Geriatrics Final Exam Review - Questions with Verified Answers

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Geriatrics Final Exam Review - Questions with Verified Answers Following an appointment with the primary care provider, the nurse is performing patient education to an independent living older adult ... about a newly prescribed medication. Which factor is most likely to interfere with the effectiveness of this process? 1 - The patient wears a hearing aid. 2 - The patient has a history of hypothyroidism. 3 - The nurse provided written handouts. 4 - The nurse is in a hurry. What is an example of a medication that can be crushed? 1 - A potassium tablet 2 - Enteric coated aspirin 3 - Sublingual nitroglycerin 4 - A calcium tablet You are administering medication through a transdermal patch. What are some precautions? (Select all that apply.) 1 - Remove all old patches before applying a new patch. 2 - Use the same location each time for consistent absorption. 3 - Cleanse the skin after removing an old patch. 4 - Dispose of old patches in the toilet. 5 - Verify the dosage strength of the patch. 6 - Wear gloves. 7 - Tape over the patch to keep it secure. 1, 3, 5, 6 A resident in a long-term care facility has an order for digoxin 0.25 mg every morning in tablet form. If the nurse assesses that this resident has been having difficulty swallowing, what should the nurse do? 1 - Administer the digoxin in liquid form. 2 - Crush the digoxin for administration. 3 - Withhold the digoxin and document. 4 - Discuss the possibility of an order change to liquid form with the primary care provider. Family members are caring for their aging mother at home. Which statement by the daughter indicates the need for further teaching? (Select all that apply.) 1 - "I change mom's brief whenever it is really wet." 2 - I make sure mom eats good meals and extra snacks." 3 - "We try to change mom's position at least every 2 hours." 4 - "I try to use lotion on mom's skin every morning and evening." 5 - "I'm glad we don't have to see the dentist anymore now that mom has dentures." 1, 5 In helping the registered nurse perform an admission and assessment of a new patient, you mutually recognize this patient is at risk for skin tears. Which would be appropriate to include in the care plan? (Select all that apply.) 1 - Apply lotion after the daily bath to moisten the skin. 2 - Dress patient in short sleeves to allow for better visualization of skin. 3 - Apply steri-strips if a skin tear appears. 4 - Move and position the patient gently and carefully. 5 - Use a safe sunblock when sun exposure is expected. 4, 5 Select the factors that contribute to the development of hypothermia in older adults. (Select all that apply.) 1 - Decreased muscle tissue. 2 - Decreased sensory perception of cold. 3 - Decreased subcutaneous fat. 4 - Increased metabolism. 5 - Increased muscle activity. 1, 2, 3 When taking a radial pulse of an older adult, the nurse finds it difficult to count a weak and thready pulse. What should the nurse do? 1 - Gently apply more pressure with three fingers to obtain a stronger pulse. 2 - Take the person's blood pressure to get the heart rate reading from the machine. 3 - Take an apical pulse instead. 4 - Document, "Weak, thready pulse, rate N/A." When performing an assessment of the gastrointestinal system of an older adult, the nurse would proceed in what order? Place the parts of a gastrointestinal system assessment in sequence from first to last. 1 - Palpate abdomen. 2 - Observe abdomen for scars. 3 - Obtain a health history. 4 - Inspect the oral cavity. 5 - Auscultate bowel sounds. 5, 3, 1, 2, 4 [Show More]

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