QUESTIONS AND ANSWERS for Pharm NUR 210
{graded AThe student nurse examines a 62-year-old patient and reports
to the preceptor that the patient appears to have an infection in
an untreated laceration on the calf. The student is unsure of the
assessment because the patient does not have a fev...
QUESTIONS AND ANSWERS for Pharm NUR 210
{graded A}
The student nurse examines a 62-year-old patient and reports
to the preceptor that the patient appears to have an infection in
an untreated laceration on the calf. The student is unsure of the
assessment because the patient does not have a fever. The
preceptor correctly explains that the older adult often does not
have a fever with an infection. - CORRECT ANSWER T
The nurse uses the mnemonic DIAPERS to assess for urinary
incontinence in an older adult patient. The "P" indicates
pharmaceuticals. - CORRECT ANSWER T
Mr. Chin, 82 years old, comes to the office for a routine
examination. The nurse notices a somewhat high-pitched
murmur in the second right intercostal space during systole. It
does not radiate, and the rest of his examination findings are
within expected parameters for age. Which is true of the most
likely cause of this murmur? - CORRECT ANSWER It carries
with it increased risk for cardiovascular disease.
,A nurse assesses a client's blood pressure and the findings
suggest orthostatic hypotension. Which area should the nurse
emphasize during client education? - CORRECT ANSWER
Prevention of falls
A nurse assesses the skin of an older adult's forearms and
observes purpura. The nurse interprets this finding as indicative
of which issue? - CORRECT ANSWER Vascular fragility
A client has come to the clinic for a routine checkup. The client
is 77 years old, weighs 198 pounds (89.8 kg), stands 5'4" (162.5
cm), and lives alone. The client's B/P is 147/89, pulse is 80, and
respirations 18. The nurse is planning client teaching. What is
an appropriate topic to include in the teaching plan? - CORRECT
ANSWER Encouraging a diet that supports a normal BMI
Mrs. Geller is somewhat quiet today. She has several bruises of
different colours on the ulnar aspects of her forearms and on
her abdomen. She otherwise has no complaints, and her
diabetes and hypertension are well managed. Her son from out
of state accompanies her today and has recently moved in to
help her. What should the nurse suspect? - CORRECT ANSWER
Elder abuse
,With a client suspected of suffering from presbycusis, the nurse
would expect difficulty hearing: - CORRECT ANSWER High-
pitched sounds
The nurse is assessing an older adult. Which assessment finding
would the nurse recognize as a finding associated with aging? -
CORRECT ANSWER Kyphosis
An elderly client visits her community health clinic with an
outbreak of vesicles on her skin. She tests positive for the
herpes zoster virus. The nurse should recognize this condition
as which of the following? - CORRECT ANSWER Shingles
Which intervention should the nurse suggest to a client to
improve the condition of dry skin? - CORRECT ANSWER Use
lanolin-based products
A nurse is working with an 88-year-old client who has
developed stress incontinence. In this case, as in all cases, the
nurse should understand that which of the following is the key
to recognizing pathology and illness in the very old? - CORRECT
ANSWER Knowing the person's baseline functional status and
recognizing deviations from it
, A nurse assesses a client's blood pressure and the findings
suggest orthostatic hypotension. Which area should the nurse
emphasize during client education? - CORRECT ANSWER
Prevention of falls
An older adult client has come to the clinic with new complaints
of fatigue, constipation, and cold intolerance. The nurse would
refer the client for what type of testing? - CORRECT ANSWER
Assessment of thyroid function
The nurse has assessed and informed the healthcare provider of
a brown-colored lesion on an older client's left cheek. The
lesion is diagnosed as solar lentigines. What is the nurse's best
action? - CORRECT ANSWER Encourage the client to wear
sunscreen daily.
A hospitalized client develop thrombocytopenia. Which lab
result does the nurse expect in this client? - CORRECT ANSWER
Platelet count less than 100,000
A sign of infection in the elder that is more common than fever
is - CORRECT ANSWER confusion
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