ATI GERONTOLOGY QUIZ 2020 1. A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements, which of the following statements about the role of folic acid, should the nurse made clients who are postmenopausal to A) limit their intake of folic acid to re...
1. A nurse is teaching a group of older adult female clients who are
postmenopausal about dietary requirements, which of the following statements
about the role of folic acid, should the nurse made clients who are
postmenopausal to
A) limit their intake of folic acid to reduce their risk of stroke,
B) dietary folic acid is not of significant importance after bearing child
C) very healthy client to our postmenopausal require a daily folic acid supplement,
D) adequate folic acid intake is associated with reduced risk for heart disease.
D) adequate folic acid intake is associated with reduced risk for heart disease.
2. A nurses teaching an older adult client who is on bedrest following development
of deep vein thrombosis, about methods to increase peristalsis, which of the
following high fiber food choices should the nurse recommend
A) navy bean soup
B) can fruit juice,
C) white rice pudding,
D) soy milk.
A) navy bean soup
3. A nurse is associated in older adult client for signs of dehydration, which of the
following findings should the nurse consider an expected part of the aging
process,
A)elevation of urine specific gravity
B) decreased creatinine clearance
C) dry oral mucous membranes
D) poor skin turgor over the sternum.
B) decreased creatinine clearance
4. A nurse Reviewing the medical record of a client who is postmenopausal and
osteoporosis, the client has a new prescription for alendronate sodium, which of
the following findings in the client history should the nurse recognize is a
contradiction to this medication.
, A) glaucoma,
B) pagets disease
C) esophageal stricture
D) long term corticosteroid use
C) esophageal stricture
Clients who have a history of esophageal abnormalities, such as stricture or achalasia,
have delayed esophageal emptying, which greatly increases the client’s risk for
esophageal erosion, bleeding, and perforation.
Alendronate sodium is a bisphosphonate, which prevents or slows weakening of bone.
It is used to prevent and treat postmenopausal osteoporosis. The nurse should instruct
the client to wait at least 30 min after taking alendronate sodium before eating,
drinking, or taking other medications, and caution her not to lie down for at least 30
min after taking the medication. Standing or sitting upright ensures that the client gets
the full dose and decreases heartburn or the risk of injury to the esophagus.
5. A nurses caring for an older adult clients with the following physiological
changes associated with aging can affect medication dosage in this client.
A) Increased glomerular filtration rate
B) decreased, body fat,
C) decreased gastric motility
D) decreased gastric pH
C) decreased gastric motility
Decreased gastric motility results in medications remaining in the digestive tract for
longer periods of time, leading to slow absorption of the medication. The provider
might have to allow for a longer time for medication onset and peak by extending the
length of time between doses.
A nurse is collecting data from an older client for signs of dehydration. WOTF findings
should the nurse consider an expected part of the aging process?
Decreased Creatinine Clearance
6. A nurse is at a long term care facility and is providing teaching to a group of
adolescents who are new volunteers. The nurse explain that older clients are
most likely to exhibit a decrease in which of the following
A) short term memory,
B) creative ability
C) decision making skills
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