Test Bank For Gerontological Nursing 4th Edition All
Chapters - 9780134554303
Promoting Healthy Skin While Aging: - ANS-Avoid excessive
exposure to ultraviolet light, keep skin moisturized, avoid use of
drying soaps, always use sun screens, keep well hydrated.
Natural Aging of Hair: - ANS-Men and women in all racial groups
have less hair as they grow older, the amount of hair in the ears,
nose and eyebrows of older men increases, older women develop
chin and facial hair.
Natural Aging of Nails: - ANS-Become harder and thicker, and more
brittle, dull, and opaque. Changes shape, becoming at times flat or
concave instead of convex.
Natural Aging of Musculoskeletal System: - ANS-Vertebral disks
become thin, causing shortening of trunk. Stooped, slightly forward-
bent posture is common. Alternation in body shape and weight
occurs as lean body mass declines and body water is lost. Reduced
bone mineral density.
Natural Aging of Cardiovascular System: - ANS-Maximum coronary
artery blood flow, stroke volumes, and cardiac output are
decreased. It takes longer for the heart to accelerate and then
return to a resting state. Heart disease is the number one cause of
nonaccidental death worldwide. Decreased elasticity and recoil of
blood vessels. Blood supply to various organs decreases, and
peripheral resistance increases. Decreased perfusion of the liver
and kidneys.
,Promote a healthy heart: - ANS-engage in regular exercise, eat a low
fat, low cholesterol, balanced diet, maintain tight control of
diabetes, do not smoke, avoid environmental pollutants, practice
stress management, minimize sodium intake, maintain ideal body
weight.
Natural Aging of the Respiratory System: - ANS-Loss of elastic
recoil, stiffening of chest wall, inefficiency in gas exchange,
increased resistance to air flow.
Promoting Healthy Lungs: - ANS-Obtain pneumonia immunization,
obtain annual influenza immunization, avoid exposure to smoke
and pollutants, do not smoke, avoid persons with respiratory
illnesses, seek prompt tx of respiratory infections, wash hands
frequently, eat meals in relaxed atmosphere, and practice thorough
oral hygiene.
The nurse is performing an assessment on an older adult client.
What assessment data would indicate a potential complication
associated with the skin of this client?- Crusting, Wrinkling, or
thinning/loss of elasticity of skin - ANS-Crusting- indicates a
potential complication
The nurse who volunteers at a senior citizens' center is planning
activities for the members. What activity would best promote health
and maintenance? - ANS-Walking 3-5 times per week for 30
minutes. Exercise and activity are essential for health promotion
and maintenance.
The home health nurse is visiting a client for the first time. While
assessing the client's medication, it is noted that there are 19
prescription and several over the counter medications that the
, client is taking. What intervention should the nurse take first? - ANS-
Determine whether there are medication duplications.
Polypharamacy is a concern in the geriatric population.
The nurse is working with older clients in a long term care facility.
Which activities performed by the nurse fosters reminiscence
among these clients? - ANS-Having storytelling hours- clients who
like to retell stories or past events need to be provided time to do so.
It is a way for the older adult to relive and restructure life
experiences and is a part of achieving ego identity.
The home care nurse is performing an environmental assessment in
the home of an older adult. Which of the following requires
immediate nursing action?
Unsecured scattered rugs, operable smoke detector, or prefilled
medication cassette? - ANS-Unsecured scattered rugs- trauma to
the older client in the home may be caused by a variety of factors.
These include unsteady gait, the presence of unsecured scatter
rugs, clattered passageways, and inoperable smoke detectors.
The nurse is teaching an older client about measures to prevent
constipation. What statement made by the client indicates further
teaching is needed?
-"I'll walk 1-2 miles everyday"
-"I need to decrease fiber in my diet"
-"I have a bowel movement everyday"
-"I drink 6-8 glasses of water everyday" - ANS-"I need to decrease
fiber in my diet" -Adequate dietary fiber is an important factor in
aiding bowel function. Dietary fiber increases fecal weight and
water content and accelerates the transit of fecal mass through the
GI tract.
