IGNATAVCIUS GERONTOLOGY HESI
DETIALED ANSWERS WITH RATIONALES
ANSWERS.
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident
ways to maintain safe medication administration? (Select all that apply)
A) Locked medication storage in the client's room
B) Medication forms for prescribed medications
C) Payment forms for prescribed medications
D) Delivery of adequate supply of medication
E) List of findings indicating medication effectiveness - CorreCt Answers -
A,B,D,E
For safe self-medication in an assisted living community, the resident
should be provided a locked storage box, create a medication
administration record to monitor medication, establish adequate
medication supply, and a reference to evaluate the effectiveness of
medication
After a transurethral resection of the prostate (TURP), an older man
returns to the medical surgical floor with a 3-way indwelling urinary
catheter. The RN observes the catheter's tubing for drainage when the
client states that he needs to void. What should the RN implement based on
this finding?
,A) Irrigate the bladder through the catheter port
B) Remove the indwelling catheter
C) Explain that urgency is expected
D) Notify the healthcare provider of the symptom - CorreCt Answers -A
The feeling of urgency can be caused by blood clots that can occlude
drainage of the catheter, which is a common occurrence in the first 72
hours after a TURP. The urgency is an indication that the client's catheter is
not emptying, and the RN should irrigate catheter to relieve the symptoms
caused by a clot.
The RN is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which
finding associated with RA should the RN document?
A) Asymmetrical joint deformity
B) Small joint involvement in fingers
C) Crepitation or grating sensation in joints
D) Weight bearing joint involvement - CorreCt Answers -B
Small joint involvement is common in rheumatoid arthritis
A 64-year-old is admitted to the hospital with a fractured right hip. One of
the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A) Begin early ambulation
, B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - CorreCt Answers -D
A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout the recovery. Early ambulation and good body alignment may
also reduce the possibility of foot drop however the footboard is maintained
throughout recovery
After a recent total hip replacement, an older female client, who transferred
to a rehabilitation facility placement, asks the RN if she broke her hip
because she is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength
conditioning
B) With aging, everything tends to break down more easily the older one
gets
C) Older people tend to look down instead of ahead, increasing the risk of
falls
D) Older women commonly lose bone calcium which increases the risk of
fracture - CorreCt Answers -D
The best response is to provide the client with an explanation based on
aging and demineralization of the bone in older females, especially after
menopause
DETIALED ANSWERS WITH RATIONALES
ANSWERS.
An older resident is newly admitted to an assisted living community. Which
actions should the registered nurse (RN) implement to provide the resident
ways to maintain safe medication administration? (Select all that apply)
A) Locked medication storage in the client's room
B) Medication forms for prescribed medications
C) Payment forms for prescribed medications
D) Delivery of adequate supply of medication
E) List of findings indicating medication effectiveness - CorreCt Answers -
A,B,D,E
For safe self-medication in an assisted living community, the resident
should be provided a locked storage box, create a medication
administration record to monitor medication, establish adequate
medication supply, and a reference to evaluate the effectiveness of
medication
After a transurethral resection of the prostate (TURP), an older man
returns to the medical surgical floor with a 3-way indwelling urinary
catheter. The RN observes the catheter's tubing for drainage when the
client states that he needs to void. What should the RN implement based on
this finding?
,A) Irrigate the bladder through the catheter port
B) Remove the indwelling catheter
C) Explain that urgency is expected
D) Notify the healthcare provider of the symptom - CorreCt Answers -A
The feeling of urgency can be caused by blood clots that can occlude
drainage of the catheter, which is a common occurrence in the first 72
hours after a TURP. The urgency is an indication that the client's catheter is
not emptying, and the RN should irrigate catheter to relieve the symptoms
caused by a clot.
The RN is caring for an older female client with a 20 year history of
rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which
finding associated with RA should the RN document?
A) Asymmetrical joint deformity
B) Small joint involvement in fingers
C) Crepitation or grating sensation in joints
D) Weight bearing joint involvement - CorreCt Answers -B
Small joint involvement is common in rheumatoid arthritis
A 64-year-old is admitted to the hospital with a fractured right hip. One of
the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement?
A) Begin early ambulation
, B) Monitor pain level
C) provide PCA instructions
D) Provide a foot board - CorreCt Answers -D
A footboard supports the feet in dorsiflexion and helps prevent foot drop
throughout the recovery. Early ambulation and good body alignment may
also reduce the possibility of foot drop however the footboard is maintained
throughout recovery
After a recent total hip replacement, an older female client, who transferred
to a rehabilitation facility placement, asks the RN if she broke her hip
because she is old. How should the RN best respond?
A) Hip fractures can occur in any age group and require strength
conditioning
B) With aging, everything tends to break down more easily the older one
gets
C) Older people tend to look down instead of ahead, increasing the risk of
falls
D) Older women commonly lose bone calcium which increases the risk of
fracture - CorreCt Answers -D
The best response is to provide the client with an explanation based on
aging and demineralization of the bone in older females, especially after
menopause
