Question

The nurse is educating a client about the gastrointestinal side effects of Naproxen. Which of the following signs of gastrointestinal upset should the client watch for?

Answer 1

Correct Answers:

Dark, tarry stools

Rationale :

🩸Dark, tarry stools are a key sign of gastrointestinal bleeding, often resulting from NSAID-induced ulcers.

🧪Naproxen, as an NSAID, can damage the gastric mucosa, leading to upper GI bleeding.

🚫Clients must be taught to recognize signs of occult or visible blood loss to prevent complications.

📋Prompt reporting of melena enables timely discontinuation and treatment, minimizing GI tract damage.

📌Core Message

Naproxen may lead to GI bleeding, and clients should report dark, tarry stools as a critical symptom.

Answer 2

Correct Answers:

Consume at least 2000 mL of fluid daily
Increase fresh fruits and vegetables into the diet
Explain the risks of overusing laxatives
Incorporate walking after meals

Rationale :

🚰Adequate fluid intake of at least 2000 mL/day softens stool and supports regular bowel movements.

🍎High-fiber foods, such as fresh fruits and vegetables, improve bowel motility and stool consistency.

⚠️Overuse of laxatives can cause dependence and worsen constipation, making education essential.

🚶‍♂️Physical activity, like walking after meals, stimulates peristalsis and promotes natural elimination.

📌Core Message

Managing constipation in older adults involves fluids, fiber, mobility, and avoiding laxative overuse.

Answer 3

Correct Answers:

Use a turn sheet to position clients in bed
Clean and dry skin after soiling
Consult a dietitian for a nutritional evaluation
Establish an individualized turning schedule

Rationale :

🛏️Using a turn sheet minimizes friction and shear, reducing skin breakdown risk.

🧼Keeping the skin clean and dry prevents maceration and supports skin integrity.

🥦A dietitian's evaluation ensures proper protein and nutrient intake, vital for tissue repair and prevention.

⏰An individualized turning schedule prevents prolonged pressure, reducing risk for pressure injuries.

📌Core Message

Preventing pressure injuries requires regular turning, hygiene, nutrition, and minimizing skin trauma.

Answer 4

Correct Answers:

Scabies infestation

Rationale :

🔍Scabies presents with intense pruritus and characteristic burrows or dark lines in warm, moist areas like elbows, fingers, and genitals.

🦠It is caused by the Sarcoptes scabiei mite, which burrows under the epidermis.

🧩These areas and the pattern of lesions help differentiate scabies from allergic rashes or dermatitis.

🧼It requires isolation precautions and prescription scabicidal treatment to eradicate the infestation.

📌Core Message

Scabies presents with burrows in skin folds and intense itching, requiring prompt identification and treatment.

Answer 5

Correct Answers:

"I get up four or five times during the night to urinate."

Rationale :

🌙Frequent nighttime urination (nocturia) disrupts the normal sleep cycle, causing sleep deprivation.

🛌It is common in older adults and may stem from bladder dysfunction, medications, or chronic illnesses.

⚠️Disrupted sleep increases risk for daytime fatigue, falls, and cognitive decline in the elderly.

🔍This complaint warrants further evaluation and possible interventions like bladder training or medication review.

📌Core Message

Nocturia in older adults often signals sleep disturbance and requires clinical evaluation.

Answer 6

Correct Answers:

Elbows
Heels
Back of the head
Coccyx

Rationale :

💤Bed-bound clients are at high risk for pressure injuries over bony prominences.

⚖️Common areas affected include the elbows, heels, occiput (back of the head), and coccyx due to prolonged pressure.

🧼Frequent assessment of these areas is key for early identification and prevention of skin breakdown.

📋The abdomen is not typically a pressure point unless specific devices or positioning apply pressure there.

📌Core Message

Monitor bony prominences like heels, elbows, coccyx, and occiput for pressure injury risk in immobile clients.

Answer 7

Correct Answers:

Nails will have a yellow appearance and increased thickness

Rationale :

💅In older adults, nail growth slows, resulting in thicker, more brittle, and often yellow-tinged nails.

🔬This is due to keratin buildup and reduced circulation to the extremities.

🧓These changes are normal with aging, unless accompanied by pain or signs of fungal infection.

🧼Proper foot and nail care is essential to prevent secondary complications such as infection or ulceration.

📌Core Message

Older adults often develop thicker, yellowish nails due to age-related keratin accumulation and slower growth.

