Question 1

The nurse is assessing the older adult patient using the Get-Up-and-Go test.The patient is unable to stand without assistance.Which score should the nurse document?

Accepted Answer

The Get-Up-and-Go test is scored from 0 to 4, with 0 indicating no risk of falling and 4 indicating a high risk. A score of 4 is given when the patient is unable to stand without assistance, indicating a high risk of falling.

Question 2

The nurse is providing care to an older adult patient who is diagnosed with a vitamin B deficiency.The patient tells the nurse,"I feel so tired all the time and my daughter says I look pale." Based on this data,which should the nurse suspect?

Accepted Answer

The symptoms of feeling tired and looking pale are indicative of anemia, which can be caused by a vitamin B deficiency. Osteoporosis is a condition of weakened bones, and atrophic gastritis and GERD are related to the digestive system and would not necessarily present with the symptoms described by the patient.

Question 3

Which statement should the nurse include when educating older adult patients about dementia?

Accepted Answer

Impaired judgment is a common symptom of dementia that should be included in education for older adult patients. B is incorrect as fluctuations in alertness are not a common symptom of dementia. C is also incorrect, as day-night reversal is a symptom of delirium, which is different from dementia. D is incorrect because symptoms of dementia can last beyond one month.

Question 4

Which senescence term should the nurse for a patient who is diagnosed with narrowing of the coronary arteries?

Accepted Answer

Stenosis refers to the narrowing of any tube-like structure in the body, including blood vessels like the coronary arteries. Atrophy refers to the decrease in size or function of tissues or organs. Sclerosis refers to the hardening or stiffening of tissues, often due to the accumulation of collagen. Calcification refers to the deposition of calcium in tissues, which can result in hardening or stiffening. While all of these terms may occur in the context of aging and disease, stenosis is the most specific and accurate term for describing narrowing of the coronary arteries.

Question 5

The nurse is providing care to an older adult patient who is experiencing bradycardia.When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?

Accepted Answer

Bradycardia is often caused by reduced number of pacemaker cells in the SA node, which is an age-related change. Stiffened artery walls (A) can contribute to hypertension and left ventricular hypertrophy. Increased size of the left atrium (B) is associated with heart failure, but not typically bradycardia. Decreased cardiac responsiveness to beta-adrenergic stimuli (D) is common in older adults and can contribute to cardiovascular disease, but it is not directly related to bradycardia.

Question 6

Which senescence term should the nurse use to describe deposits of calcium salt in the blood vessels that often occurs with aging?

Accepted Answer

Calcification refers to the buildup of calcium in tissues, which can cause hardening and damage to various organs and structures, including blood vessels. Atrophy refers to the shrinking and wasting away of tissues or organs due to age or disease, stenosis refers to a narrowing of a blood vessel or other duct or passage, and sclerosis refers to the hardening or thickening of tissues or structures due to disease or aging.

Question 7

Which senescence term should the nurse use to describe the wasting away of muscle mass that occurs with the aging process?

Accepted Answer

Atrophy is the term used to describe the wasting away of muscle mass that occurs with the aging process. Stenosis refers to the narrowing of a blood vessel or other tubular structure in the body, sclerosis refers to the hardening of tissues due to the buildup of scar tissue or plaque, and calcification refers to the accumulation of calcium deposits in the body.

Question 8

The nurse educates the older adult patient to increase activity,lose weight,and limit dietary intake of fats and calories.Which disease process is the patient at risk for based on the teaching?

Accepted Answer

The education provided by the nurse suggests that the patient is at risk for Type 2 DM. Increased activity and weight loss can help improve insulin sensitivity and blood sugar control, while limiting intake of dietary fats and calories can prevent the development of obesity and insulin resistance. Fecal impaction, diabetes insipidus, and GERD are not directly related to the education provided by the nurse.

Question 9

Which electrolyte imbalance should the nurse monitor an older adult patient for due to impaired renal diluting capacity and concentrating ability?

Accepted Answer

Older adults may have impaired renal diluting capacity and concentrating ability, leading to the risk of developing hyponatremia. Hyponatremia occurs when there is a low concentration of sodium in the blood. The nurse should monitor for signs and symptoms of hyponatremia, such as confusion, seizures, nausea, and vomiting. The other electrolyte imbalances listed are not directly related to impaired renal diluting capacity and concentrating ability in older adults.

Question 10

Which classification should the nurse use when providing care to an adult patient who is 70 years of age?

Accepted Answer

The term "young-old" is commonly used to categorize individuals between the ages of 65 and 74, making it the best choice for a 70-year-old adult patient. The term "old-old" is often used for those between the ages of 75 and 84, while "oldest old" is usually reserved for those over the age of 85. The term "old" can be seen as ageist and is not commonly used in healthcare settings.

Question 11

Which data collected by the nurse during the health history of an older adult patient increases the risk for heart disease?

Accepted Answer

Cigarette smoking is a major risk factor for heart disease in older adults as well as for other chronic diseases. Dependent edema may indicate heart failure, but it is not a direct risk factor for heart disease. Diabetes insipidus is a hormonal disorder affecting the kidneys that does not increase the risk for heart disease. Diminished hearing may affect the patient's quality of life, but it is not a risk factor for heart disease.

