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Gerontological Nursing, 4e (Tabloski) Chapter 15 The Cardiovascular System 1) An older female patient experiences fatigue and nausea, is not sleeping well, and makes a vague complaint of intermittent chest discomfort. How should the nurse interpret these symptoms? 1. Signs of anemia 2. Pancreatic disease 3. Myocardial infarction 4. Normal changes of aging Answer: 3 Explanation: 1. Anemia would present with fatigue but not with nausea or chest discomfort. 2. Pancreatic d...

Gerontological Nursing, 4e (Tabloski) Chapter 2 Contemporary Gerontological Nursing 1) The nurse supports an older client's desire to discuss advance directives with the client's family. What action is the nurse performing with this client? 1. Facilitating palliative care 2. Educating the family on healthcare services 3. Collaborating with the interdisciplinary team 4. Advocating for client's rights and autonomy Answer: 4 Explanation: 1. Palliative care alleviates pain a...

Gerontological Nursing, 4e (Tabloski) Chapter 1 Principles of Gerontology 1) The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't going to stop now." Which negative stereotype of aging does the nurse's statement most reflect? 1. Old people are expected to be sick. 2. Old people are set in their ways. 3. Old people do not value health promotion education. ...

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 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 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...

Values correct answers Whats important, has worth, influence ones perceptions. Ex. Family, faith, graduate before starting a family Ethics correct answers Involving application of values to do the "right" thing. Deal with what is right, and CORRECT. Ex. Stealing is bad. Ethical Dilemmas correct answers Problematic situations in which one must make a difficult choice A situation where no one answer can conform to all the ethical principles involved. AKA grey area. Ex. Spanking...

Gerontological Nursing, 4e (Tabloski) Chapter 14 Sensation: Hearing, Vision, Taste, Touch, and Smell 1) The nurse is performing a vision assessment on an older patient who is having difficulty reading small print. What best explains this finding? 1. Non-reactive to light 2. Weak eye muscles 3. Lack of peripheral vision 4. Altered accommodation Answer: 4 Explanation: 1. Sensitivity to light is caused by an inability of the pupil to adapt to varying degrees of light. 2. D...

Gerontological Nursing, 4e (Tabloski) Chapter 24 Caring for Frail Elders with Comorbidities 1) The nurse is assessing an older patient in a skilled facility for frailty. During the assessment, the nurse determines frailty through the presence of which characteristics? Select all that apply. 1. Unplanned weight gain 2. Poor endurance 3. Increase in grip strength 4. Low activity tolerance 5. Generalized weakness Answer: 2, 4, 5 Explanation: 1. Frailty has also been defined ...

Gerontological Nursing, 4e (Tabloski) Chapter 6 Pharmacology and Older Adults 1) An older client being treated for pneumonia is given a sedative to sleep. A few hours afterwards, the client has a respiratory rate of 12 and cannot be aroused. What does this assessment finding indicate to the nurse? 1. The sedative was not absorbed. 2. The sedative has reached a therapeutic blood level. 3. The medication for sleep caused excessive sedation. 4. The client is experiencing complicat...