Quiz
Chapter 3
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Fragen in diesem Quiz (28)
1The nurse keeps the environment warmer for older adults because they are more sensitive to cold because of the age-related changes in their:
- Ametabolism rate.
- Bsubcutaneous tissue.
- Cmusculoskeletal system.
- Dperipheral vascular system.
2The nurse reassures the distressed 75-year-old male that the wartlike dark macules with distinct borders are not melanomas, but the skin lesions of:
- ASenile Lentigo
- Bcutaneous papillomas
- Cseborrheic keratoses
- Dxerosis
3The nurse is accompanying a group of older adults on a July 4th outing to monitor heat prostration. Older adults are intolerant of heat because of an age-related reduction of:
- AMelanin
- BPerspiration
- CBody Temperature
- DCapillary Fragility
4The nurse cautions the CNAs to use care when transferring or handling older adults because their vascular fragility will cause:
- AAltered Blood Pressure
- BPressure Ulcers
- CPruritus
- DSenile Purpura
5The nurse assesses a stage I pressure ulcer on an older adult’s coccyx by the appearance of a:
- AClear Blister
- BNonblanchable area of erythema
- CScaly Abraded area
- DPainful reddened area
6The CNA caring for an older adult asks if the yellow, waxy, crusty lesions on the patient’s axilla and groin are contagious. The nurse’s most helpful response is:
- A“Yes. It is cellulitis caused by bacteria.”
- B“No. It is seborrheic dermatitis caused by excessive sebum.”
- C“Yes. It is an indication of scabies.”
- D“No. It is the lesion seen with basal cell carcinoma.”
7The nurse leads a group of postmenopausal older women on a daily 15-minute “walking tour” through the long-term care facility to:
- Aimprove bone strength
- Borient them to their surroundings.
- Cimprove their socialization.
- Dincrease their appetite.
8When the perplexed 70-year-old woman asks, “How in the world can my bones be brittle when I eat all the right foods?” the nurse’s most informative reply is:
- A“Calcium loss is expected in the older adult.”
- B“Calcium is continuously withdrawn from bone for nerve and muscle function.”
- C“Smoking and alcohol consumption speed calcium loss from the bones.”
- D“Walking and standing increase calcium loss from the bone.”
9When the 70-year-old woman complains, “I weigh exactly the same as I did when I wore a size 10 and now I can barely squeeze into a size 16,” the nurse explains:
- A“Metabolism in the older adult creates increased adipose tissue.”
- B“Postmenopausal women gain adipose tissue related to loss of calcium.”
- C “Decrease in muscle mass is replaced with adipose tissue.”
- D“Kyphosis causes a redistribution of weight.”
10When the 70-year-old postmenopausal woman asks whether her hormone replacement therapy (HRT) will prevent bone loss, the nurse’s most helpful response is:
- A“No. HRT is not helpful after the age of 60.”
- B“Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer"
- C“No. HRT is reliant on some natural estrogen production from the ovaries.”
- D“Yes. HRT is a widely accepted therapy for prevention of bone loss.”
11An 80-year-old-woman who has osteoarthritis complains of how ugly her hands have become since she has developed Heberden nodes, which are:
- Ayellow longitudinal lines in the nails.
- Bthickened discolored fingernails.
- Cdarkened areas under the fingernail.
- D bony enlargements of distal joints of the fingers.
12The nurse modifies the nursing care plan for a 62-year-old woman in an extended- care facility who is suffering a flare in her rheumatoid arthritis to include interventions to
- Aincrease fluid intake.
- Bschedule several rest periods to balance activity.
- Creduce salt in the diet.
- Dassist with rigorous finger extension exercises.
13The nurse explains that emphysema is a chronic obstructive pulmonary disease characterized by the pathophysiology of:
- Aconstriction of the bronchial tree, excessive mucus, and nonproductive cough.
- Bcalcification of the alveoli and a dry cough.
- Coverinflation of the alveoli, making them ineffective for gas exchange.
- Dd. inflammation of the trachea and bronchioles, excessive mucus, and productive cough.