Question 12

Which nursing action supports The Joint Commission (TJCs)safety goals for providing home care to an older adult patient?

Accepted Answer

Verifying the patient's first and last name during each visit is a nursing action that supports The Joint Commission (TJCs) safety goals for providing home care to an older adult patient. This action helps to ensure that the correct patient is receiving the correct care.

Question 13

The nurse is providing care to an older adult patient who is diagnosed with an ulcer.Which age-related gastrointestinal change is often the cause for this diagnosis?

Accepted Answer

The answer of The nurse is providing care to an...

Question 14

The nurse is providing care to an older adult patient who is diagnosed with congestive heart failure (CHF).When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?

Accepted Answer

The answer of The nurse is providing care to an...

Question 15

Which clinical manifestation should the nurse anticipate when providing care to an older adult patient who is diagnosed with Parkinson disease?

Accepted Answer

Tremors are one of the classic clinical manifestations of Parkinson's disease, especially in older adults. Paralysis, vision impairment, and right-sided weakness are not typical symptoms of Parkinson's disease.

Question 16

Which electrolyte imbalance should the nurse monitor an older adult patient for when a diuretic is prescribed?

Accepted Answer

Older adults are at increased risk for hypokalemia due to decreased renal function and may require potassium supplementation when taking diuretics.

Question 17

Which nursing action is appropriate when conducting an hourly rounding when providing care to older adult patients?

Accepted Answer

Assisting the patient to the bathroom is appropriate when conducting hourly rounding for older adult patients as it helps prevent falls and provides an opportunity to assess the patient's mobility and urinary status. Obtaining vital signs or documenting intake can be done at longer intervals, and accounting for personal items is not necessarily part of hourly rounding.

Question 18

The nurse is providing care to an older adult patient who is diagnosed with osteoporosis.Which age-related cause should the nurse include in the teaching session?

Accepted Answer

Decreased absorption of vitamin D is an age-related cause of osteoporosis, as older adults are not able to produce or absorb vitamin D as efficiently as younger adults, leading to weakened bones.

Question 19

Which senescence term should the nurse use to describe the hardening of tissue due to fibrous tissue overgrowth that occurs with the aging process?

Accepted Answer

Sclerosis is the term used to describe the hardening of tissue due to fibrous tissue overgrowth that occurs with the aging process. Atrophy refers to the shrinkage of tissues or organs, stenosis refers to the narrowing of a passage or blood vessel, and calcification refers to the accumulation of calcium deposits in tissues or organs.

Question 20

The nurse is providing care to an older adult patient who is diagnosed with atrial fibrillation.When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?

Accepted Answer

The answer of The nurse is providing care to an...

Quiz 6: Geriatric Implications for Medical-Surgical Nursing

The nurse is assessing the older adult patient using the Get-Up-and-Go test.The patient is unable to stand without assistance.Which score should the nurse document?

The nurse is providing care to an older adult patient who is diagnosed with a vitamin B deficiency.The patient tells the nurse,"I feel so tired all the time and my daughter says I look pale." Based on this data,which should the nurse suspect?

Which statement should the nurse include when educating older adult patients about dementia?

Which senescence term should the nurse for a patient who is diagnosed with narrowing of the coronary arteries?

The nurse is providing care to an older adult patient who is experiencing bradycardia.When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?

Which senescence term should the nurse use to describe deposits of calcium salt in the blood vessels that often occurs with aging?

Which senescence term should the nurse use to describe the wasting away of muscle mass that occurs with the aging process?

The nurse educates the older adult patient to increase activity,lose weight,and limit dietary intake of fats and calories.Which disease process is the patient at risk for based on the teaching?

Which electrolyte imbalance should the nurse monitor an older adult patient for due to impaired renal diluting capacity and concentrating ability?

Which classification should the nurse use when providing care to an adult patient who is 70 years of age?

Which data collected by the nurse during the health history of an older adult patient increases the risk for heart disease?

Which nursing action supports The Joint Commission (TJCs) safety goals for providing home care to an older adult patient?

The nurse is providing care to an older adult patient who is diagnosed with an ulcer.Which age-related gastrointestinal change is often the cause for this diagnosis?

The nurse is providing care to an older adult patient who is diagnosed with congestive heart failure (CHF) .When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?

Which clinical manifestation should the nurse anticipate when providing care to an older adult patient who is diagnosed with Parkinson disease?

Which electrolyte imbalance should the nurse monitor an older adult patient for when a diuretic is prescribed?

Which nursing action is appropriate when conducting an hourly rounding when providing care to older adult patients?

The nurse is providing care to an older adult patient who is diagnosed with osteoporosis.Which age-related cause should the nurse include in the teaching session?

Which senescence term should the nurse use to describe the hardening of tissue due to fibrous tissue overgrowth that occurs with the aging process?

The nurse is providing care to an older adult patient who is diagnosed with atrial fibrillation.When educating the patient about this disorder,which age-related cardiovascular change should the nurse include?