NUR 242 Med/Surg Exam 1 /94 Complete Questions
And Answers Latest 2023-2024
Quiz :Four Major subgroups of Late Adulthood - Answer :65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Quiz :Lifestyle and Practice to Promote Wellness older adults - Answer :Yearly
flu vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Quiz :Common health Issues and Concerns older adults - Answer :Decreased
nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
,Quiz :Depression older adults - Answer :Most common mental
health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Quiz :Dementia older adults - Answer :slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular
disorder
Quiz :Delirium older adults - Answer :Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of
consciousness
Quiz :Nurse's role in Rehab - Answer :Advocate for the patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop care plan
Communicate with effectively with all members of the health care team,
patient and family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Quiz :Safe Patient Handing and Mobility (SPHM) - Answer :-Maintain a wide,
stable base with your feet
-Put the bed at the correct height - waist level while providing direct care and
hip level when moving patients
- Keep the patient or work directly in front of you to prevent your spine from
rotating
- Keep the patient as close to your body as possible to prevent reaching
Quiz :walker - assisted and cane - assisted procedure - Answer :- Apply a
transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
, - ensure that the patient's body is well balanced
Quiz :walker teaching - Answer :- lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
Quiz :cane teaching - Answer :- be sure cane is at the height of the patients
wrist when the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Quiz :Adaptive equipment - Answer :buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
Quiz :SCIP infection - 1 - Answer :Prophylactic antibiotic received within one
hour prior to surgical incision (to establish bactericidal blood and tissue levels
by the time the surgical incision is made)
Quiz :SCIP infection - 2 - Answer :Prophylactic antibiotic selection for surgical
patients (increased risk for surgical infections)
Quiz :SCIP infection - 3 - Answer :Prophylactic Antibiotics discontinued within
24 hours after surgery end time (provides benefit without risk)
Quiz :SCIP infection - 4 - Answer :Cardiac surgery patients with controlled 6
am postoperative blood glucose (cardiac patients only) To avoid hyperglycemia
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