Gero Quiz Exam 2 Practice Flashcards
You taught your patient how to know they are becoming dehydrated. What statement from the patient would indicate the need for further teaching?
My urine will be light yellow
A patient in your long-term facility goes to bed on time and during nighttime assessment, you find the patient is sleeping: however, the next morning you ask the pt how they are feeling and they tell you “i wake up feeling exhausted.” Which of the following best explains this scenario?
PT spent less time in stage 3 and 4
Mr. Smith, 67 yo, has recently been diagnosed with dysphagia due to a hiatal hernia that requires surgery. He lives at home with his wife, and asks the home care nurse what advice she has to facilitate swallowing, and prevent choking. What interventions would be best for mr. smith?
Chin-tuck swallowing
sit and rest 30 mins before eating
An older adult man complained of frequent HA upon awakening, and his wife also informed he snores loudly. What is the MOST IMPORTANT intervention?
Notify HCP and suggest a sleep study
During the removal of a fecal impaction, which nursing intervention is MOST IMPORTANT?
Assess for acute changes of HR and BP
The nurse is planning to teach a 68 yo male pt with malabsorption syndrome about the importance of following a low-fat diet. The nurse develops a list of high-fat foods to avoid and should include which food items on the list? SATA
Margarine
Cream Cheese
Luncheon Meat
An 85 yo man is brought to the ED by his daughter presenting with intermittent confusion and agitation, decreased interest in daily activities due to fatigue, and increased frequency of urination. Upon assessment and lab work that comes back with an increased WBC count and a + result of leukocyte esterase. Based on these findings, the MD diagnoses the pt with a UTI. He prescribes cephalexin (Keflex), an antibiotic, to treat the UTI. The nurse understands which education prompt should be the priority?
Even if symptoms have subsided, the full course must be completed as indicated by the DR in order to prevent antibiotic resistance
As a nurse, you identify that the pt is dehydrated. The pt is not terminally ill. The pt knows what is an adequate amount of fluid, but is physically incapable to ingest or access fluids to maintain a hydrated status. What is an appropriate intervention to maintain the pt hydrated? SATA
Dysphagia prevention
Swallow evaluation
implement safe drinking techniques
The nurse is performing a safety check at a LTCF and finds a resident restrained with a posey vest. What is the PRIORITY nursing interventions?
Immediately remove the vest and contact the DR
The nurse is assessing a 74 yo pts nutritional status using the mini-nutritional assessment. Which of the following puts the pt at risk for malnutrition? SATA
Losing 7 lbs over 3 months
Loss in appetite that causes the pt to skip meals during the say
Showing symptoms of mild dementia
A 76 yo man with DM has transitioned to a LTCF, after causing much concern to his family about his ability to care for himself on his own. The placement in a LTCF put him at higher risk for:
Malnutrition
The nurse is reviewing the pts chart and xerosis was noted during the physical exam. What symptoms would the pt most likely report?
dry, itchy skin
A client begins to spit food out onto the plate while the nurse is assisting with feeding. The nurse understands this may indicate what problem?
dysphagia
An 85 yo LTC resident has decreased fluid intake because he does not like the available drinks. What is the appropriate nursing intervention?
determine what types of fluids the pt enjoys
An older client has a history of dysphagia and is hospitalized for a fractured femur. Which dehydration category does he most likely fit into?
can’t drink
