The nurse is conc - Study guides, Class notes & Summaries

Gerontological Nursing, 4e (Tabloski) Chapter 3 Principles of Geriatrics 1) The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history? 1. Scheduling one-half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4...

Gerontological Nursing, 4e (Tabloski) Chapter 21 The Hematologic System 1) Which clinical finding by the nurse is considered normal in the older adult client? 1. A hemoglobin of 10 g/dL two days post-joint replacement 2. Reports of the hands and feet feeling extremely warm 3. Skin tear with bruising, re-bleeding, and prolonged healing time 4. Poor or weak pulse amplitude in bilateral lower extremities Answer: 1 Explanation: 1. Red blood cell reserve and replacement is slower ...

Gerontological Nursing, 4e (Tabloski) Chapter 18 The Musculoskeletal System 1) After assessing an older patient, which musculoskeletal changes will the nurse attribute as being a normal part of the aging process? Select all that apply. 1. Loss in height 2. Lower leg muscle atrophy 3. Calcification of the finger joints 4. Swan neck deformity of the hands 5. Decreased range of motion in the shoulders Answer: 1, 2, 5 Explanation: 1. A change in the musculoskeletal status tha...

Gerontological Nursing, 4e (Tabloski) Chapter 11 Care at the End of Life 1) An older patient with terminal cancer is considering hospice care but is concerned that Medicare will stop payments if the care is provided for longer than 6 months. What can the nurse respond to this patient? Select all that apply. 1. Medicare does not limit the hospice benefit. 2. Medicare regulations discourage a longer use of the benefit. 3. Hospice costs more than traditional hospital or long-term ca...

Gerontological Nursing, 4e (Tabloski) Chapter 16 The Respiratory System 1) Which respiratory system assessment finding of an older client does the nurse determine is most concerning? 1. Coughing during the night while sleeping 2. Purposefully sitting up straighter to get a deep breath 3. Shortness of breath when crossing a large parking lot 4. Three episodes of diagnosed bronchitis in twelve months Answer: 1 Explanation: 1. Coughing during sleep can be a sign of asthma, hea...

Gerontological Nursing, 4e (Tabloski) Chapter 4 Cultural Diversity 1) The charge nurse has provided a staff inservice on the cultural triad and nursing care. Which statement, made by a staff nurse, best indicates an understanding of a healthcare team's difficulty with cultural literacy? 1. "Our healthcare team has limited knowledge of each others' backgrounds." 2. "Each of our perspectives of our own heritage interferes with cultural literacy." 3. "A feeling of being disco...

Gerontological Nursing, 4e (Tabloski) Chapter 5 Nutrition and Aging 1) The nurse is discussing proper nutrition with older community members at a senior citizen center. What should the nurse teach as general guidelines for healthy older individuals? Select all that apply. 1. Calcium intake should be 1,000 mg for those over the age of 51 years. 2. Older individuals need to take supplements of vitamins A, C, E, and K. 3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if ...

Gerontological Nursing, 4e (Tabloski) Chapter 8 Sleep and the Older Adult 1) The nurse is caring for an older client who is experiencing sleep deprivation due to a prolonged stay in intensive care. Which manifestation is the nurse most likely to observe in this client? 1. Constant fatigue 2. Gustatory hallucinations 3. Increased activity 4. Need for repeated instructions Answer: 4 Explanation: 1. Daytime fatigue is more likely in the client with sleep deprivation. 2. Th...

Gerontological Nursing, 4e (Tabloski) Chapter 13 The Mouth and Oral Cavity 1) The nurse is completing an assessment of an older client's oral cavity. Which finding most concerns the nurse? 1. Leukoplakia 2. Gum redness 3. Excess saliva 4. Multiple cavities Answer: 1 Explanation: 1. Leukoplakia, a white patchy coating that occurs on the oral mucosa, is not normal and requires further evaluation and possibly biopsy or anti-infective prescription. 2. With age, gums tend t...

NUR 204 Exam 1 Test Bank Questions and Answers 2024 In an effort to promote health, the home health nurse opens the clients bedroom windows to let in fresh air and sunlight, washes her hands often, and teaches the patient and family about the importance of hygiene and cleanliness. This most closely illustrates the ideas of which of the following people? 1) Jean Watson 2) Jurgen Moltmann 3) Florence Nightingale 4) Robert Louis Stevenson - Answer-ANS: 3 Florence Nightingale believed that ...