HESI GERIATRICS (A Graded) Latest Questions and Complete Solutions
An older client is admitted with a preliminary diagnosis of Addison's disease. Which skin finding should the registered nurse (RN) document that is typi
...
HESI GERIATRICS (A Graded) Latest Questions and Complete Solutions
An older client is admitted with a preliminary diagnosis of Addison's disease. Which skin finding should the registered nurse (RN) document that is typical with Addison's disease?
A. Moon face
B. Hyperpigmentation
C. Excessive acne
D. Multiple skin tags - (B) Hyperpigmentation
Rationale: Addision's disease is characterized by a deficiency in the production of adrenal cortex hormones, which results in anterior pituitary feedback to secrete stimulating hormones, such as melanocyte stimulating hormone (MSH) that increases melanin production. (B) is seen in clients with Addison's disease. (A and C) are typical of Cushing's syndrome which is due to excessive adrenal cortisol. (D) are not associated with Addison's disease.
Osteoporosis increases the risk for a hip fracture in older adults, and women are more likely to have osteoporosis than men. Women of which ethnic group have the highest risk for a hip fracture? (Arrange with the highest risk first and the lowest risk last.)
A. African American
B. Caucasian
C. Asian
D. Hispanic - (B) Caucasian
(B) Asian
(C) Hispanic
(A) African American
Rationale: Caucasian women have the highest risk for hip fractures secondary to osteoporosis. Women of Asian descent have the second highest risk, followed by Hispanic women and African American women.
An older male client returns to the hospital after discharge 4 days ago for a TURP. The registered nurse (RN) evaluates the function of the 3-way indwelling urinary catheter
and the continuous bladder irrigation system. Which finding should the RN report to the healthcare provider?
A. Irrigation bag of normal saline is hanging at the level of the client's head
B. The urinary output is greater than the amount of irrigation fluid instilled
C. The irrigation tubing is attached to the irrigation port on the 3-way catheter
D. The tubing that drains the urinary bladder has bright red urine with clots. - (D) The tubing that drains the urinary bladder has bright red urine with clots.
Rationale: The presence of bright red urine with clots in the tubing draining the bladder
(D) is an abnormal finding indicating active bleeding, which should have resolved 36-72 hours postoperatively and should be reported. (A, B and C) indicate that the system is functioning properly.
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