Question 1

The nurse caring for a cognitively impaired older adult admitted to an acute care facility best minimizes this particular client's risk for developing a nosocomial infection by:

Accepted Answer

A) proper hand washing prior to each client contact. 
B) admitting the client to a private room. 
C) assigning staff to assist the client with eating meals. 
D) screening visitors to minimize contract with pathogens. 
A) proper hand washing prior to each client contact. 
B) admitting the client to a private room. 
C) assigning staff to assist the client with eating meals. 
D) screening visitors to minimize contract with pathogens. C

Question 2

The nurse preparing an educational facts sheet on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome AIDS for older adults includes reference to which of the following? Select all that apply.

Accepted Answer

A) Tainted blood transfusions are the greatest risk factor. 
B) Delayed recognition of HIV contributes to its poor prognosis. 
C) Twenty-five percent of AIDS cases in the United States are in persons older than 60 years of age. 
D) There is a short interval from HIV infection to AIDS in older adults. 
E) HIV and AIDS cases in this age cohort have stabilized in the last 15 years. 
A) Tainted blood transfusions are the greatest risk factor. 
B) Delayed recognition of HIV contributes to its poor prognosis. 
C) Twenty-five percent of AIDS cases in the United States are in persons older than 60 years of age. 
D) There is a short interval from HIV infection to AIDS in older adults. 
E) HIV and AIDS cases in this age cohort have stabilized in the last 15 years. B, D

Question 3

The geriatric nurse identifies the client with the greatest risk of immunosuppression as:

Accepted Answer

A) having a roommate infected with MRSA. 
B) having numerous oral mucosal ulcers. 
C) receiving treatment for rheumatoid arthritis. 
D) being cognitively impaired. 
A) having a roommate infected with MRSA. 
B) having numerous oral mucosal ulcers. 
C) receiving treatment for rheumatoid arthritis. 
D) being cognitively impaired. C

Question 4

A 65-year-old man has smoked tobacco most of his adult life.When planning health promotion education for him, the nurse includes information that such smoking:

Accepted Answer

A) may produce alterations in his immune response. 
B) is a risk factor for community-acquired pneumonia. 
C) decreases the production of an immunoglobulin called IgA. 
D) increases his risk of gastric cancer. 
A) may produce alterations in his immune response. 
B) is a risk factor for community-acquired pneumonia. 
C) decreases the production of an immunoglobulin called IgA. 
D) increases his risk of gastric cancer.

Question 5

An immunosuppressed older adult client reports symptoms of fatigue, facial rash, intermittent low-grade fever, and painfully swollen finger joints.The nurse anticipates that diagnosis will be confirmed by:

Accepted Answer

A) the presence of subcutaneous nodules on the hands. 
B) a positive antinuclear antibody ( ANA ) blood serum test. 
C) a liver biopsy that confirms cirrhosis. 
D) the presence of bilateral ocular scleritis. 
A) the presence of subcutaneous nodules on the hands. 
B) a positive antinuclear antibody ( ANA ) blood serum test. 
C) a liver biopsy that confirms cirrhosis. 
D) the presence of bilateral ocular scleritis.

Question 6

An older adult client who is generally in good health starts experiencing numerous colds and now pneumonia.What factor from her nursing history most likely has placed her at increased risk for the development of these infections?

Accepted Answer

A) A beloved pet died 6 months ago. 
B) She was diagnosed with osteoarthritis 5 years ago. 
C) She worked as an oncology nurse before retiring. 
D) Her husband is immunosuppressed. 
A) A beloved pet died 6 months ago. 
B) She was diagnosed with osteoarthritis 5 years ago. 
C) She worked as an oncology nurse before retiring. 
D) Her husband is immunosuppressed.

Question 7

The nurse caring for an older adult client currently receiving traditional drug therapy for methicillin-resistant Staphylococcus aureus ( MRSA ) recognizes that the client is at risk for developing:

Accepted Answer

A) Clostridium difficile infection. 
B) vancomycin-resistant Enterococcus ( VRE ) infection. 
C) autoimmune hepatitis. 
D) systemic lupus erythematosus. 
A) Clostridium difficile infection. 
B) vancomycin-resistant Enterococcus ( VRE ) infection. 
C) autoimmune hepatitis. 
D) systemic lupus erythematosus.

Question 8

To educate clients on health promotion measures to minimize the effect of normal age-related changes in immunity, the geriatric nurse:

Accepted Answer

A) describes the effects of low-dosage antibiotic therapy on opportunistic infections. 
B) reinforces the usefulness of lymphocyte counts to detect new infections. 
C) discusses the need for yearly flu immunization. 
D) stresses the importance of maintaining intact skin and mucous membranes. 
A) describes the effects of low-dosage antibiotic therapy on opportunistic infections. 
B) reinforces the usefulness of lymphocyte counts to detect new infections. 
C) discusses the need for yearly flu immunization. 
D) stresses the importance of maintaining intact skin and mucous membranes.

Question 9

The nurse caring for an older adult client engages in appropriate cancer-related health screening when which of the following occur? Select all that apply.