Answer 8

Correct Answers:

Assess the resident to determine why they are not eating

Rationale :

🔍Assessment should always be the first step in the nursing process before planning interventions.

😷There could be multiple causes for poor appetite such as pain, depression, illness, or dentures.

🍽️Without identifying the root cause, interventions like snacks or meal changes may not be effective.

📊A tailored plan can only be created once the underlying cause of decreased intake is identified.

📌Core Message

When older adults refuse food, the nurse must first assess the cause to develop an effective intervention.

Answer 9

Correct Answers:

"I will make sure that I get my flu vaccine in the spring."

Rationale :

📆Flu vaccines are recommended in the early fall, typically from September to October, to ensure immunity before flu season peaks.

🛡️Older adults are at higher risk of complications, so proper timing is critical for protection.

🩺The spring is too late, as it falls after the typical influenza peak months of December to February.

📚This response indicates a need for education about the seasonal timing of immunization.

📌Core Message

Flu vaccines should be received in the early fall, not spring, for optimal protection in older adults.

Answer 10

Correct Answers:

Mucopurulent sputum

Rationale :

🦠Tuberculosis typically causes a productive cough with mucopurulent or blood-tinged sputum due to lung tissue inflammation.

💁‍♂️Symptoms can include chronic cough, fever, night sweats, and weight loss, indicating active TB infection.

🧫The sputum may be tested for acid-fast bacilli to confirm Mycobacterium tuberculosis.

📋Early identification allows for timely isolation and treatment to prevent spread.

📌Core Message

Clients with tuberculosis often produce mucopurulent sputum, which signals lung infection and inflammation.

Gerontology Exam-1

No.

1 :
The nurse is educating a client about the gastrointestinal side effects of Naproxen. Which of the following signs of gastrointestinal upset should the client watch for?

2 :
Which information will the nurse include in the teaching of an older client who is experiencing constipation? Select all that apply.

3 :
Which of the following nursing interventions should be applied to reduce the risk of pressure injuries? Select all that apply.

5 :
Which of the following statements made by an older adult indicates that they are at risk of sleeping problems?

6 :
Which area(s) of the body will the nurse observe for pressure injuries in a bed bound client? Select all that apply.

7 :
Which finding will the nurse anticipate when assessing the nails of an older adult?

8 :
A resident at a long-term care facility has a poor appetite and has been refusing meals. Which action should the nurse take first to increase the resident's nutritional intake?

9 :
The nurse has provided education about flu vaccines to an older client. Which statement made by the client indicates the need for further teaching?

10 :
Which clinical finding will the nurse anticipate for a client suspected of having tuberculosis?

Gerontology Exam-1

No.

1 : The nurse is educating a client about the gastrointestinal side effects of Naproxen. Which of the following signs of gastrointestinal upset should the client watch for?

2 : Which information will the nurse include in the teaching of an older client who is experiencing constipation? Select all that apply.

3 : Which of the following nursing interventions should be applied to reduce the risk of pressure injuries? Select all that apply.

5 : Which of the following statements made by an older adult indicates that they are at risk of sleeping problems?

6 : Which area(s) of the body will the nurse observe for pressure injuries in a bed bound client? Select all that apply.

7 : Which finding will the nurse anticipate when assessing the nails of an older adult?

8 : A resident at a long-term care facility has a poor appetite and has been refusing meals. Which action should the nurse take first to increase the resident's nutritional intake?

9 : The nurse has provided education about flu vaccines to an older client. Which statement made by the client indicates the need for further teaching?

10 : Which clinical finding will the nurse anticipate for a client suspected of having tuberculosis?

1 :
The nurse is educating a client about the gastrointestinal side effects of Naproxen. Which of the following signs of gastrointestinal upset should the client watch for?

2 :
Which information will the nurse include in the teaching of an older client who is experiencing constipation? Select all that apply.

3 :
Which of the following nursing interventions should be applied to reduce the risk of pressure injuries? Select all that apply.

5 :
Which of the following statements made by an older adult indicates that they are at risk of sleeping problems?

6 :
Which area(s) of the body will the nurse observe for pressure injuries in a bed bound client? Select all that apply.

7 :
Which finding will the nurse anticipate when assessing the nails of an older adult?

8 :
A resident at a long-term care facility has a poor appetite and has been refusing meals. Which action should the nurse take first to increase the resident's nutritional intake?

9 :
The nurse has provided education about flu vaccines to an older client. Which statement made by the client indicates the need for further teaching?

10 :
Which clinical finding will the nurse anticipate for a client suspected of having tuberculosis?