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Geriatrics - Exam 1 - Evolve _ ATI
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Geriatrics - Exam 1 - Evolve _ ATI
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Geriatrics - Exam 1 - Evolve / ATI"When I was growing up, I was taught to accept my lot in life and not to complain. I am
proud of the fact that, despite my issues, I can still function independently. I do not want
to be just put away." Of the factors that influence mental health care, you realize that
this client is demonstrating an example of which one of the following?
Settings of care
Attitudes and beliefs
Cultural and ethnic disparities
Anxiety disorder - ANS-Attitudes and beliefs
A nurse is assessing an older adult client for signs of dehydration. Which of the
following findings should the nurse considers as an *expected* part of the aging
process?
Decreased creatinine clearance
Dry oral mucus membranes
Elevation of urine specific gravity
Poor skin turgor over the sternum - ANS-decreased creatinine clearance
A nurse is caring for a client who has Alzheimer's disease and refuses to take her
morning antihypertensive medications. The client is oriented to name and place and is
able to perform ADLs with minimal supervision. Which of the following actions should
the nurse take?
Insist the client comply by informing her of the possible implications of missing a dose
Notify the provider of the need for further evaluation of the client's level of competence
, Crush the pills and feed them to the client in applesauce
Ask the client to express her reasons for refusing the medication and document the
event - ANS-Ask the client to express her reasons for refusing the medication and
document the event
A nurse is caring for an older adult client who has a new onset of type 2 DM. Which of
the following physiologic changes can contribute to the development of type 2 DM?
Increased production of insulin by the pancreas
Decreased sensitivity to the circulating insulin
Increased rate of glucose metabolism
Decreased release of glycogen by the liver - ANS-Decreased sensitivity to the
circulating insulin
A nurse is caring for an older adult client who has dementia. The client becomes
agitated and confused at night and wanders into the hallway. Which of the following
actions should the nurse take?
Restrain the client during nighttime hours
Turn out the lights in the client's room at night
Place the client's mattress on the floor
Provide continuous orientation to the client - ANS-Place the client's mattress on the floor
A nurse is caring for an older adult client who has pneumonia. Which of the following
physiologic changes associated with aging places the client at risk for pneumonia?
Decreased anterior-posterior diameter
Increased alveolar surface area
Increased diameter of the small airways
Decreased number of cilia - ANS-Decreased number of cilia
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