quiz 2

Question 1

Nurse in a geriatric unit and reviewing client assessment and findings. What would you further investigate?

Answer 1

Urinary related answers (incontinence)

Question 2

Frequent urination

Answer 2

Common age related issues

Question 3

Kegel exercise is good for which incontinence?

Answer 3

Stress incontinence.

Question 4

You have a resident experiencing urinary incontinence and you discovered they are not emptying their bladder. Even after they’re voiding, they are still not able to empty their bladder. What intervention are you gonna do?

Answer 4

Massaging bladder area.

Question 5

Hypertrophy of the bladder muscle and thickening of bladder is related to

Answer 5

Urinary frequency.

Question 6

Functional incontinence is related to?

Answer 6

Declining cognition

Question 7

Kegel exercise. Which client would you suggest kegel exercise too?

Answer 7

Someone who has had children and is experiencing stress incontinence. (don’t be confused with the age you can have it your 30’s or 60’s)

Question 8

You have a patient coming into the hospital for a rehab because of recent surgery, and they’re experiencing incontinence, what intervention would you do? (more than one answer)

Answer 8

1) They cant get up by them self because of surgery (give them commode)
2) Assess for constipation
3) Patient History of voiding and voiding patterns.

Question 9

As a nurse, if your patient has urinary retention and you’re discussing different measures they can take. What are you trying to prevent?

Answer 9

Trying to prevent UTI.

Question 10

You have limited mobility and incontinent of urine. And your goal is skin integrity, what intervention would you do?

Answer 10

Assessment and history of the patient. (assess for wetness)

Question 11

It is Glomerulonephritis if the pt have?

Answer 11

Proteinuria and Hematuria in their urine analysis

Question 12

The decreased renal and liver function contribute to an increased half life of medication.

Answer 12

• Your liver filtrates medication and if your liver is reduced in function it can prolong medication in your system.
• Don’t drink alcohol if you have reduced liver function.

Question 13

If your patient has gotten a digital rectal exam and shows that their prostate has been enlarged, they’re at risk for?

Answer 13

Risk for malignancy.

Question 14

Periodontal disease is a ?

Answer 14

Pathological process and not a age related change

Question 15

If your patient is having GI problems and they are on narcotics, what should you initiate?

Answer 15

Toileting Program

Question 16

Older patients have a history of anemia and bloody urine, and they’re denying UTI symptoms , what can you suspect considering they’re old?

Answer 16

Suspecting bladder cancer

Question 17

You have an older patient that has nocturia and you discover they get up at night to go void, as a nurse what change would you make to contribute?

Answer 17

improve kidney circulation, occurs when a patient is in a lying position.

Question 18

Your patient has GERD and they’re having a hard time swallowing pills, what would you do?

Answer 18

More water and repositioning patients

Question 19

What are some implementation for who have constipation, what can you do?

Answer 19

Increase fluid and change diet.

Question 20

Taking antacids every meal, what other condition are you worried about?

Answer 20

Electrolyte Imbalance. Liver or kidney problems

Question 21

Older patient have constipation, what caffeine would you suggest ?

Answer 21

Prune Juice

Question 22

What strengthen your enamel teeth?

Answer 22

Fluoride

Question 23

To manage diverticular disease, what kind of food would you wanna increase?

Answer 23

Fiber

Question 24

Symptoms of fecal impaction after surgery?

Answer 24

sudden decrease in bowel movement

Question 25

A patient is on antidepressant and also diagnosed with oral fungal infection, what would you suggest?

Answer 25

- Assess for potential drug interaction. - Some antidepressants can cause dry mouth increasing the risk for fungal infection.

Question 26

Your patient has a smooth red tongue, what follow up would you do next?

Answer 26

- Assessment and history. - Nutrition Assessment.

Question 27

Someone who has GERD, what would you do to avoid it?

Answer 27

Sit up for 1 hour

Question 28

Have a patient has chronic constipation and they have a low diver diet, what would you do as a nurse?

Answer 28

Increase fiber intake. Too much fiber can cause constipation.

Question 29

Taking laxatives for a prolonged period of time. What is the patient at risk for?

Answer 29

Dehydration