Accepted Answer

A) Preparing a client for a lung biopsy 
B) Collecting a 24-hour urine specimen 
C) Assisting a client schedule a mammogram 
D) Drawing blood for a prostate sensitive antigen ( PSA ) test 
E) Keeping a patient NPO for a scheduled colonoscopy 
A) Preparing a client for a lung biopsy 
B) Collecting a 24-hour urine specimen 
C) Assisting a client schedule a mammogram 
D) Drawing blood for a prostate sensitive antigen ( PSA ) test 
E) Keeping a patient NPO for a scheduled colonoscopy

Question 10

The nurse caring for an older adult client being treated for influenza is especially careful to monitor and document assessment data related to:

Accepted Answer

A) cognitive function. 
B) respiratory function. 
C) fluid intake. 
D) urinary output. 
A) cognitive function. 
B) respiratory function. 
C) fluid intake. 
D) urinary output.

Question 11

The geriatric nurse caring for the older female immunosuppressed client is particularly concerned when the client reports which of the following? Select all that apply.

Accepted Answer

A) Flulike muscle aching 
B) Burning upon urination 
C) Nausea 
D) Night sweats 
E) Constipation 
A) Flulike muscle aching 
B) Burning upon urination 
C) Nausea 
D) Night sweats 
E) Constipation

Question 12

An older adult client is experiencing problems with chewing while recovering from extensive oral surgery.The nurse best affects this client's risk for infection by:

Accepted Answer

A) ordering a mechanical soft diet for the client. 
B) monitoring the client regularly for any low-grade fever. 
C) providing regular oral care with an antibiotic mouthwash. 
D) asking which flavors of protein supplement drink he would prefer. 
A) ordering a mechanical soft diet for the client. 
B) monitoring the client regularly for any low-grade fever. 
C) providing regular oral care with an antibiotic mouthwash. 
D) asking which flavors of protein supplement drink he would prefer.

Question 13

A client who is currently being treated for rheumatoid arthritis exhibits symptoms suspicious of tuberculosis ( TB ).The nurse anticipates that:

Accepted Answer

A) the symptoms are a result of the client's rheumatoid arthritis. 
B) the symptoms are actually side effects of corticosteroid therapy. 
C) a chest radiograph will definitively confirm a diagnosis of TB. 
D) a purified protein derivative ( PPD ) skin test will likely be negative. 
A) the symptoms are a result of the client's rheumatoid arthritis. 
B) the symptoms are actually side effects of corticosteroid therapy. 
C) a chest radiograph will definitively confirm a diagnosis of TB. 
D) a purified protein derivative ( PPD ) skin test will likely be negative.

Exam 16: Infection

The nurse caring for a cognitively impaired older adult admitted to an acute care facility best minimizes this particular client's risk for developing a nosocomial infection by:

The nurse preparing an educational facts sheet on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome AIDS for older adults includes reference to which of the following? Select all that apply.

The geriatric nurse identifies the client with the greatest risk of immunosuppression as:

A 65-year-old man has smoked tobacco most of his adult life.When planning health promotion education for him, the nurse includes information that such smoking:

An immunosuppressed older adult client reports symptoms of fatigue, facial rash, intermittent low-grade fever, and painfully swollen finger joints.The nurse anticipates that diagnosis will be confirmed by:

An older adult client who is generally in good health starts experiencing numerous colds and now pneumonia.What factor from her nursing history most likely has placed her at increased risk for the development of these infections?

The nurse caring for an older adult client currently receiving traditional drug therapy for methicillin-resistant Staphylococcus aureus ( MRSA ) recognizes that the client is at risk for developing:

To educate clients on health promotion measures to minimize the effect of normal age-related changes in immunity, the geriatric nurse:

The nurse caring for an older adult client engages in appropriate cancer-related health screening when which of the following occur? Select all that apply.

The nurse caring for an older adult client being treated for influenza is especially careful to monitor and document assessment data related to:

The geriatric nurse caring for the older female immunosuppressed client is particularly concerned when the client reports which of the following? Select all that apply.

An older adult client is experiencing problems with chewing while recovering from extensive oral surgery.The nurse best affects this client's risk for infection by:

A client who is currently being treated for rheumatoid arthritis exhibits symptoms suspicious of tuberculosis ( TB ).The nurse anticipates that:

Overview of Gerontologic Nursing

Theories of Aging

Legal and Ethical Issues

Gerontologic Assessment

Cultural Influences

Family Influences

Socioeconomic and Environmental Influences

Health Promotion and Illnessdisability Prevention

Health Care Delivery Settings and Older Adults

Nutrition

Sleep and Activity

Safety

Intimacy and Sexuality

Mental Health

Pain

Chronic Illness and Rehabilitation

Substance Abuse

Cancer

Loss and End-Of-Life Issues

Laboratory and Diagnostic Tests

Pharmacologic Management

Cardiovascular Function

Respiratory Function

Endocrine Function

Gastrointestinal Function

Musculoskeletal Function

Urinary Function

Cognitive and Neurologic Function

Integumentary Function

Sensory Function

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