geriatric nursing practice questions

Correct Answer: C

Rationale: The correct answer is C because it highlights a common issue in nursing education where gerontological nursing content is often underrepresented, with less than 25% of the curriculum dedicated to geriatric care. This is accurate as many nursing programs prioritize other areas over gerontology. A is incorrect as gerontological nursing integration has historically been lacking in nursing curricula. B is incorrect because undergraduate programs often lack extensive coverage of gerontological nursing compared to other specialties like psychiatric nursing. D is incorrect as accreditation does not guarantee specific proportions of gerontological nursing content in the curriculum. Thus, choice C is the most accurate statement regarding gerontological nursing education.

Correct Answer: A

Rationale: The correct answer is A because as individuals age, there is a decrease in renal function leading to reduced renal clearance of drugs. This results in a longer drug half-life and potentially increased drug accumulation in the body. Choice B is incorrect as aging often leads to a decrease in hepatic metabolism, not faster metabolism. Choice C is incorrect because aging can actually lead to reduced gastrointestinal absorption due to changes in the gastrointestinal tract. Choice D is incorrect as aging can result in decreased circulation, which may affect drug distribution negatively.

Correct Answer: A

Rationale: The correct answer is A: Monitor the client's blood glucose level. Tremors and confusion in a client with diabetes could indicate hypoglycemia. Monitoring blood glucose levels will confirm if the client's symptoms are due to low blood sugar. Providing a full meal (B) may worsen the situation by delaying the increase in blood sugar. Asking the client to rest (C) does not address the underlying cause. Administering insulin immediately (D) without knowing the current blood glucose level can further lower blood sugar levels. Hence, monitoring the blood glucose level is the most appropriate initial action.

Correct Answer: D

Rationale: The correct answer is D: Age-related changes in liver function. As people age, there are changes in liver metabolism and blood flow, affecting the processing of anesthetic agents. Liver function declines with age, leading to slower drug metabolism and clearance, increasing the risk of adverse reactions. Decreased muscle mass (A) may affect drug distribution but not metabolism. Decreased renal function (B) can impact drug excretion but is not the primary reason for adverse reactions. Increased body fat (C) can alter drug distribution but is not the main factor in anesthesia reactions for older adults.

Correct Answer: A

Rationale: The correct answer is A: Hypertension. Hypertension, or high blood pressure, is the most common chronic condition affecting older adults in the U.S. This is because aging increases the risk of developing hypertension due to changes in blood vessels and the heart. Hypertension can lead to serious health complications such as heart disease and stroke. Summary: B: Osteoporosis primarily affects bone density and is more common in older women. C: Alzheimer's disease is a type of dementia that affects memory and cognitive function, but it is not as prevalent as hypertension among older adults. D: Diabetes is a chronic condition characterized by high blood sugar levels and while it is common, hypertension is more prevalent in older adults in the U.S.