Deck 9: Perioperative Geriatrics

Question 1

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

Answer 1

True
This diagnosis,along with a nursing diagnosis of "Impaired mobility" factor significantly in the postoperative phase and should be considered and placed in the plan of care.The reaction of the patient to either one of these nursing diagnoses will depend on his or her interactions with the external environment,the availability of resources,and the presence of barriers.

Question 2

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.

Answer 2

B
Skin tags along with wrinkled skin are normal findings in the geriatric population.Bruises can indicate a recent fall or elder abuse.Nonhealing wounds or bruising on hands and arms are not normal findings.

Question 3

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

Answer 3

B
The body continually tries to maintain homeostasis but degenerates over time because of cellular loss and destruction caused by interactions with the environment.

Question 4

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 5

Subcutaneous fat deposits increase with age.

Question 6

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 7

Which measurement is a vital sign that should be recorded in older adults?

A) Eye color
B) Number of children
C) Weight
D) Waist circumference

Question 8

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.

Question 9

Which is one of the effects of psychosocial isolation in the older adult?

A) Improved memory
B) Improved hearing ability
C) Decreased infection rate due to isolation
D) Multisystem decline

Question 10

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

Question 11

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

Question 12

More than 73% of all older adult patients have more than one medical diagnosis capable of causing death.

Question 13

Prolonged anesthesia induction is a common finding with older surgical patients.

Question 14

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 15

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 16

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 17

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 18

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

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

Question 19

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 20

Recreational drug use by the older adult patient should never be excluded from consideration just because the patient is older.