Page 1 of 121 GERONTOLOGY EVOLVE TEST WITH 3 DIFFERENT COMBINED VERSI ONS QUESTIONS AND ANSWERS LATEST UPDATE 2024 -2025 A GRADE VERSION A You notice that your older adult client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. You advise your client to do all the following EXCEPT: A. Wear a long -sleeved shirt. B. Protect the skin from trauma. C. Tape a nonadherent dressing over the site of a skin tear. D. Remind the health care personnel to be gentle when handling this client's skin. C. Tape a nonadherent dressing over the site of a skin tear. When an older adult client complains of itching and pain and several days later show you a rash, you realize she has: A. Herpes zoster B. Actinic keratosis C. Scabies D. Skin cancer A. Herpes zoster Of all the following malignant skin cancers, which one is the most common? A. Actinic keratosis B. Squamous cell carcinoma Page 2 of 121 C. Melanoma D. Basal cell carcinoma D. Basal cell carcinoma Pressure ulcers are defined as an injury to the skin and/or underlying tissue resulting from pressure or in combination with shear, usually over a bony prominence. To prevent pressure ulcers, you know that you must perform all the following EXCEPT: A. Tur n immobile clients every 2 hours off bony prominences. B. Keep the skin moist. C. Use lift or draw sheets to move clients in bed. D. Ensure that your client maintains a healthy nutritional status. B. Keep the skin moist After working with the older adults, you know that the following skin problems are common: (Select all that apply.) A. Xerosis B. Pruritus C. Seborrheic keratosis D. Pressure ulcers E. Eschar F. Hyperemia A. Xerosis B. Pruritus C. Seborrheic keratosis The change in the effectiveness of two or more substances when used in combination refers to which one of the following terms? Page 3 of 121 A. biotransformation B. potentiation C. bioavailability D. iatrogenic B Which classification of drugs is on the list of potentially inappropriate medications (PIM) for older adults and should be avoided except in extreme cases? A. warfarin B. acetaminophen C. benzodiazepines D. narcotic analgesics C __ is the use of multiple medications that can increase the risk for drug interactions and increase the risk for an adverse event. A. pharmacokinetics B. chronopharmacology C. pharmacodynamics D. polypharmacy D In visiting with an older adult client in his home, you see that he has more medications left in his bottles than he should have if he were taking them as instructed. You also note that his glasses are on the side table and broken. After calling to have hi s glasses fixed, you discuss with your client about asking the pharmacy to use a larger font for the instructions on the front of the bottles to ensure that he can more easily read the instructions with his new glasses. Page 4 of 121 use color -coded tops on the medication bottles to assist him in determining what times to take the medications or to help him determine which medications are in each bottle. place his medications in a daily and weekly medication pack to make it easier in determining what medications to take at what time. make a weekly calendar with medication pockets. You, as a nurse, have been working with an older adult client who is starting a new medication. Over the past 2 to 3 days, you notice that he has become confused and lethargic, more so than in the past. You suspect that he is experiencing A. polypharmacy B. adverse drug reaction C. chronopharmacology D. misuse of drugs B Myxedema can be described as a(n): A. Complication of hyperthyroidism B. Combination of peripheral and central edema C. Serious complication of untreated hypothyroidism in the older adult D. Apathetic thyrotoxicosis C. Serious complication of untreated hypothyroidism in the older adult When teaching a client about taking his thyroid medication, the nurse needs to ensure that he follows all of the following instructions EXCEPT: (Select all that apply.) A. Take the medication at the same time every day. B. Always take the same brand of me dication.
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