Tiêu đề WORKBOOK - GERIA (KEY) ✅

A. Hypothermia B. Diminished collagen in the body and decreased sweat glands C. Diminished sweat glands only D. improved sweat glands that presents good thermoregulation 32. During your conference with the team, after the observation of Paulina’s skin, which of the following should you include except: A. Apply lotion or cream on the skin B. Avoid applying alcohol on the skin C. Provide sponge bath alternately with full bath D. Rub wash cloth briskly on the skin 33. Jaclyn has postural hypotension. You therefore include the following interventions in an elderly client except: A. Advise to get out of bed gradually B. Instruct to have a daily fluid intake of 3 glasses a day C. Advise to avoid straining at stool D. Advise to avoid bending down and suddenly standing up again 34. The following are expected reproductive changes among the elderly, which one is not? A. decrease breast tissue mass resulting to breast sagging B. lengthening of the penis but decreasing testicular size C. decrease vaginal fluids causing vaginal dryness D. enlargement of prostate gland leading to BPH 35. The nurse is performing her rounds at 2 am when she saw Marites, a 75 year old female, still wide awake. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? A. "I swim three times a week." B. "I have stopped smoking cigars." C. "I drink hot chocolate before bedtime." D. "I read for 40 minutes before bedtime. 36. The nurse is performing an assessment on Martha, a 76 year old female who is bedridden due to spinal cord injury. Which assessment data would indicate a potential complication associated with the skin? A. Crusting B. Wrinkling C. Deepening of expression lines D. Thinning and loss of elasticity in the skin 37. Elisa is a 50 year old with acute heart failure and was prescribed with antidysrhythmic drugs. Risks and benefits are both considereD. When does the need for the drug outweigh the risks? A. When there is impairment in cardiac output. B. When the dysrhythmia becomes chroniC. C. If the heart rate is 50 to 60 beats per minute D. After the heart rate reaches a rate faster than 100 beats per minute 38. Nurse Rita, a home health nurse, is visiting Rosalinda, a 67 year old client, for the first time. While assessing her medications, it is noted that there are 17 prescriptions and several over-the-counter medications that the client has been taking. Which intervention should the nurse take first? A. Check for medication interactions. B. Determine whether there are medication duplications. C. Call the prescribing health care provider (HCP) and report polypharmacy. D. Determine whether a family member supervises medication administration 39. Jun, a 76 year old patient with heart failure, is being discharged after the insertion of a permanent pacemaker. Which statement made by the patient indicates an understanding regarding appropriate self-care? A. Every morning I will perform moderate to vigorous arm and shoulder stretches B. Each day I'll take my pulse and record it in a log C. I'll have to get rid of my microwave oven because it is unsafe for my pacemaker. D. I won't be able to use my electrical blanket anymore. 40. You are currently performing an admission assessment on Luisa, a 88 year old patient with heart failure who is taking propranolol (Inderal) for supraventricular tachycardiA. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug? A. Dry mouth B. Propranolol C. Urinary retention D. Paresthesia 41. Which laboratory finding should you monitor for Luisa who is at risk for cardiac dysrhythmias? A. BUN and creatinine B. Sodium, potassium, and calcium C. Hemoglobin and hematocrit D. PT and INR 42. Nurse Helena, a charge nurse, tells Nurse Aya that she should be more patient in people like older adults who have "outlived their usefulness." What is the term for this type of prejudice? A. Racism B. Ageism C. Harassment D. Whistle blowing 43. Nurse Felisa teaches a student nurse about health care disparities and older adult women. Which statement, if made by the student nurse, would indicate an understanding of the teaching? A. "Women tend to have a shorter life expectancy than men." B. "Women tend to have fewer financial resources than men." C. "Women are less likely to be a caregiver to their spouses." D. "Women are more likely to have age-related cognitive impairments." 44. Conrad, 81 years old, had been in pain for 3 months but did not consult to the cliniC. Which of the following reasons is most likely the cause of the late consultation? A. prefer to be left alone B. poor health literacy C. think it's a normal part of aging D. hate clinic appointments 45. The Baby Boom generation: A. Born between 1940 and 1960 B. Is better off financially than the previous generations C. Shares many social goals and political values with each other D. Often provides care to aging parents and grandchildren 46. Nurse Luding is conducting a helath teaching session with an 85-year-old patient who will be going home on heparin therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented. 47. Nurse Jelly is currently developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse should: A.use a standardized geriatric nursing care plan. B. plan for likely long-term-care transfer to allow additional time for recovery. C. consider the preadmission functional abilities when setting patient goals. D. minimize activity level during hospitalization. TOP RANK REVIEW ACADEMY, INC. Page 3 | 4
48. Nurse Queenie is a home health nurse. She visited Tatay Esming, a 77 years old with a history of stroke. Which of the following is of the most concern? A. The patient's son uses a marked pillbox to set up the patient's medications weekly. B. The patient has lost 10 pounds (4.5 kg) during the last month. C. The patient is cared for by a daughter during the day and stays with a son at night. D. The patient tells the nurse that a close friend recently died. 49. Nanay Lorelie asks the nurse why a lot of older people have hypertension. An appropriate response by the nurse as to why older clients often have hypertension is due to: A. Myocardial muscle damage B. Reduction in physical activity C. Ingestion of foods high in sodium D. Accumulation of plaque on arterial walls 50. Which of the following interventions should be taken to help an older client to prevent osteoporosis? A. Decrease dietary calcium intake. B. Increase sedentary lifestyles C. Increase dietary protein intake. D. Encourage regular exercise. TOP RANK REVIEW ACADEMY, INC. Page 4 | 4