HESI PN GERONTOLOGY 2020

1. The clinic nurse receives a telephone call from the daughter of an

older female client. The daughter reports that her mother has a cough and

has become confused and short of breath, but only has a temperature of

99.4F. What action should the nurse take?

a. Reassure the daughter that these are common signs of upper

respiratory tract congestion.

b. Advise the daughter to monitor her mother’s temperature and call if

it continues to rise higher.

c. Tell the daughter to keep her mother well hydrated and encourage

rest for the next 48 hours.

d. Explain to the daughter that she needs to bring her mother for

immediate medical evaluation.

2. The unlicensed assistive personal (UAP) reports to the charge nurse

that an older resident of the extended care facility, who has limited

mobility, has not had a bowel movement in 5 days. Which action should

the nurse take first?

a. Check bowel sounds and abdominal tenderness

b. Increase fiber and diet and add daily prune juice

c. Perform a digital examination for a fecal impaction

3. An older male client is admitted with hypothermia with a core body

temperature of 95F (35C) due to the lack of adequate heat in his home.

Which findings should the nurse expect to obtain? (select all that apply)

a. Hyperalert state

b. Headache

c. Cool skin

d. Shivering

e. Confusion

4. An older adult woman, who cares for her husband at home without

assistance, requires minor surgery. With no family members living in the

area, the wife expresses concern about her husband’s care while she

recovers. Which intervention is likely to be most helpful in this situation?

a. Suggest she ask social services to find a respite care facility for the

husband

5. During report, an older female client, who had a right total hip

replacement three days ago, is described as intolerant of pain. When

assessing the client, the nurse finds that the client cannot straighten her

right foot, which is pointing outward from her body. Which action should

the nurse take?

Call healthcare provider immediately

6. An older female sustained a right hip fracture one week ago that was

surgically repaired the following day. Today she is reporting left sided leg

pain, and the nurse observes edema of the left leg and a positive Homan

sign. These findings should be reported to the health care provider because

they are indicative of which condition?

DVT

7. To help prevent drug interactions, which instruction should the

nurse provide an older client who is taking many medications?

A. Do not take any over the counter drugs while taking medications

prescribed by a healthcare provider (could be this one?)

B. Use a medication reminder system to prevent forgetting to take the

right medications at the right time (could be this one?)

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