The nurse is teaching an older adult client who is on bed rest following
development of deep vein thrombosis DVT about methods to increase peristalsis.
Which of the following high-fiber food choices should the nurse re
...
The nurse is teaching an older adult client who is on bed rest following
development of deep vein thrombosis DVT about methods to increase peristalsis.
Which of the following high-fiber food choices should the nurse recommend?
A- Navy bean soup
B- canned fruit juice
C- white rice pudding
D- soy milk
Answer- A
An older adult client who is on bedrest has an increased risk for constipation due to the
decreased peristalsis associated with the aging process. Increasing dietary fiber by
adding foods like legumes to the diet, as well as ensuring adequate fluid intake, will
promote bowel regularity.
B- The nurse should recommend canned fruit and fruit juices without pulp as a low-fiber
choice, which can help decrease peristalsis.
C- The nurse should recommend white rice pudding as a low-fiber choice, which can
help decrease peristalsis.
D- The nurse should recommend soy milk as a low-fiber choice, which can help
decrease peristalsis.
A home health nurse is visiting an older adult client who has anemia. Which of
the following foods should the nurse recommend to increase the clients iron
intake?
A- Greek yogurt
B- bran muffin
C- peanut butter sandwich
D- dried fruit
Answer- d
The nurse should recommend the client eat more dried fruit to increase iron in the diet.
A- The nurse should recommend greek yogurt to increase the client’s intake of zinc and
calcium.
B- The nurse should recommend bran muffins to increase the client’s intake of fiber.
C- The nurse should recommend a peanut butter sandwich to increase the client's
intake of a complementary protein, which is when two incomplete proteins are together,
making the sandwich a complete protein.
The nurse is caring for an older adult client who has a new onset of type 2
diabetes mellitus. Which of the following psychological changes can contribute
to the development of type 2 diabetes?
A- Increased production of insulin by the pancreas
B- decrease sensitivity to be circulating insulin
C- increase rate of glucose metabolism
D- decreased release of glycogen by the liver
N212 GERO ATI 2.0 GERONTOLOGY QUIZ
Answer- b
The pancreas in older adult clients demonstrates reduced tissue sensitivity to circulating
insulin, leading to an increased risk of developing type 2 diabetes mellitus.
A- There is an insufficient release of insulin by the beta cells within the pancreas with
type 2 diabetes mellitus.
C- There is a decrease in the rate of glucose metabolism in older adult clients. This is
especially true if there is a sudden, high concentration of glucose consumed.
D- Glucose is stored in the liver as glycogen. A decrease in the amount of glycogen
converted to glucose and released to the body results in a decrease in blood glucose,
rather than an elevation.
The nurse is teaching a newly hired assistive Personnel about her role in helping
older adult clients with activities of daily living ADLs. the nurse should explain
that which of the following is the most common factor for the FX a client's
performance of adl's?
A- social withdrawal
B- chronic physical disability
C- emotional impairment
D- cognitive dysfunction
Answer- b
Physical disability is the most common reason older adult clients have difficulty
performing ADLs. Self-care deficit, the nursing diagnosis that describes the inability of
the client to perform self-care activities necessary for optimum health and function, is
associated with several physical etiologic factors: activity intolerance, pain,
neuromuscular impairment, sensory-perceptual impairment, musculoskeletal
impairment, and cognitive impairment.
A- Although some older adult clients might become socially withdrawn due to
depression, physical debilitation, or lack of transportation, it should not affect their ability
to perform ADLs.
C- Emotional stability does not decrease in older adult clients as a consequence of the
aging process. While depression is common in older adult clients, it is often associated
with a serious or disabling medical diagnosis, physical impairment, or as a side effect of
medications. Clients who are depressed might, as a result of their mood disorder, be
reluctant to perform their ADLs and need assistance or encouragement.
D- Cognition does not decrease in older adults as a consequence of the aging process.
Even clients who have dementia and other neurologic disorders might still be able to
learn and perform tasks, such as ADLs, or adjust to new situations or routines.
The nurse is planning care for a client who had a stroke. Which of the following
goals should the nurse identify as the priority for this client?
