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Gerontology HESI Practice :) Latest Questions With Complete Solution Graded (A+)
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Gerontology HESI Practice :) Latest 2023-2024Questions With Complete Solution Graded (A+)
Quiz :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 administration record (MAR)
C) Payment forms for prescribed medications
D) Delivery of adequate supply of medication
E) List of findings indicating medication effectiveness - Answer :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
Quiz :When assessing an older client, which age-related changes in the
cardiovascular system should the registered nurse (RN) document? (Select all
that apply.)
A) Dyspnea
B) Chest pain
C) Cardiac murmurs
D) Widening pulse pressure
E) Irregular heart rate - Answer :C,D
For older clients the expected age-related changes in the cardiovascular
system include murmurs and widening pulse pressure
Quiz :An older client who recently moved into an assisted living community
refuses to eat or join any activities. When evaluating the client further, what
should the registered nurse (RN) focus on during the next examination?
A) Anxiety
B) Depression
C) Exhaustion
D) Confusion - Answer :B
,Depression is a symptom that an older client is likely to experience with a
sudden change in living accommodations when a loss of personal identity can
create low self-esteem
Quiz :The registered nurse (RN) is caring for an elderly client with functional
incontinence who lives in an assisted living community. The client is alert and
mildly confused and can self ambulate. Which nursing intervention should the
RN implement?
A) Offer assistance with toileting q2 hours
B) Use protective disposal undergarment instead of underwear
C) Ask if the client has attempted to void q2 hours
D) Obtain a prescription for intermittent catherization - Answer :A
Maintaining independence and self-esteem is important for an older client
with incontinence. Toilet assistance decreases the client's chances of accidents
and embarrassment by introducing a toilet training program
Quiz :The healthcare provider prescribes a new medication, atorvastatin
(Lipitor, for an older client who arrives at the clinic for an annual physical
examination. What common side effect should the registered nurse (RN)
advise the client to observe for with this medication?
A) Constipation
B) Headaches
C) Muscle weakness
D) Nausea and vomiting - Answer :B
Headaches are the most common side effect with this medication, which the
RN should direct the client to report
Quiz :The registered nurse (RN) is re-enforcing discharge instructions with the
family of an older client who was recently admitted for an intestinal
obstruction. Which statement indicates that the family understands the
instructions?
A) Increase protein and carbohydrates in the daily diet
B) Limit activity to bed rest for the first week and increase mobility
incrementally each week
, C) Report abdominal distention, constipation or any nausea and vomiting to
the healthcare provider
D) Drink liquids 2 h - Answer :C
These are symptoms that occur with intestinal obstruction and should be
addressed immediately
Quiz :An older male client asks the registered nurse (RN) how he can reduce
his incidents of hemorrhoidal flare ups. What information should the RN offer
the client about how to prevent rectal discomfort? (Select all that apply).
A) Increase fiber and liquids in the diet to help prevent constipation and
straining
B) Change exercise program to reflect less cardio-exercise and more weight
training
C) Use a therapeutic cushion for frequent repositioning for periods of
prolonged sitting
D) Take frequent - Answer :A,C,D,E
Fluids, comfort measures, and establishment of a regular bowel pattern help
reduce incidents of hemorrhoid inflammation.
Quiz :During the quarterly evaluations of the clients in the assisted living
community, the registered nurse (RN) assesses for findings of failure to thrive
in the older population. Which findings should the RN document and report as
manifestations related to failure to thrive? (Select all that apply.)
A) Unintentional weight loss
B) Increased weakness
C) Increased amounts of sleep
D) Irritation and agitation
E) Seeking constant attention from caregiver - Answer :A,B,C
Symptoms of failure to thrive in the older population include weight loss,
weakness, and excessive sleep, which should be documented and evaluated by
a healthcare provider immediately
Quiz :An older male client is seeking counseling about his recent sexual issues
with his partner. What issue should the registered nurse (RN) explore in this
discussion?
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