HESI Case Study Gerontology Age-Related ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Risks Exam with verified answers ||\\//|| ||\\//|| ||\\//|| ||\\//||
Carl Rogers is a 67-year-old African American male with a 20-year history of type 2 diabetes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mellitus. After a scheduled visit and an assessment at the healthcare provider's office
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(HCP's), Mr. Rogers is directly admitted to the medical unit with a stage II non-healing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ulcer on his right heel. The nursing admissions paperwork is completed, and pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
medication is administered. During his admissions assessment, Mr. Rogers is diagnosed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with a urinary tract infection (UTI) and dehydration. - correct answer✔✔
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The RN understands that which statement is accurate regarding type 2 diabetes mellitus in
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the aging client? - correct answer✔✔The risk for coexisting diseases such as hypertension
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
and stroke increases with aging ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which information about the client is of most concern to the RN? - correct answer✔✔C) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Reports a new onset of blurry vision ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What other symptom(s) should the RN expect to find in a client with a diagnosis of diabetic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
retinopathy? - correct answer✔✔A) Reports of floaters
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B) Loss of vision
||\\//|| ||\\//|| ||\\//||
D) Difficulty with color perception
||\\//|| ||\\//|| ||\\//|| ||\\//||
The RN understands that which information is correct regarding the prescribed insulin? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔C) Glargine (lantus) does not have a peak interval ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What conditions, other than hypoerglyceia, might Mr. Rogers have? - correct answer✔✔C)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Ketonuria
D) Osmotic diuresis
||\\//|| ||\\//|| ||\\//||
, E) Glycosuria
||\\//||
In addition to the insulin, which of the following immediate measures would be indicated
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
in the treatment of Mr. Rogers?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
SELECT ALL THAT APPLY - correct answer✔✔C) Potassium supplements ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D) Sodium bicarbonate
||\\//|| ||\\//|| ||\\//||
E) 0.9% normal saline
||\\//|| ||\\//|| ||\\//||
The RN sets the insulin drip to deliver how many mL/hr? - correct answer✔✔3 mL/hr
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which pattern should the nurse report immediately to the HCP? - correct answer✔✔A) ST
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
depression and "U" waves ||\\//|| ||\\//|| ||\\//||
Which lab value needs to be reported immediately? - correct answer✔✔B) Arterial pH 7.05
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mg/dL
The RN understands that which symptoms are associated with diabetic peripheral
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
neuropathy? ||\\//||
SELECT ALL THAT APPLY - correct answer✔✔A) Reduced ability to feel pain or
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
temperature in the extremities ||\\//|| ||\\//|| ||\\//|| ||\\//||
D) Problems with erectile dysfunction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
E) Extreme sensitivity to touch
||\\//|| ||\\//|| ||\\//|| ||\\//||
Which instruction related to bath safety is best? - correct answer✔✔D) Use a bath
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
thermometer to ensure that the temperature is below 102 degrees F ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Risks Exam with verified answers ||\\//|| ||\\//|| ||\\//|| ||\\//||
Carl Rogers is a 67-year-old African American male with a 20-year history of type 2 diabetes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mellitus. After a scheduled visit and an assessment at the healthcare provider's office
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(HCP's), Mr. Rogers is directly admitted to the medical unit with a stage II non-healing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ulcer on his right heel. The nursing admissions paperwork is completed, and pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
medication is administered. During his admissions assessment, Mr. Rogers is diagnosed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with a urinary tract infection (UTI) and dehydration. - correct answer✔✔
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The RN understands that which statement is accurate regarding type 2 diabetes mellitus in
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the aging client? - correct answer✔✔The risk for coexisting diseases such as hypertension
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
and stroke increases with aging ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which information about the client is of most concern to the RN? - correct answer✔✔C) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Reports a new onset of blurry vision ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What other symptom(s) should the RN expect to find in a client with a diagnosis of diabetic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
retinopathy? - correct answer✔✔A) Reports of floaters
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B) Loss of vision
||\\//|| ||\\//|| ||\\//||
D) Difficulty with color perception
||\\//|| ||\\//|| ||\\//|| ||\\//||
The RN understands that which information is correct regarding the prescribed insulin? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔C) Glargine (lantus) does not have a peak interval ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What conditions, other than hypoerglyceia, might Mr. Rogers have? - correct answer✔✔C)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Ketonuria
D) Osmotic diuresis
||\\//|| ||\\//|| ||\\//||
, E) Glycosuria
||\\//||
In addition to the insulin, which of the following immediate measures would be indicated
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
in the treatment of Mr. Rogers?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
SELECT ALL THAT APPLY - correct answer✔✔C) Potassium supplements ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
D) Sodium bicarbonate
||\\//|| ||\\//|| ||\\//||
E) 0.9% normal saline
||\\//|| ||\\//|| ||\\//||
The RN sets the insulin drip to deliver how many mL/hr? - correct answer✔✔3 mL/hr
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which pattern should the nurse report immediately to the HCP? - correct answer✔✔A) ST
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
depression and "U" waves ||\\//|| ||\\//|| ||\\//||
Which lab value needs to be reported immediately? - correct answer✔✔B) Arterial pH 7.05
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mg/dL
The RN understands that which symptoms are associated with diabetic peripheral
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
neuropathy? ||\\//||
SELECT ALL THAT APPLY - correct answer✔✔A) Reduced ability to feel pain or
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
temperature in the extremities ||\\//|| ||\\//|| ||\\//|| ||\\//||
D) Problems with erectile dysfunction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
E) Extreme sensitivity to touch
||\\//|| ||\\//|| ||\\//|| ||\\//||
Which instruction related to bath safety is best? - correct answer✔✔D) Use a bath
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
thermometer to ensure that the temperature is below 102 degrees F ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