A- The clients skip will remain intact during hospitalization
B- the client will verbalize one new word each week
C- the client will begin to help turn himself in bed, indicating improve Mobility
N212 GERO ATI 2.0 GERONTOLOGY QUIZ
D- the clients airway will remain clear, as evidenced by clear breath sounds
Answer- d
The nurse should apply the ABC priority-setting framework when caring for this client.
This framework emphasizes the basic core of human functioning: having an open
airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to
the body's organs via the blood. An alteration in any of these can indicate a threat to life
and is the nurse’s priority concern. When applying the ABC priority-setting framework,
airway is always the highest priority because the airway must be clear and open for
oxygen exchange to occur. Breathing is the second highest priority in the ABC prioritysetting framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur. Circulation is the third highest priority in the ABC priority-setting
framework because delivery of oxygen to critical organs only occurs if the heart and
blood vessels are capable of efficiently carrying oxygen to them. The priority nursing
action is to promote pulmonary hygiene as evidenced by clear breath sounds.
A- Prevention of skin breakdown following a stroke is an important goal; however, there
is another goal that is the priority.
B- Relearning speech is important for communication skills following a stroke; however,
there is another goal that is the priority.
C- Following a stroke, one goal of rehabilitation is to encourage self-help. Activity goals
are important; however, there is another goal that is the priority.
The nurse is developing a plan of care for a client who had a recent stroke and
has a history of gastroesophageal reflux disease GERD. For which of the
following disorders should the nurse plan to monitor this client?
A- Duodenal Ulcer Disease
B- aspiration pneumonia
C- viral pneumonia
D- esophageal varices
Answer- b
GERD results in reflux of gastric secretions from the stomach into the lower esophagus.
When regurgitation occurs, the client is at high risk for pneumonia. Pneumonia occurs
due to aspiration of gastric contents into the airway. This client is at increased risk for
dysphagia due to the stroke and history of GERD; therefore, the nurse should monitor
closely for aspiration pneumonia.
A- The acidity of stomach contents that reflux back into the esophagus results in an
inflamed esophagus, not duodenum, which is a section of the small intestine. With
duodenal ulcer disease, there are ulcers in the duodenum, usually associated with
stress, COPD, pancreatic disease, and chronic renal failure.
C- The cause of viral pneumonia is an inhaled virus that settles in the lungs. GERD
does not increase the risk of viral pneumonia.
D- Esophageal varices occur in clients who have portal hypertension, usually due to
hepatic cirrhosis.
N212 GERO ATI 2.0 GERONTOLOGY QUIZ
A nurse is caring for an older adult client. Which of the following physiologic
changes associated with aging can affect medication dosage in this client?
A- Increased glomerular filtration rate
B- decrease body fat
C- decrease gastric motility
D- decreased gastric pH
Answer- c
Decreased gastric motility results in medications remaining in the digestive tract
for longer periods of time, leading to slow absorption of the medication. The
provider might have to allow for a longer time for medication onset and peak by
extending the length of time between doses.
A- The aging process results in a decreased glomerular filtration rate and causes the
medications to filter at a slower rate, causing them to remain in the body longer.
B- Body fat increases with aging. Medications that are stored in adipose tissue will have
an increased tissue concentration, decreased plasma concentration, and a longer
duration in the body.
D- With aging, gastric pH increases, becoming more alkaline. The nurse should avoid
giving preparations that neutralize gastric secretions if a low gastric pH is required for
medication absorption.
A nurse is conducting an admission assessment for an older adult client. Which
of the following actions should the nurse take to collect subjective data?
A- Leave the client a written questionnaire to fill out in private
B- allow sufficient time for the clients to respond to the question
C- talk to family members to obtain the client's health history
D- obtain the health history from the client's medical record
Answer- b
The nurse should recognize that it might take an older adult client longer than other
clients to process and respond to questions. Consequently, the nurse should allow
adequate time for the client to respond without appearing rushed. The client’s verbal
responses formulate the subjective data of the health history.
A- The nurse should obtain subjective data by asking the client questions and having
the client provide verbal descriptions of her health problems.
C- Family members can serve as a source of information for the nurse and they can
confirm findings that a client provides. However, only the client can provide subjective
data relevant to her health condition.
D- The client's medical record is a source for her medical history, laboratory and
diagnostic test results, and current physical findings. However, only the client can
provide subjective data relevant to her condition.
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