Hesi PN-Gerontology (Questions with 100% verified answers)

A male client is seen in the clinic for benign prostatic hypertrophy (BPH). Which intervention is essential for the practical nurse (PN) to include in the client's visit? a. Reeducate the client about limiting fluid intake. b. Reassure the client that his BPH is a non-life-threatening condition. c. Assess the client for urinary hesitancy and weak or split urinary stream. d. Inform the client that there may be a genetic predisposition for male family members. correct answers c. Assess the client for urinary hesitancy and weak or split urinary stream. These symptoms may indicate progression of BPH to partial obstruction of the urethra, a medical emergency, and need to be reported to the health care provider. Fluids should be encouraged, not limited; hydration needs to be maintained. The oral temperature of a client with a urinary tract infection is 103° F. Which intervention should the practical nurse (PN) implement first? a. Instruct the client on proper hygienic practices. b. Observe the color or odor of urine. c. Recheck the temperature rectally. d. Encourage fluid intake. correct answers d. Encourage fluid intake. Fluids help to reduce fever as quickly and it is important to lower the temperature as soon as possible. An older adult client is being treated for toxicity related to medication use. When reviewing the client's medical records, the nurse is most likely to find which factor is correlated with this problem? a. The client has forgotten to take several doses of medication. b. The client's white blood cell count has steadily increased. c. The client's liver function has decreased since last year. d. The client has gained 40 pounds (18.2 kg) over 3 years. correct answers c. The client's liver function has decreased since last year. With aging, liver function decreases, affecting drug metabolism and detoxification. Forgetting to take doses of medication would not cause drug toxicity; excessive doses could cause toxicity. Elevated white blood cell counts and weight gain would not likely cause drug toxicity. a. Reeducate the client about limiting fluid intake. b. Reassure the client that his BPH is a non-life-threatening condition. c. Assess the client for urinary hesitancy and weak or split urinary stream. d. Inform the client that there may be a genetic predisposition for male family members. correct answers c. Assess the client for urinary hesitancy and weak or split urinary stream. These symptoms may indicate progression of BPH to partial obstruction of the urethra, a medical emergency, and need to be reported to the health care provider. Fluids should be encouraged, not limited; hydration needs to be maintained. The oral temperature of a client with a urinary tract infection is 103° F. Which intervention should the practical nurse (PN) implement first? a. Instruct the client on proper hygienic practices. b. Observe the color or odor of urine. c. Recheck the temperature rectally. d. Encourage fluid intake. correct answers d. Encourage fluid intake. Fluids help to reduce fever as quickly and it is important to lower the temperature as soon as possible. An older adult client is being treated for toxicity related to medication use. When reviewing the client's medical records, the nurse is most likely to find which factor is correlated with this problem? a. The client has forgotten to take several doses of medication. b. The client's white blood cell count has steadily increased. c. The client's liver function has decreased since last year. d. The client has gained 40 pounds (18.2 kg) over 3 years. correct answers c. The client's liver function has decreased since last year. With aging, liver function decreases, affecting drug metabolism and detoxification. Forgetting to take doses of medication would not cause drug toxicity; excessive doses could cause toxicity. Elevated white blood cell counts and weight gain would not likely cause drug toxicity.