An old-old male patient with type 2 diabetes and negative diabetic urine testing has elevated blood sugar levels. Which of the following age-related changes could cause his elevated blood sugar without any evidence of glycosuria?
A) Decreased reabsorption from the filtrate
B) Reduced tubular function
C) High blood urea nitrogen levels
D) Increase in the renal threshold for glucose
Question 2A nurse is reviewing thyroid test results of her clients. Which of the following is the most likely thyroid test result for a healthy elderly patient?
A) T4: low; T3: low; thyroid function: low
B) T4: high; T3: normal; thyroid function: high
C) T4: high; T3: normal; thyroid function: low
D) T4: normal; T3: low; thyroid function: normal
Question 3A gerontological nursing course syllabus includes the topic of helping elders ambulate safely. The major factor contributing to an increased risk of falls in the elderly is:
A) Decline in brain weight
B) Reduction of blood flow to the brain
C) Flawed response to changes in balance
D) Slowed nerve conduction velocity
Question 4The nurse observes that the client voided four times during the night. The client is a 72-year-old man who is in the hospital for treatment of a myocardial infarction. In addition, he has a history of hypertension and congestive heart failure.
Which of the following components of his medication regimen is most likely implicated in his nocturia? A) Nitroglycerine patch
B) A thiazide diuretic
C) An ACE inhibitor
D) Morphine sulfate
Question 5The emergency room staff is caring for a patient with an acute inflammatory intestinal disorder who is being observed to rule out appendicitis. Which intervention is contraindicated?
a. Give nothing by mouth until seen by a health care provider
b. Measure intake and output
c. Apply heat to the abdomen
d. Encourage bed rest
Question 6Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
A) Diminished calcium absorption
B) Shortening of the long bones
C) Formation of points and spurs
D) Deterioration of cartilage surfaces
Question 7The nurse in the emergency department assesses a 76-year-old female. The woman's bladder is visibly distended and the woman has not voided since the previous evening.
Which of the following assessment questions made by the nurse is most relevant to the source of the woman's condition? A) When was your last bowel movement?
B) Have you been receiving hormone replacement therapy?
C) What did you have to eat yesterday?
D) Do you have a history of kidney disease?
Question 8Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes. A nursing measure that will prevent or minimize dumping syndrome is to administer the feeding
a. by bolus to prevent continuous intestinal distention.
b. with large amounts of fluids to maintain hydration.
c. high in carbohydrates and protein.
d. in six small daily meals high in protein and fat.
Quick Reply
