Deck 6: Geriatric Implications for Medical-Surgical Nursing

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?

A) 0
B) 1
C) 3
D) 4

Answer 1

4

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?

A) Anemia
B) Osteoporosis
C) Atrophic gastritis
D) Gastroesophageal reflux disease (GERD)

Answer 2

Anemia

Question 3

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

A) "Dementia causes impaired judgment."
B) "Dementia causes fluctuations in alertness."
C) "Symptoms of dementia cause day-night reversal."
D) "Symptoms of dementia do not last more than one month."

Answer 3

"Dementia causes impaired judgment."

Question 4

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

A) Atrophy
B) Stenosis
C) Sclerosis
D) Calcification

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?

A) Stiffened artery walls
B) Increased size of the left atrium
C) Reduced number of pacemaker cells in the SA node
D) Decreased cardiac responsiveness to beta-adrenergic stimuli

Question 6

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

A) Atrophy
B) Stenosis
C) Sclerosis
D) Calcification

Question 7

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

A) Atrophy
B) Stenosis
C) Sclerosis
D) Calcification

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?

A) Fecal impaction
B) Diabetes insipidus
C) Type 2 diabetes mellitus (DM)
D) Gastroesophageal reflux disorder (GERD)

Question 9

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

A) Hypokalemia
B) Hyponatremia
C) Hypocalcemia
D) Hypomagnesemia

Question 10

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

A) Old
B) Old-old
C) Oldest old
D) Young-old

Question 11

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

A) Dependent edema
B) Diabetes insipidus
C) Cigarette smoking
D) Diminished hearing

Question 12

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

A) Verifying the patient's first and last name during each visit
B) Administering all prescribed medications to the patient during scheduled visits
C) Recommending the use of throw rugs on hard wood floors to prevent patient falls
D) Asking family members to smoke in another room when oxygen is in use by the patient

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?

A) Slowed gastric emptying
B) Atrophied gastric mucosa
C) Increased secretion of gastrin
D) Reduced secretion of intrinsic factor

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?

A) Stiffened artery walls
B) Increased size of the left atrium
C) Reduced number of pacemaker cells in the SA node
D) Decreased cardiac responsiveness to beta-adrenergic stimuli

Question 15

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

A) Tremors
B) Paralysis
C) Vision impairment
D) Right-sided weakness

Question 16

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

A) Hypokalemia
B) Hyponatremia
C) Hypocalcemia
D) Hypomagnesemia

Question 17

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

A) Obtaining patient vital signs
B) Assisting the patient to the bathroom
C) Accounting for all personal items in the patient's room
D) Documenting the amount of intake for the last meal eaten by the patient

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?

A) Decreased speed of foot movements
B) Decreased absorption of vitamin D
C) Increased intramuscular fat
D) Increased subcutaneous fat

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?

A) Atrophy
B) Stenosis
C) Sclerosis
D) Calcification

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?

A) Stiffened artery walls
B) Increased size of the left atrium
C) Reduced number of pacemaker cells in the SA node
D) Decreased cardiac responsiveness to beta-adrenergic stimuli

Question 21

Which clinical manifestation does the nurse anticipate when providing care to an older adult patient diagnosed with failure to thrive (FTT)?

A) An increased appetite
B) A high cholesterol level
C) A weight loss of five pounds
D) Skin that loses elasticity with poor turgor