Deck 9: Perioperative Geriatrics

Question 1

Which laboratory values are important to assess in the geriatric patient?

A)Vitamin B
B)Hemoglobin/hematocrit
C)HCG
D)Deoxyribonucleic acid

Answer 1

B
Older adult patients frequently have a slight normal decrease in hemoglobin and hematocrit,and extreme decreases can signify anemia,malnutrition,or a pathologic condition.

Question 2

Geriatric patients are at risk when positioning or moving them.

Answer 2

True
Patients should be lifted and not pulled.Skin is sensitive to abrasion because of decreased dermal thickness and turgor.Joints may not move as easily due to degenerative osteoarthritis.

Question 3

The perioperative nurse should gather data about the older adult patient's self-concept because

A)the Joint Commission (TJC) mandates it.
B)it may be an important indicator of a decline in the status of his or her psychological health.
C)it assists the surgeon in performing the procedure better.
D)older patients like to talk about themselves to others.

Answer 3

B
The perioperative nurse should be aware that the older adult patient who is lonely and depressed needs additional support throughout the surgical experience.

Question 4

Subcutaneous fat deposits increase with age.

Question 5

The perioperative nurse should not worry about the geriatric patient's hydration.

Question 6

A comorbidity is the existence of two or more diseases in one individual.

Question 7

It is important to assess for multiple vaginal births in an older adult female patient because that data could indicate

A)uterine and bladder prolapse.
B)ovarian cancer.
C)number of children.
D)presence of a pessary.

Question 8

Some common findings seen when assessing an older adult patient's integumentary system might be

A)nonhealing foot wounds.
B)skin tags.
C)bruising on arms or hands.
D)bruises.

Question 9

The perioperative nurse should asses the activity level of the patient.What should be considered?

A)Improved memory
B)Improved hearing ability
C)Age
D)Activities of daily living (ADLs)

Question 10

What theory suggests that the body loses its ability to keep pace with the maintenance of life processes?

A)Genetic mutation theory
B)Wear-and-tear theory
C)Viral theory
D)Environmental theory

Question 11

A decrease in estrogen production can increase the risk for osteoporosis and heart disease in women.

Question 12

Patients with diabetes mellitus can experience which surgical complication?

A)Urinary incontinence
B)No complications
C)Constant monitoring
D)Postoperative infection

Question 13

Life expectancy has increased with major advancements in the study of

A)disease processes.
B)geriatric psychology.
C)use of pilates and yoga intervention.
D)taking extra vitamins.

Question 14

What chronic inflammatory disease characterized by the fixation or fusion of a vertebral joint can cause age-related postures?

A)Osteoporosis
B)Rheumatoid arthritis
C)Orthostatic hypotension
D)Ankylosing spondylosis

Question 15

Which is an influence that helps shape the prototype of the older adult's place in society?

A)Geographic
B)Physical
C)Social
D)Political

Question 16

Which is one of the three influences that affect the way an individual ages?

A)Type of medication being taken
B)Family status
C)Genetics
D)Retirement age

Question 17

At what temperature can a geriatric patient be at risk for hypothermia?

A)Below 100.5° F
B)Above 94° F
C)Below 96.8° F
D)Above 99.6° F

Question 18

Which is a negative myth of aging?

A)Endocrine system declines in aging adults.
B)Older adults do not engage in sexual behavior.
C)All body systems change during the aging process.
D)Comorbidities are frequently found in the geriatric population.

Question 19

An older adult patient should be allowed to wear a hearing-assist device into the operating room.

Question 20

What does the term geriatric mean?

A)Not independent anymore
B)Over the age of 80
C)Living in a nursing home
D)Older than 65

Question 21

Self-care deficit is a common nursing diagnosis when assessing the preoperative geriatric surgical patient.