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NUR 242 Exam 1 Galen College Of Nursing - Question and answers already passed

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NUR 242 Exam 1 Galen College Of Nursing - Question and answers already passed NUR 242 Exam 1 ADPIE - Nursing Process - correct answer Assessment, Diagnosis, Plan, Intervention, Evaluation World Health Organization definition of health - correct answer Health is a state of complete phys...

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  • October 22, 2024
  • 43
  • 2024/2025
  • Exam (elaborations)
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  • nur 242 exam 1 galen college of nursing
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NUR 242 Exam 1
ADPIE - Nursing Process - correct answer ✔Assessment, Diagnosis, Plan,
Intervention, Evaluation


World Health Organization definition of health - correct answer ✔Health is a
state of complete physical, mental and social well-being and not merely the
absence of disease or infirmity.


Framework of Healthy People 2030 - correct answer ✔Principles
Overarching Goals
Plan of Action
History & Context


Level of Prevention - correct answer ✔Primary- Prevention
Secondary- Screening
Tertiary-Rehab


Risk Factors - correct answer ✔Modifiable
Non-modifiable


Prevent Constipation in Older Adults - correct answer ✔Increase Fiber (35 to
50g) & Fluid Intake (2L), Exercise Regularly


Common Adverse Drug Events in older Adults - correct answer ✔Edema,
N/V, Anorexia, constipation, dehydration, dizziness, syncope, acute confusion,
dysrhythmias, urinary retention, and hypotension

,Major predictor of morbidity & morality - correct answer ✔Delirium


Confusion Assessment Method (CAM) - correct answer ✔Acute onset and
fluctuating course
Inattention
Disorganized thinking
Altered level of consciousness


Monitor Older Adults receiving Antipsychotics ADEs - correct answer
✔Anticholingeric Effects
ORTHOSTATIC Hypotension
Parkinsonism
Restlessness
Hyperglycemia & DM


When do you assess skin on pt that is reddened? - correct answer ✔Every 8
hours


Immobility - correct answer ✔Long periods of immobility


Musculoskeletal Immobility - correct answer ✔Wasting, Osteoporosis


Integumentary Immobility - correct answer ✔Pressure Injuries


GI Immonility - correct answer ✔Constipation

,Cardiovascular Immobility - correct answer ✔orthostatic hypotension,
thrombus formation (DVT)


Neurological Immobility - correct answer ✔depression, forgetfulness, anxiety,
confusion
-pressure on skin will cause nerve pain/damage


Renal/Urinary Immobility - correct answer ✔Stones
Incontinence


Respiratory Immobility - correct answer ✔atelectasis -> pneumonia


Metabolic Fluid & Electrolyte Imbalance-Immobility - correct answer
✔Dehydration or Fluid Overload


Orthostatic Hypotension - correct answer ✔A drop of more than 10 mmHg in
systolic or 10 mmHg in diastolic pressure between positions


Walker Procedure - correct answer ✔Lift Walker
Move walker about 2 feet forward
Small Steps
Check Balance Repeat


Proper body Mechanics - correct answer ✔Maintain a wide, stable base with
your feet
Place 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
Use appropriate safe patient -handling equipment


Cane Procedure - correct answer ✔Cane in strong hand- use unaffected
side
Well Balanced
Cane, Weak Leg, then strong leg


Physiological Effects Immobility - correct answer ✔Changes in Sleep/Wake
Cycle
Impaired Coping
Changes in Body Image
Anxiety
Depression
Behavioral Changes


Assessment of skin - correct answer ✔Once per shift, upon admission, or
nursing instinct
Access individuals with any devices assess skin every 2 hours for skin
breakdown


Inspect skin - correct answer ✔-Beneath and around compression stockings
•Bony prominences
•Skin to skin areas
•Any areas where the client lacks sensation
•Special attention if the client is getting pain epidural /spinal pain medications

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