The nurse is conc - Study guides, Class notes & Summaries

Gerontological Nursing, 4e (Tabloski) Chapter 21 The Hematologic System 1) Which clinical finding by the nurse is considered normal in the older adult client? 1. A hemoglobin of 10 g/dL two days post-joint replacement 2. Reports of the hands and feet feeling extremely warm 3. Skin tear with bruising, re-bleeding, and prolonged healing time 4. Poor or weak pulse amplitude in bilateral lower extremities Answer: 1 Explanation: 1. Red blood cell reserve and replacement is slower ...

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...

Gerontological Nursing, 4e (Tabloski) Chapter 4 Cultural Diversity 1) The charge nurse has provided a staff inservice on the cultural triad and nursing care. Which statement, made by a staff nurse, best indicates an understanding of a healthcare team's difficulty with cultural literacy? 1. "Our healthcare team has limited knowledge of each others' backgrounds." 2. "Each of our perspectives of our own heritage interferes with cultural literacy." 3. "A feeling of being disco...

Gerontological Nursing, 4e (Tabloski) Chapter 13 The Mouth and Oral Cavity 1) The nurse is completing an assessment of an older client's oral cavity. Which finding most concerns the nurse? 1. Leukoplakia 2. Gum redness 3. Excess saliva 4. Multiple cavities Answer: 1 Explanation: 1. Leukoplakia, a white patchy coating that occurs on the oral mucosa, is not normal and requires further evaluation and possibly biopsy or anti-infective prescription. 2. With age, gums tend t...

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 13 The Mouth and Oral Cavity 1) The nurse is completing an assessment of an older client's oral cavity. Which finding most concerns the nurse? 1. Leukoplakia 2. Gum redness 3. Excess saliva 4. Multiple cavities Answer: 1 Explanation: 1. Leukoplakia, a white patchy coating that occurs on the oral mucosa, is not normal and requires further evaluation and possibly biopsy or anti-infective prescription. 2. With age, gums tend t...

Gerontological Nursing, 4e (Tabloski) Chapter 10 Violence and Elder Mistreatment 1) During a home visit of an elderly married patient, the nurse observes listlessness, dry and cracked skin, and skin irritation on both inner thighs; what type of neglect should the nurse be concerned with? 1. Self-neglect 2. Sexual abuse 3. Caregiver neglect 4. Financial exploitation Answer: 3 Explanation: 1. Signs and Symptoms of self-neglect include dehydration, malnutrition, unattended...

Gerontological Nursing, 4e (Tabloski) Chapter 5 Nutrition and Aging 1) The nurse is discussing proper nutrition with older community members at a senior citizen center. What should the nurse teach as general guidelines for healthy older individuals? Select all that apply. 1. Calcium intake should be 1,000 mg for those over the age of 51 years. 2. Older individuals need to take supplements of vitamins A, C, E, and K. 3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if ...

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...