FINALIZED GERIATRICS HESI EXAM QUESTIONS REVIEW

FINALIZED GERIATRICS HESI EXAM QUESTIONS REVIEW What is a Fall? - CORRECT ANSWER -"A sudden, unexpected descent from a standing, sitting, or horizontal position." What are some normal changes of aging that might increase fall risk? - CORRECT ANSWER -- Age - Decreased visual acuity - Impaired balance and gait - Chronic diseases - **History of falls** - Prior hospitalization within 12 months - body structure - poor nutrition - low body weight - decreased physical activity - medications - environmental hazards - Behaviors The greatest risk factor for a fall is - CORRECT ANSWER -Previous fall history Pressure Ulcers - CORRECT ANSWER -A lesion caused by unrelieved pressure resulting in damage of underlying tissue What causes pressure ulcers - CORRECT ANSWER -unrelieved pressure What are the most common sites of pressure ulcers? - CORRECT ANSWER -- number one site that pressure ulcers develop is **coccyx** - Bony prominences How might pressure ulcers be prevented? - CORRECT ANSWER -Repositioning patient every two hours Which of the following intervention would the nurse include in the care plan of a patient with a pressure ulcer? - CORRECT ANSWER -Rotating every 2 hours A 68 year old client with lightly pigmented skin has a noninflected pressure ulcer. How might it be treated? - CORRECT ANSWER -Turn every 2 hours and moisturize Restraints - CORRECT ANSWER -Physical Restraints: use of any manual method of physical/ mechanical device that the person cannot remove and restricts the person's activity and normal access to his/her body What are the different types of restraints? - CORRECT ANSWER -- bed rails - vest - side rail only when all 4 sides are up - Mit restraints - IV board, wheelchair with board, lap buddy - belt, seat belt (restrain if person can't undo seatbelt independently) - Veil bed - Haldol (Haloperidol) - Bedsheets