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GERONTOLOGIC Nursing HESI Prep Exam Questions with Answers Latest Update
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GERONTOLOGIC Nursing HESI PrepExam Questions with Answers Latest
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The PN is implementing a self-medication program for an older resident who is newly
admitted to an assisted living community. Which actions should the PN implement to
provide the resident ways to maintain safe medication administration (select all that
apply) - Correct Answers Locked medication storage in the client's room
B- Medication administration record (MAR)
D- Delivery of adequate supply of medication
E- List of findings indicating medication effectiveness
The nurse is caring for an 80-year-old female patient. The patient should be given how
many liters of water daily? Record your answer using one decimal place. - Correct
Answers 2.1 Rationale
Elderly patients are susceptible to dehydration. When fluid loss is excessive, water and
electrolytes must be replaced. Women whose age is more than 70 years need 2.1 liters
of water to prevent dehydration. Women in the age group of 51 to 70 require 2.7 liters of
water daily.
The nurse is caring for an elderly female patient. What should the nurse suggest to the
patient to protect her from bone demineralization? Select all that apply. - Correct
Answers Encourage the patient to undertake weight-bearing exercises Encourage the
patient to increase intake of calcium rich foods Encourage the patient to talk to her
physician about hormone replacement therapy
Rationale: Hormone replacement therapy (HRT) and adequate dietary or supplemental
calcium and vitamin D in combination with weight-bearing exercises are protective
against osteoporosis in women. All of these help to rebuild bone or stop its loss. Craft
activities can assist with the preservation of fine motor movement. Etanercept (Enbrel),
an immunomodulator, is used for patients with rheumatoid arthritis if they have a poor
response to other treatment. Enbrel is used as a treatment for psoriasis and several
types of arthritis.
The nurse is caring for an 80-year-old female patient. The patient should be given how
many liters of water daily? Record your answer using one decimal place. 2.1 - Correct
Answers Rationale Elderly patients are susceptible to dehydration. When fluid loss is
excessive, water and electrolytes must be replaced. Women whose age is more than 70
years need 2.1 liters of water to prevent dehydration. Women in the age group of 51 to
70 require 2.7 liters of water daily.
, The nurse is caring for an elderly female patient. What should the nurse suggest to the
patient to protect her from bone demineralization? Select all that apply. - Correct
Answers Encourage the patient to undertake weight-bearing exercises
Encourage the patient to increase intake of calcium rich foods
Encourage the patient to talk to her physician about hormone replacement therapy
Rationale:
Hormone replacement therapy (HRT) and adequate dietary or supplemental calcium
and vitamin D in combination with weight-bearing exercises are protective against
osteoporosis in women. All of these help to rebuild bone or stop its loss. Craft activities
can assist with the preservation of fine motor movement. Etanercept (Enbrel), an
immunomodulator, is used for patients with rheumatoid arthritis if they have a poor
response to other treatment. Enbrel is used as a treatment for psoriasis and several
types of arthritis.
The nurse in the memory care unit occasionally must use protective devices for her
patients. Under which circumstances are protective devices allowed to be used? Select
all that apply. - Correct Answers When there is a documented reason
When the primary health care provider orders so
When there is permission from the patient's guardian
Rationale:
Encouraging fluids can decrease the urine concentration so it is less irritating, less
predisposing to urinary tract infections, and less odoriferous. Indwelling catheters are
not recommended. Nurses may not order/prescribe medications. Nurses should not
recommend herbal preparations without first consulting with the physician.
The patient has urinary incontinence. Which intervention should the nurse take which
would be most appropriate for this patient? Encourage fluids to decrease the urine
concentration so it is less irritating. - Correct Answers Rationale:
Encouraging fluids can decrease the urine concentration so it is less irritating, less
predisposing to urinary tract infections, and less odoriferous. Indwelling catheters are
not recommended. Nurses may not order/prescribe medications. Nurses should not
recommend herbal preparations without first consulting with the physician.
An elderly patient with diminished renal function is given digoxin (Lanoxin). The nurse
understands the provider will take into consideration which age-related change when
determining the dosing of all medications the patient is to receive? - Correct Answers
Retention of drugs in the system
Rationale:
Medications, such as digoxin (Lanoxin), cause retention of other drugs in the presence
of diminished renal function. Decreased body water, increased ratio of fat to muscle,
decreased effectiveness of liver is all age-related factors that may cause drug toxicity in
older adults.
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