Exam (elaborations)
Gerontology HESI QUESTIONS AND CORRECT ANSWERS GRADED A+ 2024/2025
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Gerontology HESI QUESTIONS AND CORRECT ANSWERS GRADED A+ 2024/2025
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Gerontology HESIThe nursing evaluation of an older woman elicits records that the customer is recognized
with Raynaud's phenomenon. Which publicity must the nurse train the client to keep away
from?
A) Alcohol intake
b) Warm climates
c) Cold climates
d) Active exercise
C) Cold Climates
Rationale: Can reason prolonged painful vasoconstriction of the peripheral extremities (in
particular arms) in consumer's with Raynaud's phenomenon.
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A member of the family brings their growing older father to the medical institution due to the
fact he has been alert and oriented in the course of the day however agitated and
disoriented within the night. The registered nurse (RN) critiques the purchaser's list of
modern-day medicinal drugs with the customer and family. Which motion taken by means of
the RN is most critical?
A) Medication review with family caregivers is the PN's obligation
b) Multiple medicinal drugs can contribute to sundowner like symptoms
c) Medication recollect is the best way to assess the consumer's reminiscence
d) Reviewing medication moves is a component of powerful consumer care
B) Multiple medicinal drugs can contribute to sundowner like symptoms
Rationale: Older customers can also see a diffusion of healthcare vendors which could boom
the change of polypharmacy that compounds the workload of metabolic pathways that can
be much less green because of the growing old manner. Multiple medication interactions
may make a contribution to sundowner like signs and symptoms.
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An older purchaser with persistent kidney disease (CKD) has an arteriovenous fistula (AV)
within the left forearm for hemodialysis. After palpating the AV fistula, which locating is an
indication that the AV fistula is functioning nicely?
A) Enlarged veins
b) Redness around the web site
c) Decreased pulses under the fistula
d) Marked ecchymotic areas
,A) Enlarged Veins
Rationale: The blending of arterial and venous blood in an AV fistula reasons the veins to
make bigger, which facilitate cannulation for hemodialysis
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The domestic fitness registered nurse (RN) is changing an older consumer's moist to dry
dressing. Which remark should the RN evaluate as a healing response with the removal of
the dry dressing?
A) Debridement and removal of slough and eschar
b) Drainage of purulent exudate from the wound
c) Moist skin edges across the wound field
d) Presence of capillary increase inside the wound
A) Debridement and removal of slough and eschar
Rationale: Wet to dry dressings start with a wet packing interior of the wound, after which a
dry gauze is used to cowl the moist packing to wick drainage and bacteria away from the
wound to sell recovery. Removal of dried dressing affords debridement via casting off
exudate, sloughing tissue, and eschar.
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Older clients are at highest hazard for abuse and forget because of which elements? (Select
all that practice)
a) Needs are more than the caretaker's ability
b) Client's declining energy
c) Fixed earnings
d) Longer lifestyles expectancy
e) Lack of publicity to generation and traits
A, B
Rationale: When needs are not being met due to lack of capability of the caretaker, pressure
and feelings of failure of the care provider can be expressed via overlook and abuse. Decline
in power will increase the older patron's vulnerability to resist or reply to elder abuse.
A 64-yr-vintage customer is admitted to the medical institution with a fractured right hip. One
of the worries following surgical restore is to sell dorsiflexion. Which intervention might a
nurse enforce?
A) Begin early ambulation
b) Monitor ache degree
c) Provide PCA instructions
d) Provide a foot board
D) Provide a foot board
,Rationale: A footboard supports the feet in dorsiflexion and allows save you foot drop at
some point of the restoration.
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During the quarterly opinions of the customers in the assisted living network, the registered
nurse (RN) assesses for findings of failure to thrive in the older populace. Which findings
must the RN report and file as manifestations related to failure to thrive? (Select all that
observe).
A) Unintentional weight loss
b) Increased weakness
c) Increased quantities of sleep
d) Irritation and agitation
e) Seeking consistent interest for caregiver
A, B, C
Rationale: Symptoms of failure to thrive within the older population encompass weight loss,
weak point, and immoderate sleep, which must be documented and evaluated through a
healthcare issuer immediately.
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An older male purchaser is admitted to the health center with left-sided heart failure (HF).
Which finding ought to the registered nurse (RN) record that is regular with HF?
A) Ascites
b) Pitting edema
c) Jugular distention
d) Coarse and fine crackles
D) Coarse and quality crackles
Rationale: In left-sided coronary heart failure, the inadequacy of pumping blood into the
aorta causes blood to back up into the pulmonary capillaries; this pushes intravascular fluid
into the alveoli, that's manifested as crackles or rales.
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The registered nurse (RN) is reinforcing discharge instructions to the family of an older
patron with failure to thrive. What records have to the RN consist of to promote dietary
consumption for the consumer? (Select all that practice).
A) Minimize pressure level by using providing the consumer with a quiet environment at
some point of food
b) Provide food variations that the client can manipulate with out assistance
c) Assist the consumer with ingesting food in mattress in a semi Fowler's position
d) Encourage fluid intake earlier than food to lower dehydration
, e) Offer any kind of meals to the consumer as long as calories are ate up
A, B
Rationale: These hold to promote independence and reduce strain for the patron, on the way
to growth the opportunity for dietary intake.
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An older female client who has been taking hydrocodone/acetaminophen (Lortab) this fall
hours for persistent again pain for the past five years tells the registered nurse (RN) that she
cannot live with out her pain capsules. When asked if she is addicted, the patron states that
she isn't always an addict due to the fact the healthcare provider prescribed the pain
capsules. Which coping mechanism must the RN decide the consumer is using
approximately her addiction?
A) Lack of expertise approximately narcotic medicines
b) Rationalization to assist narcotic use
c) Transfer of blame to healthcare provider
d) Justification of narcotic use because of continual pain
B) Rationalization to guide narcotic use
Rationale: Client is the usage of clarification to hold vanity whilst she is puzzled by declaring
that she isn't addicted due to the fact she is taking a medicine prescribed with the aid of a
healthcare issuer.
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An older male purchaser arrives on the clinic for an annual physical examination. While the
nurse assesses the patron, the customer states that he's having intimacy problems along
with his wife. Which facts have to the nurse offer to elicit extra records from the purchaser?
A) Query client to make clear the patron's concept of an intimacy problem
b) Discuss benign prostatic hypertrophy (BPH) and ejaculation
c) Explore frequency that he stories erectile dysfunction (ED)
d) Determine if the consumer's wife is younger enough to get pregnant
A) Query customer to make clear the purchaser's idea of an intimacy trouble
Rationale: Clarification of the consumer's subject is needed to accurately address the
specific situation about intimacy issues.
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The home fitness registered nurse (RN) is assessing an older purchaser for a stress ulcer.
Which locating ought to the RN have a look at the location for a Stage I strain ulcer?
A) Superficial skin breakdown and flaking
b) Deep crimson, red, or mottled pores and skin
c) Subcutaneous damage or necrosis
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