Gero final Questions With Complete Solutions
A 73 year old neighbor tells you that she sponge bathes daily but
takes a full tub bath only every three days. Which of the
following is an appropriate response?
a. Do you need assistance bathing?
b. This is a good practice.
c. You should take a tub bath everyday.
d. Do you have a problem with tub baths? Correct Answer this
is a good practice
A 74-year-old woman who is in the hospital for rehabilitation
following hip replacement has been experiencing incontinence
since admission. Which of the following interventions are likely
to facilitate the restoration of the patient's bladder function?
a. Request an order for an indwelling catheter from the patient's
physician.
b. Teach the patient how to meet hydration needs while still
limiting fluid intake.
c. Assist the client to use the bathroom at scheduled intervals
d. Request an order for medication to decrease bladder spasms.
Correct Answer Assist the client to use the bathroom at
scheduled intervals
A 78-year-old man is being evaluated in the geriatric clinic. His
daughter reports that he has been very forgetful lately, and she is
concerned that he might be "senile." The advanced practice
nurse administers the clock-drawing test and the patient draws a
distorted circular shape and places the numbers all on one side
,of the shape. Based on his performance, the nurse concludes that
the client:
a. has Alzheimer's disease
b. has Delirium
c. needs further evaluation
d. needs a functional status assessment Correct Answer needs
further evaluation
A 90 year old woman moves to an assisted living facility. She is
depressed because she misses her vegetable garden she had at
her previous home. The nurse who practices the continuity
theory could best assist her by which of the following
interventions?
a. Helping her find a new hobby, such as needlepoint.
b. Allowing her to plant a small garden outside of her apartment.
c. Calling the physician for an antidepressant.
d. Having someone drive her by her old house to see her garden.
Correct Answer Allowing her to plant a small garden outside of
her apartment.
A 90-year old female patient is brought to the emergency
department by her adult son. The son states that his mother was
found at home in her bathroom after falling two days ago. The
nurse suspects that the patient is suffering from dehydration.
Which of the following would be the best way for the nurse to
assess the patient for dehydration?
a. Assess the client's mucus membranes.
b. Assess the client's skin turgor.
c. Assess the client's urine specific gravity.
,d. Assess the client's sodium level. Correct Answer Assess the
clients sodium level
A client complains of constipation with no bowel movement in
six days. The best laxative choice for this situation would be:
a. A stool softener, such as Colace.
b. A stimulant cathartic, such as Cascara.
c. A bulk-forming laxative, such as Metamucil.
d. A lubricant, such as mineral oil. Correct Answer a stimulant
cathartic, such as Cascara
A client is 2 days post-operative for repair of a fractured hip.
Which of the following is priority teaching for this client?
a. Do not bend at the waist when sitting in a chair.
b. Keep the extremity adducted while in the bed.
c. You will ambulate immediately after surgery.
d. Pain medicine is rarely needed after hip surgery. Correct
Answer do not bend at the waist when sitting in a chair
A client states that when she turned 40 she found she needed to
wear reading glasses. Which of the following normal changes of
aging is this client experiencing?
a. Macular degeneration
b. Presbyopia
c. Diabetic retinopathy
d. Glaucoma Correct Answer presbyopia
A client suffering from esophagitis has been instructed to take
Amphojel as directed. The nurse's teaching should include:
, a.
Increase fluids to prevent constipation.
b.
Take after meals for effectiveness.
c.
Swallow the tablet without chewing.
d.
Avoid liquids for 30 minutes after administration. Correct
Answer increase fluids to prevent constipation
A client tells the nurse, "Every time I laugh or cough, I wet
myself." Which type of urinary incontinence is this client
describing?
a. Urge
b. Functional
c. Stress
d. Mixed Correct Answer stress
A client who has osteoarthritis takes Ibuprofen four times a day.
The client begins to complain of heartburn. The best action of
the nurse would be to:
a. Call the physician.
b. Instruct the client to stop the medication.
c. Assess if the client has taken the medication with food.
d. Suggest that the client take the ibuprofen less frequently.
Correct Answer Assess if the client has taken the medication
with food.
