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Exam (elaborations)

Kaplan Gerontology A Exam Study Guide Solutions

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  • Gerontology

Kaplan Gerontology A Exam Study Guide Solutions An older adult client reports some mild abdominal pain, sudden constipation, and some mild dyspnea. What body area does the nurse assess first? A. Respiratory B. Abdominal C. Cardiac D. Musculoskeletal - ANSWER-B. Abdominal Rationale: An acute...

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  • October 31, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Gerontology
  • Gerontology
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Kaplan Gerontology A Exam Study Guide

Solutions


An older adult client reports some mild abdominal pain, sudden constipation, and some mild dyspnea.

What body area does the nurse assess first?




A. Respiratory


B. Abdominal


C. Cardiac


D. Musculoskeletal - ANSWER✔✔-B. Abdominal




Rationale: An acute abdominal problem in the older adult often produces very few symptoms and the

ones the client reports are vague. Any abd pain should be investigated




Page 1/25

, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




The adult child of an older client tells the nurse the client has become confused and in hallucinating. It is

determined the client take 15 medications daily. Which response by the nurse is essential? Select all that

apply.




A. There is a change in the functioning of the liver and kidneys which may affect the way medications are

excreted




B. Additional medications may be needed to counteract the effects of the current medications




C. It is likely that some interactions among the medications may be responsible




D. Changes in the ratio of muscle to fat tissues may affect the amounts of medication in the body




E. Older adults do not metabolize medications easily and an increase in levels may cause problems -

ANSWER✔✔-Answer:


A,C,D,E


Page 2/25

, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




An older adult client takes a prescriptions for benzodiazepines. The nurse is aware this medication may

be less effective for the client. For which reason is this true?




A. A decrease in kidney tubules


B. A decrease in lean body mass


C. An increase in enzymes in the liver


D. An increase in body fat mass. - ANSWER✔✔-D. An increase in body fat mass




Rationale: Benzodiazepines are fat soluble and become trapped in the body fat rather than being

distributed to the other parts of the body as they would be in a younger person


An older adult client tells the nurse that reading has become difficult and colors seem to have changed.

The nurse asks which question to obtain additional information to determine the cause?




A. "Do you experience any problems with glare at night?"




B. "Are there any changes to the medications you take?"
Page 3/25

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