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

Gerontological Nursing, 4e (Tabloski) Chapter 7 Psychological and Cognitive Function 1) During an interview, the nurse notes that an older patient is having mild difficulty with some words and forgets the names of people. The patient is alert, oriented to time, person, and place, and makes appropriate responses. What does the nurse determine this patient's cognitive changes to mean? 1. Normal signs of aging 2. Early symptoms of dementia 3. Indicators of depression in the elder...

1) A nurse manager is participating in the healthcare organization's strategic planning committee. Which factor is the primary driving force and controlling factor in new initiatives this committee might recommend? 1. Cost of care 2. Access to care 3. Availability of care 4. Quality of care Answer: 1 Explanation: 1. While all of the options given are driving forces in today's healthcare environment, the cost of providing care is still the primary issue. Cost of care controls access, av...

Gerontological Nursing, 4e (Tabloski) Chapter 22 The Neurologic System 1) Which assessment finding places an older patient at the greatest risk factor for the development of Alzheimer's disease? 1. Age 2. Genetic predisposition 3. Environmental exposure 4. History of previous head injury Answer: 1 Explanation: 1. Advanced age is the single greatest factor for the development of Alzheimer's disease. 2. Genetic causes are responsible for fewer than 5% of the cases of Al...

chapter 26 nclex questions and answers -pharm The nurse is monitoring a patient who is receiving antithrombotic therapy in the emergency department because of a possible MI. Which adverse effect would be of the greatest conc

Gerontological Nursing, 4e (Tabloski) Chapter 12 The Integument 1) An older patient has a subnormal body temperature and an infection. How does the nurse best describe this phenomenon? 1. The temperature regulating mechanism deteriorates with aging. 2. The patient's infection is improving with medication treatment. 3. The diagnosis of an infection is inaccurate and will be checked. 4. The temperature was obtained incorrectly and is inaccurate. Answer: 1 Explanation: 1. An ...

Gerontological Nursing, 4e (Tabloski) Chapter 17 The Genitourinary and Renal Systems 1) The nurse is caring for a client who states, "I feel fine other than I have been frequently getting up at night to go to the bathroom." Which clinical manifestation is this client experiencing? 1. Fluid overload 2. Increased glycosuria 3. Hormonal imbalance 4. Age-related changes Answer: 4 Explanation: 1. Older adults have a decreased response to fluid overload by not increasing urin...

Gerontological Nursing, 4e (Tabloski) Chapter 19 The Endocrine System 1) The lab results for an older patient indicate a glycosylated hemoglobin (HbA1c) result of 6.5%. What is the nurse's best response to the patient? 1. "Your blood sugar levels have been within normal limits for the past three months." 2. "Your HbA1c level indicates a pattern of low blood glucose levels." 3. "Your HbA1c indicates that you are anemic and will require a blood transfusion." 4. "Your averag...

Gerontological Nursing, 4e (Tabloski) Chapter 20 The Gastrointestinal System 1) An older resident is complaining of being constipated. Which action should the nurse take first when caring for this patient? 1. Assess the diet for adequacy of fiber and fluids. 2. Determine what the patient means by constipation. 3. Obtain an order for a laxative and an enema if needed. 4. Encourage the patient to increase fluid intake and activity. Answer: 2 Explanation: 1. Assessing the diet...

Gerontological Nursing, 4e (Tabloski) Chapter 9 Pain Management 1) An older client with a history of severe arthritis has not received pain medication for over 18 hours. The client is currently complaining of severe pain in both legs. What will the nurse attribute as being the reason for the client's increase in pain? 1. Dependency on narcotics 2. Over-exaggeration of the amount of pain 3. Need for alternative measures for pain relief 4. Untreated pain resulting in lower pain ...

Gerontological Nursing, 4e (Tabloski) Chapter 23 The Immune System 1) A patient asks the nurse how the immune system protects the body. What is the nurse's best response? 1. "Self-recognition allows the immune system to recognize foreign parts." 2. "Memory means that the immune system develops lasting protection against specific invaders." 3. "Specificity is the ability of the immune system to react with a particular response to one antigen." 4. "Tolerance is the term...