Gerontology ATI Questions and Answers 100% Solved

Gerontology ATI Questions and Answers 100% Solved For an admission assessment, what action should the nurse take to collect subjective data? Allow patient enough time to respond to the questions For a patient that fell 3 days ago and presents with a fractured hip, malnutrition, and dehydration, what lab value represents malnutrition? Decreased albumin An older patient with decreased energy level, insomnia, and anorexia and normal lab values would be screened for: Depression An older patient has had abdominal surgery following an obstruction. What about pain management should the nurse consider when planning? Older adults are sensitive to the effects of analgesic opiates To promote reminiscence in older adults in a long-term care facility ... Initiate a daily story-telling hour When administering diphenhydramine hydrochloride, the action the nurse should take is to ... Review the medical record for a history of glaucoma For a nurse that is developing age-appropriate standards of care for older adults, which of Erikson's developmental tasks should the nurse recommend as the focus? Integrity A nurse is assessing an older adult who is homeless. What findings should the nurse associate with co-morbidity? Dementia and tuberculosis A nurse is teaching an older adult who has osteoarthritis in right hip and low lumbar vertebrae. Which statement by the patient indicates an understanding ? To relieve pressure on my hip, I should use a cane while ambulating A nurse is giving D/C instructions to a older female patient who has osteoporosis and a recent repair of the right hip. What instructions should the nurse include? Take your calcium supplements with a large glass of water A nurse is caring for an older adult with new onset Type 2 DM. What physiologic change contributes to development of Type 2 DM? Decreased sensitivity to circulating insulin A nurse is teaching a group of older female adults about post-menopausal dietary requirements. Which statement about should the nurse make about folic acid? Adequate folic acid intake is associated with reduced risk for heart disease A nurse is teaching a patient on bedrest following a DVT to increase peristalsis. What high-fiber food choices should the nurse recommend? Navy-bean soup A nurse assessing an older adult for dehydration should consider that ____ ____ ____ is an expected part of the aging process. Decreased creatinine clearance Which of the following physiologic changes associated with aging can affect medication dosage in an older patient? Decreased gastric motility A nurse at a long-term care facility is teaching new volunteers. The nurse should explain that older adults are most likely to exhibit a decrease in what? Short-term memory When assessing a potential cataract, which of the following client reports should the nurse recognize is consistent with cataracts? Halos when looking at the lights A nurse is reviewing a medical record who is post-menopausal and has osteoporosis. The client has a new Rx for alendronate sodium. Which finding in the history should the nurse recognize as a contraindication for this medication? Esophageal aclasia A nurse who is caring for an older patient with pneumonia should associate ____ ____ ____ ____ with a physiologic change with aging and places the patient at risk for pneumonia. Decreased number of cilia Which instructions should the nurse include regarding clients who are hearing impaired? Maintain eye contact with clients A nurse is teaching a group of healthy older adults about health screenings after age 50. Which health screening should the nurse recommend that client's complete annually? Visual Acuity A nurse caring for an older patient who has gout and refuses to eat and whose family has brought in food. What food should the nurse recommend the patient to not eat? Lentil soup A nurse caring for a patient who had a stroke should identify THIS as a major priority for this patient: The client's airway will remain clear, as evident by breath sounds A client has Alzheimer's, refuses to take medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? Ask the patient to express her reasons for refusing the medication and document the event. The nurse is monitoring a patient who has had a stroke and has a history of GERD and look for .... Aspiration pneumonia What is the most common factor that affects a client's performance of ADLs? Chronic physical disability A nurse is assessing an older patient during an annual physical. What finding should the nurse report to the provider? A fasting blood glucose level 160 mg/dL An older adult says to the nurse: "I am always forgetting things. I can't remember where I parked my car. Do you think I have Alzheimer's?" The correct therapeutic response by the nurse would be: That must be very upsetting. Can you tell me more about your forgetfulness? A nurse has a patient with dementia. The patient becomes confused and agitated at night, and wanders the hallway at night. What action should the nurse take? Place client's mattress on the floor A nurse is caring for a patient with anemia. Which food should the nurse recommend to increase iron? Dried fruit At which time of the year should older adults receive the flu vaccine? Every year in the fall What action should the nurse take when providing oral care to an unresponsive patient? Turn the patient on his side before starting When a patient with Alzheimer's wanders the halls at night, the nurse should ... Assign the client to a room closer to the nurse's station For a patient with dementia, which intervention should the nurse include in the plan? Use photograph memories as triggers A nurse caring for a patient with aphasia post-stroke should ... Present one idea in a sentence Which finding should the nurse identify as a benign, age-related skin change? Liver spots A nurse teaching a patient about Finasteride would know that ... There will be a decrease in patient's PSA levels A nurse teaching older adults about dietary needs would recommend that ... You should consume 1,200 mg of calcium daily When teaching an older patient about ambulating with a walker, the nurse should teach to ... Move the walker forward 6 inches then walk into the walker A client is taking alendronate sodium. The nurse should inform the patient to... Stop the medication if the patient develops heart burn A nurse is assessing an older adult who complains of anxiety related to financial concerns and difficulty sleeping for several months. Which factor should the nurse associated with lack of sleep? Anxiety can caused disturbed sleep patterns A client with a decreased attention span, feelings of overwhelming sadness, and a low energy level would be diagnosed with: Depression A nurse who has assessed airway, breathing & circulation on a patient who has had a stroke should next assess... Level of consciousness When using a fentanyl transdermal patch on an older adult, the nurse should inform the patient to NOT... Use a heating pad on the area with the patch Which action should the nurse take when speaking to a patient with hearing loss? Speak at a moderate rate A nurse assessing an 85-year-old should report to the provider a: Difference in pulse strength between lower extremities A nurse notices excoriations on an older patient's wrists and ankles. What should the nurse do first? Interview the patient in private When using a CPM (continuous passive motion) device, the nurse should: Line up the frame joints of CPM device with client's knees When teaching about osteoporosis, the nurse should recommend: Brisk walking will help prevent bone loss Furosemide can cause: Ototoxicity and the patient should get a hearing test