A 73 year old neighbor tells you that she sponge bathes daily but
takes a full tub bath only every three days. Which of the
following is an appropriate response?
a. Do you need assistance bathing?
b. This is a good practice.
c. You should take a tub bath everyday.
d. Do you have a problem with tub baths? Correct Answer this
is a good practice
A 74-year-old woman who is in the hospital for rehabilitation
following hip replacement has been experiencing incontinence
since admission. Which of the following interventions are likely
to facilitate the restoration of the patient's bladder function?
a. Request an order for an indwelling catheter from the patient's
physician.
b. Teach the patient how to meet hydration needs while still
limiting fluid intake.
c. Assist the client to use the bathroom at scheduled intervals
d. Request an order for medication to decrease bladder spasms.
Correct Answer Assist the client to use the bathroom at
scheduled intervals
A 78-year-old man is being evaluated in the geriatric clinic. His
daughter reports that he has been very forgetful lately, and she is
concerned that he might be "senile." The advanced practice
nurse administers the clock-drawing test and the patient draws a
distorted circular shape and places the numbers all on one side
,of the shape. Based on his performance, the nurse concludes that
the client:
a. has Alzheimer's disease
b. has Delirium
c. needs further evaluation
d. needs a functional status assessment Correct Answer needs
further evaluation
A 90 year old woman moves to an assisted living facility. She is
depressed because she misses her vegetable garden she had at
her previous home. The nurse who practices the continuity
theory could best assist her by which of the following
interventions?
a. Helping her find a new hobby, such as needlepoint.
b. Allowing her to plant a small garden outside of her apartment.
c. Calling the physician for an antidepressant.
d. Having someone drive her by her old house to see her garden.
Correct Answer Allowing her to plant a small garden outside of
her apartment.
A 90-year old female patient is brought to the emergency
department by her adult son. The son states that his mother was
found at home in her bathroom after falling two days ago. The
nurse suspects that the patient is suffering from dehydration.
Which of the following would be the best way for the nurse to
assess the patient for dehydration?
a. Assess the client's mucus membranes.
b. Assess the client's skin turgor.
c. Assess the client's urine specific gravity.
,d. Assess the client's sodium level. Correct Answer Assess the
clients sodium level
A client complains of constipation with no bowel movement in
six days. The best laxative choice for this situation would be:
a. A stool softener, such as Colace.
b. A stimulant cathartic, such as Cascara.
c. A bulk-forming laxative, such as Metamucil.
d. A lubricant, such as mineral oil. Correct Answer a stimulant
cathartic, such as Cascara
A client is 2 days post-operative for repair of a fractured hip.
Which of the following is priority teaching for this client?
a. Do not bend at the waist when sitting in a chair.
b. Keep the extremity adducted while in the bed.
c. You will ambulate immediately after surgery.
d. Pain medicine is rarely needed after hip surgery. Correct
Answer do not bend at the waist when sitting in a chair
A client states that when she turned 40 she found she needed to
wear reading glasses. Which of the following normal changes of
aging is this client experiencing?
a. Macular degeneration
b. Presbyopia
c. Diabetic retinopathy
d. Glaucoma Correct Answer presbyopia
A client suffering from esophagitis has been instructed to take
Amphojel as directed. The nurse's teaching should include:
, a.
Increase fluids to prevent constipation.
b.
Take after meals for effectiveness.
c.
Swallow the tablet without chewing.
d.
Avoid liquids for 30 minutes after administration. Correct
Answer increase fluids to prevent constipation
A client tells the nurse, "Every time I laugh or cough, I wet
myself." Which type of urinary incontinence is this client
describing?
a. Urge
b. Functional
c. Stress
d. Mixed Correct Answer stress
A client who has osteoarthritis takes Ibuprofen four times a day.
The client begins to complain of heartburn. The best action of
the nurse would be to:
a. Call the physician.
b. Instruct the client to stop the medication.
c. Assess if the client has taken the medication with food.
d. Suggest that the client take the ibuprofen less frequently.
Correct Answer Assess if the client has taken the medication
with food.
