Exam (elaborations)
GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE
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GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE
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10/29/24, 12:55 PM GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE Flas…GERONTOLOGY HESI RN EXIT TEST BANK
LATEST UPDATE 2024| QUESTIONS AND
CORRECT ANSWERS|AGRADE
Terms in this set (50)
A frail, elderly client is B. Confusion and dehydration
admitted to the unit with a
diagnosis of pneumonia. Rationale: Confusion and dehydration (B) are findings
Which finding is most of inadequate oxygenation and perfusion in this frail
important for the elderly client. (A), (C) and (D) are all common with
registered nurse (RN) to pneumonia, but the most important finding is
report to the healthcare confusion and evidence of dehydration, which require
provider? treatment for this frail elderly client.
A. Fever and chills
B. Confusion and
dehydration
C. Crackles in the lung
fields
D. Nausea and vomiting
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,10/29/24, 12:55 PM GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE Flas…
A frail elderly couple asks D. Taste buds are often dull due to atrophy so older
the registered nurse (RN) clients should use other seasonings instead of salt.
if they have to watch their
salt intake because food Rationale: Taste buds atrophy with normal aging,
does not taste as good as which influences an older client's sensitivity to taste
it used to so they have to and is often compensated for the use of stronger
season most foods. What tasting seasonings. (A), (B), and (C) are not normal
information should the RN aging processes related to taste.
offer the couple?
A. Boredom may influence
how the taste of food is
perceived, and different
seasonings can stimulate
taste.
B. With age, an increase in
sodium intake is needed
to compensate for a
decrease in renal function.
C. Short-term memory
loss and confusion may be
the reason they want to
over-season their food.
D. Taste buds often are
dull due to atrophy so
older clients should use
other seasonings instead
of salt.
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,10/29/24, 12:55 PM GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE Flas…
After taking a 10-day B. Crackles and pulse oximetry level of 88%
course of an antibiotic that
was ineffective, a frail, Rationale: With pneumonia, crackles in the lungs and
elderly client with chronic low O2 saturation (B) can impact adequate
obstructive pulmonary oxygenation, which should be reported to the HCP.
disease (COPD) is (A) occurs due to chronic hyperinflation of the lungs
admitted for pneumonia. and is common in clients with COPD. Anemia (C) is
The client has a long frequently identified in clients with COPD, and
history of respiratory acidosis (D) due to CO2 retention
smoking and still smokes a contributes to a lower blood pH.
pack of cigarettes a day.
Which finding should the
registered nurse (RN)
report to the healthcare
provider?
A. Barrel chest with
increased chest diameter
B. Crackles and pulse
oximetry level of 88%
C. Low hemoglobin and
hematocrit levels
D. Arterial blood gases
indicating respiratory
acidosis
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, 10/29/24, 12:55 PM GERONTOLOGY HESI RN EXIT TEST BANK LATEST UPDATE 2024| QUESTIONS AND CORRECT ANSWERS|AGRADE Flas…
An older female client A. Explain that she is in a new home called an assisted
recently moved to an living community.
assisted living facility. The
family explains to the Rationale: Reality re-orientation (A) is the best
registered nurse (RN) that response for a client who is confused because the
the client is response is consistent and true. (B, C, and D) do not
unmanageable and always provide the client with feedback that is reality based.
confused, disoriented and
depressed. The client asks
the RN repeatedly, "Where
am I?". How should the
RN respond?
A. Explain that she is in a
new home called an
assisted living community
B. Question the client
about her perception of
where she might be now.
C. Distract the client with a
scenario that she is on an
outing with her family.
D. Reassure the client not
to worry because she will
meet new friends.
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