcium |and
|vitamin |D |in |combination |with |weight-bearing |exercises |are |protective |against |osteoporosis
|in |women. |All |of |these |help |to |rebuild |bone |or |stop |its |loss. |Craft |activities |can |assist |with
|the |preservation |of |fine |motor |movement. |Etanercept |(Enbrel), |an |immunomodulator, |is |used
|for |patients |with |rheumatoid |arthritis |if |they |have |a |poor |response |to |other |treatment. |Enbrel
|is |used |as |a |treatment |for |psoriasis |and |several |types |of |arthritis.
The |nurse |in |the |memory |care |unit |occasionally |must |use |protective |devices |for |her |patients.
|Under |which |circumstances |are |protective |devices |allowed |to |be |used? |Select |all |that
|apply. |- |CORRECT |ANSWER |-When |there |is |a |documented |reason
When |the |primary |health |care |provider |orders |so
|When |there |is |permission |from |the |patient's
|guardian
Rationale:
, Encouraging |fluids |can |decrease |the |urine |concentration |so |it |is |less |irritating, |less
|predisposing |to |urinary |tract |infections, |and |less |odoriferous. |Indwelling |catheters |are |not
|recommended. |Nurses |may |not |order/prescribe |medications. |Nurses |should |not |recommend
|herbal |preparations |without |first |consulting |with |the |physician.
The |patient |has |urinary |incontinence. |Which |intervention |should |the |nurse |take |which |would
|be |most |appropriate |for |this |patient? |Encourage |fluids |to |decrease |the |urine |concentration |so
|it |is |less |irritating. |- |CORRECT |ANSWER |-Rationale:
Encouraging |fluids |can |decrease |the |urine |concentration |so |it |is |less |irritating, |less
|predisposing |to |urinary |tract |infections, |and |less |odoriferous. |Indwelling |catheters |are |not
|recommended. |Nurses |may |not |order/prescribe |medications. |Nurses |should |not |recommend
|herbal |preparations |without |first |consulting |with |the |physician.
An |elderly |patient |with |diminished |renal |function |is |given |digoxin |(Lanoxin). |The |nurse
|understands |the |provider |will |take |into |consideration |which |age-related |change |when
|determining |the |dosing |of |all |medications |the |patient |is |to |receive? |- |CORRECT |ANSWER |-
Retention |of |drugs |in |the |system
Rationale:
Medications, |such |as |digoxin |(Lanoxin), |cause |retention |of |other |drugs |in |the |presence |of
|diminished |renal |function. |Decreased |body |water, |increased |ratio |of |fat |to |muscle, |decreased
|effectiveness |of |liver |are |all |age-related |factors |that |may |cause |drug |toxicity |in |older |adults.
An |elderly |patient |with |diabetes |complains |of |impaired |vision. |The |nurse |asks |further
|questions |to |determine |if |the |patient |might |be |suffering |from |which |vision |disorder |that |is
|associated |with |diabetes? |- |CORRECT |ANSWER |-Cataract
Rationale:
The |nurse |suspects |the |patient |to |be |suffering |from |cataract |because |the |patient |is |old |and |is
|suffering |from |diabetes. |Frequently, |the |elderly |with |diabetes |develop |cataracts, |a |clouding |of
|the |lens.
Presbyopia |is |mostly |seen |in |persons |in |their |40s. |The |ability |to |focus |on |near |objects
|decreases |in |the |elderly. |Glaucoma, |a |common |disorder |of |the |aging |eye, |is |the |accumulation
|of |fluids |inside |the |eye |that |exert |pressure |on |the |optic |nerve, |eventually |causing |blindness.
|In |age-related |macular |degeneration |(AMD), |the |elderly |person |gradually |loses |acute, |central,
|and |color |vision. |Diabetes |is |not |considered |a
