Chapter 3

Question 1 of 28

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The nurse keeps the environment warmer for older adults because they are more sensitive to cold because of the age-related changes in their:

Select one of the following:

  • metabolism rate.

  • subcutaneous tissue.

  • musculoskeletal system.

  • peripheral vascular system.

Question 2 of 28

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The nurse reassures the distressed 75-year-old male that the wartlike dark macules with distinct borders are not melanomas, but the skin lesions of:

Select one of the following:

  • Senile Lentigo

  • cutaneous papillomas

  • seborrheic keratoses

  • xerosis

Question 3 of 28

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The 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:

Select one of the following:

  • Melanin

  • Perspiration

  • Body Temperature

  • Capillary Fragility

Question 4 of 28

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The nurse cautions the CNAs to use care when transferring or handling older adults because their vascular fragility will cause:

Select one of the following:

  • Altered Blood Pressure

  • Pressure Ulcers

  • Pruritus

  • Senile Purpura

Question 5 of 28

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The nurse assesses a stage I pressure ulcer on an older adult’s coccyx by the appearance of a:

Select one of the following:

  • Clear Blister

  • Nonblanchable area of erythema

  • Scaly Abraded area

  • Painful reddened area

Question 6 of 28

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The 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:

Select one of the following:

  • “Yes. It is cellulitis caused by bacteria.”

  • “No. It is seborrheic dermatitis caused by excessive sebum.”

  • “Yes. It is an indication of scabies.”

  • “No. It is the lesion seen with basal cell carcinoma.”

Question 7 of 28

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The nurse leads a group of postmenopausal older women on a daily 15-minute “walking tour” through the long-term care facility to:

Select one of the following:

  • improve bone strength

  • orient them to their surroundings.

  • improve their socialization.

  • increase their appetite.

Question 8 of 28

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When 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:

Select one of the following:

  • “Calcium loss is expected in the older adult.”

  • “Calcium is continuously withdrawn from bone for nerve and muscle function.”

  • “Smoking and alcohol consumption speed calcium loss from the bones.”

  • “Walking and standing increase calcium loss from the bone.”

Question 9 of 28

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When 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:

Select one of the following:

  • “Metabolism in the older adult creates increased adipose tissue.”

  • “Postmenopausal women gain adipose tissue related to loss of calcium.”

  • “Decrease in muscle mass is replaced with adipose tissue.”

  • “Kyphosis causes a redistribution of weight.”

Question 10 of 28

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When the 70-year-old postmenopausal woman asks whether her hormone replacement therapy (HRT) will prevent bone loss, the nurse’s most helpful response is:

Select one of the following:

  • “No. HRT is not helpful after the age of 60.”

  • “Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer"

  • “No. HRT is reliant on some natural estrogen production from the ovaries.”

  • “Yes. HRT is a widely accepted therapy for prevention of bone loss.”

Question 11 of 28

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An 80-year-old-woman who has osteoarthritis complains of how ugly her hands have become since she has developed Heberden nodes, which are:

Select one of the following:

  • yellow longitudinal lines in the nails.

  • thickened discolored fingernails.

  • darkened areas under the fingernail.

  • bony enlargements of distal joints of the fingers.

Question 12 of 28

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The 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

Select one of the following:

  • increase fluid intake.

  • schedule several rest periods to balance activity.

  • reduce salt in the diet.

  • assist with rigorous finger extension exercises.

Question 13 of 28

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The nurse explains that emphysema is a chronic obstructive pulmonary disease characterized by the pathophysiology of:

Select one of the following:

  • constriction of the bronchial tree, excessive mucus, and nonproductive cough.

  • calcification of the alveoli and a dry cough.

  • overinflation of the alveoli, making them ineffective for gas exchange.

  • d. inflammation of the trachea and bronchioles, excessive mucus, and productive cough.

Question 14 of 28

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The nurse explains that the pathophysiology of a myocardial infarct is that:

Select one of the following:

  • a portion of the myocardium necroses and scars over.

