Hesi PN-Gerontology
Terms in this set (73)
An 83-year-old client a. Pedal pulses will be weak or absent in the left foot.
diagnosed with type 2 e. The client denies any pain in the left foot.
diabetes mellitus has been
admitted to home health Symptoms associated with decreased blood supply are
care for an ulcer on the weak or absent pedal and tibial pulses. The client
heel of the left foot. Which denying any pain is a common complication with type 2
changes in the foot should diabetes in the elderly.
the practical nurse (PN)
expect to find? (Select all
that apply.)
a. Pedal pulses will be weak
or absent in the left foot.
b. The client states that the
left foot is usually warm.
c. Flexion and extension of
the left foot will be limited.
d. Capillary refill of the
client's left toes is longer
than 2 seconds.
e. The client denies any pain
in the left foot.
,A 90-year-old client is c. Since the symptoms began so rapidly, it is not likely
brought to the emergency dementia.
room by a niece who visits
him twice a week. The client Acute delirium, rather than dementia, is more likely
lives independently, has because delirium is associated with an abrupt onset and
several hobbies, and a systemic illness. In this case the client has only had
interacts well with his symptoms since last night and has been diagnosed with
friends and relatives. Last a urinary tract infection. Once the infection has been
night, the client suddenly treated successfully, it is likely the client will return to his
became agitated, and usual state. Dementia is characterized by a slower onset
started hallucinating. of symptoms. It is nontherapeutic to tell a client's family
Urinalysis and complete member he should have been treated earlier.
blood count reveal a
urinary tract infection. The
niece asks "Is my uncle
developing dementia?"
Which answer is most
appropriate to provide?
a. Unfortunately, these are
early signs of dementia.
b. It is unfortunate he did
not get treatment for
dementia earlier.
c. Since the symptoms
began so rapidly, it is not
likely dementia.
d. The hallucinations he is
having indicate he may have
dementia.
,The client complains of d. Closely monitor the blood glucose level and watch
nausea and vomiting about for signs of hypoglycemia.
1 hour after taking the
morning dose of an oral When a client who has taken an oral antidiabetic agent
antidiabetic agent, vomits, the practical nurse (PN) should monitor the
glyburide. What is the blood glucose level and watch for signs of
priority nursing hypoglycemia.
intervention?
a. Administer an additional
dose of glyburide.
b. Take the client's blood
glucose levels and
administer insulin
subcutaneously.
c. Check the blood glucose
level and monitor for signs
of hyperglycemia.
d. Closely monitor the
blood glucose level and
watch for signs of
hypoglycemia.
, The client has end-stage c. To allow the client to die with as much comfort and
Alzheimer disease and is dignity as possible
admitted into hospice care.
Which focus does the nurse The philosophy of hospice care is to allow the client in
expect to note in the plan the end stages of life to die with dignity and to be as
of care? comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care
a. To provide maximum is to allow clients to have a peaceful death focusing on
treatment to keep the client caring interventions and symptom management.
alive
b. To focus on caring
interventions and symptom
management
c. To allow the client to die
with as much comfort and
dignity as possible
d. To rehabilitate the patient
by offering physical and
occupational therapies
A client has had cataract b. Avoid bending at the waist.
surgery. What is the most
important postsurgery The client needs to avoid heavy lifting, straining, and
instruction that the practical bending to prevent intraocular pressure in the eye.
nurse (PN) should
implement?
a. Increase dietary intake of
vitamin E.
b. Avoid bending at the
waist.
c. Instruct the client to look
for halos around objects.
d. Advise the client that
there will be significant
changes in vision.
Terms in this set (73)
An 83-year-old client a. Pedal pulses will be weak or absent in the left foot.
diagnosed with type 2 e. The client denies any pain in the left foot.
diabetes mellitus has been
admitted to home health Symptoms associated with decreased blood supply are
care for an ulcer on the weak or absent pedal and tibial pulses. The client
heel of the left foot. Which denying any pain is a common complication with type 2
changes in the foot should diabetes in the elderly.
the practical nurse (PN)
expect to find? (Select all
that apply.)
a. Pedal pulses will be weak
or absent in the left foot.
b. The client states that the
left foot is usually warm.
c. Flexion and extension of
the left foot will be limited.
d. Capillary refill of the
client's left toes is longer
than 2 seconds.
e. The client denies any pain
in the left foot.
,A 90-year-old client is c. Since the symptoms began so rapidly, it is not likely
brought to the emergency dementia.
room by a niece who visits
him twice a week. The client Acute delirium, rather than dementia, is more likely
lives independently, has because delirium is associated with an abrupt onset and
several hobbies, and a systemic illness. In this case the client has only had
interacts well with his symptoms since last night and has been diagnosed with
friends and relatives. Last a urinary tract infection. Once the infection has been
night, the client suddenly treated successfully, it is likely the client will return to his
became agitated, and usual state. Dementia is characterized by a slower onset
started hallucinating. of symptoms. It is nontherapeutic to tell a client's family
Urinalysis and complete member he should have been treated earlier.
blood count reveal a
urinary tract infection. The
niece asks "Is my uncle
developing dementia?"
Which answer is most
appropriate to provide?
a. Unfortunately, these are
early signs of dementia.
b. It is unfortunate he did
not get treatment for
dementia earlier.
c. Since the symptoms
began so rapidly, it is not
likely dementia.
d. The hallucinations he is
having indicate he may have
dementia.
,The client complains of d. Closely monitor the blood glucose level and watch
nausea and vomiting about for signs of hypoglycemia.
1 hour after taking the
morning dose of an oral When a client who has taken an oral antidiabetic agent
antidiabetic agent, vomits, the practical nurse (PN) should monitor the
glyburide. What is the blood glucose level and watch for signs of
priority nursing hypoglycemia.
intervention?
a. Administer an additional
dose of glyburide.
b. Take the client's blood
glucose levels and
administer insulin
subcutaneously.
c. Check the blood glucose
level and monitor for signs
of hyperglycemia.
d. Closely monitor the
blood glucose level and
watch for signs of
hypoglycemia.
, The client has end-stage c. To allow the client to die with as much comfort and
Alzheimer disease and is dignity as possible
admitted into hospice care.
Which focus does the nurse The philosophy of hospice care is to allow the client in
expect to note in the plan the end stages of life to die with dignity and to be as
of care? comfortable as possible. Clients on hospice care are not
provided lifesaving measures; the goal of palliative care
a. To provide maximum is to allow clients to have a peaceful death focusing on
treatment to keep the client caring interventions and symptom management.
alive
b. To focus on caring
interventions and symptom
management
c. To allow the client to die
with as much comfort and
dignity as possible
d. To rehabilitate the patient
by offering physical and
occupational therapies
A client has had cataract b. Avoid bending at the waist.
surgery. What is the most
important postsurgery The client needs to avoid heavy lifting, straining, and
instruction that the practical bending to prevent intraocular pressure in the eye.
nurse (PN) should
implement?
a. Increase dietary intake of
vitamin E.
b. Avoid bending at the
waist.
c. Instruct the client to look
for halos around objects.
d. Advise the client that
there will be significant
changes in vision.