14The nurse explains that the pathophysiology of a myocardial infarct is that:
- Aa portion of the myocardium necroses and scars over.
- Bthe coronary vessels are narrowed during the attack.
- Cthe ischemic myocardium causes pain during the attack but is able to regenerate.
- Dthere is damage to the myocardium but no serious alteration of cardiac output.
15The nurse is aware that the cardinal signs and symptoms of congestive heart failure are:
- Adyspnea and edema.
- Bmyocardial pain and hypotension.
- Cventricular arrhythmias and cyanosis.
- Datrial arrhythmias and polycythemia.
16The nurse explains that pernicious anemia is caused by:
- Aan iron deficiency
- Ba deficiency of vitamin B12.
- Cinadequate nutrition.
- Dblood loss.
17The nurse alters the nursing care plan for a patient with a hiatal hernia and resultant gastrointestinal reflux to include interventions for:
- Aencouraging the patient to lie down after meals.
- Bdrinking two full glasses of liquid after the evening meal.
- Ceating smaller, more frequent meals.
- Dusing caffeine drinks to assist with digestion.
18The nurse suspects that the pale, edematous, listless diabetic patient who has a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL has:
- Adiverticulitis.
- Bcongestive heart failure.
- Cchronic renal failure.
- Dbenign prostatic hypertrophy.
19The most appropriate intervention added to the nursing care plan for a person with Parkinson disease with a nursing diagnosis of “Nutrition, less than body requirements related to difficulty swallowing,” would be to:
- Afeed the patient at each meal.
- Bplace the patient in a semi-Fowler position for mealtime.
- Coffer a thick, high-nutrition shake as a snack.
- Dencourage the patient to drink a sip of water after each bite of solid food.
20The nurse would anticipate that a person with a hemorrhagic CVA to the left hemisphere would exhibit:
- Alanguage disturbances.
- Bpoor impulse control.
- Cinappropriate affect.
- Dconfabulation.
21When giving written discharge instructions to a person with macular degeneration, the nurse should:
- Awrite the instructions in bold print.
- Badjust the table and light to assist the patient to use peripheral vision to read.
- Cplace written document directly in front of the patient to read.
- Dread the document to the patient.
22The nurse becomes aware of inadequate insulin coverage in a patient with diabetes mellitus type 1 when the patient exhibits:
- Adiminished urine output.
- Bketones in the urine.
- Cshallow and slow respirations.
- Dextreme diaphoresis.
23An 80-year-old extended-care resident comes to the nurse asking for a bandage for a bleeding, dark pigmented mole with irregular shape and border. The nurse documents this assessment and reports it as a suspected:
- Amelanoma.
- Bbasal cell carcinoma.
- Ccutaneous papilloma.
- Dsenile lentigo.
24The nurse takes into consideration that the factors influencing the timing and extent of age-related changes include __________. (Select all that apply.)
- Ahealth maintenance
- Bethnicity
- Cheredity
- Dattitude
- Eenvironment
25The nurse reminds an 82-year-old man with rosacea that he should avoid __________. (Select all that apply.)
- Astress
- Bdairy products
- Csun exposure
- Dspicy foods
- Ealcohol consumption
26The nurse is aware that in order for a person to support ossification, he or she must have an adequate intake of vitamin(s) __________. (Select all that apply.)
- AA
- BB6
- CC
- DD
- EE
27The nurse uses a chart to outline the risk factors for osteoporosis, which include __________. (Select all that apply.)
- Amenopause
- Bsmoking
- Cwhite female
- Dexcessive high-impact exercise
- Elong-term use of phenytoin (Dilantin)
28The nurse outlines age-related changes in the respiratory system that put the older adult at risk for infection, which include __________. (Select all that apply.)
- Areduced ciliary movement
- Bdecrease in alveolar elasticity
- Cpooling of secretions
- Dflattened diaphragm
- Ecalcification of costal cartilage
- Areduced ciliary movement
Informationen
- Beschreibung
- college Geriatrics Quiz am Chapter 3, erstellt von nursing fairy am 19/10/2014.
- Autor
- nursing fairy
- Sprache
- English
- Aufrufe
- 252
- Schlagwörter
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