  • the coronary vessels are narrowed during the attack.

  • the ischemic myocardium causes pain during the attack but is able to regenerate.

  • there is damage to the myocardium but no serious alteration of cardiac output.

Question 15 of 28

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The nurse is aware that the cardinal signs and symptoms of congestive heart failure are:

Select one of the following:

  • dyspnea and edema.

  • myocardial pain and hypotension.

  • ventricular arrhythmias and cyanosis.

  • atrial arrhythmias and polycythemia.

Question 16 of 28

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The nurse explains that pernicious anemia is caused by:

Select one of the following:

  • an iron deficiency

  • a deficiency of vitamin B12.

  • inadequate nutrition.

  • blood loss.

Question 17 of 28

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The nurse alters the nursing care plan for a patient with a hiatal hernia and resultant gastrointestinal reflux to include interventions for:

Select one of the following:

  • encouraging the patient to lie down after meals.

  • drinking two full glasses of liquid after the evening meal.

  • eating smaller, more frequent meals.

  • using caffeine drinks to assist with digestion.

Question 18 of 28

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The 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:

Select one of the following:

  • diverticulitis.

  • congestive heart failure.

  • chronic renal failure.

  • benign prostatic hypertrophy.

Question 19 of 28

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The 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:

Select one of the following:

  • feed the patient at each meal.

  • place the patient in a semi-Fowler position for mealtime.

  • offer a thick, high-nutrition shake as a snack.

  • encourage the patient to drink a sip of water after each bite of solid food.

Question 20 of 28

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The nurse would anticipate that a person with a hemorrhagic CVA to the left hemisphere would exhibit:

Select one of the following:

  • language disturbances.

  • poor impulse control.

  • inappropriate affect.

  • confabulation.

Question 21 of 28

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When giving written discharge instructions to a person with macular degeneration, the nurse should:

Select one of the following:

  • write the instructions in bold print.

  • adjust the table and light to assist the patient to use peripheral vision to read.

  • place written document directly in front of the patient to read.

  • read the document to the patient.

Question 22 of 28

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The nurse becomes aware of inadequate insulin coverage in a patient with diabetes mellitus type 1 when the patient exhibits:

Select one of the following:

  • diminished urine output.

  • ketones in the urine.

  • shallow and slow respirations.

  • extreme diaphoresis.

Question 23 of 28

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An 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:

Select one of the following:

  • melanoma.

  • basal cell carcinoma.

  • cutaneous papilloma.

  • senile lentigo.

Question 24 of 28

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The nurse takes into consideration that the factors influencing the timing and extent of age-related changes include __________. (Select all that apply.)

Select one or more of the following:

  • health maintenance

  • ethnicity

  • heredity

  • attitude

  • environment

Question 25 of 28

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The nurse reminds an 82-year-old man with rosacea that he should avoid __________. (Select all that apply.)

Select one or more of the following:

  • stress

  • dairy products

  • sun exposure

  • spicy foods

  • alcohol consumption

Question 26 of 28

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The 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.)

Select one or more of the following:

  • A

  • B6

  • C

  • D

  • E

Question 27 of 28

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The nurse uses a chart to outline the risk factors for osteoporosis, which include __________. (Select all that apply.)

Select one or more of the following:

  • menopause

  • smoking

  • white female

  • excessive high-impact exercise

  • long-term use of phenytoin (Dilantin)

Question 28 of 28

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The nurse outlines age-related changes in the respiratory system that put the older adult at risk for infection, which include __________. (Select all that apply.)

Select one or more of the following:

  • reduced ciliary movement

  • decrease in alveolar elasticity

  • pooling of secretions

  • flattened diaphragm

  • calcification of costal cartilage

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Quiz by , created about 2 years ago

college Geriatrics Quiz on Chapter 3, created by nursing fairy on 19/10/2014.

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Created by nursing fairy about 2 years ago
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