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NUR 211 Exam 3 Review Questions with 100- correct answers (latest update).
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NUR 211 Exam 3 Review Questions with 100- correct answers (latest update).
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NUR 211 Exam 3 ReviewQuestions with 100% correct
answers (latest update)
The nurse is reviewing the needs of a patient with cognitive
impairment. What is the priority concern that the nurse should
address for this patient?
a. promoting at least 6 hours of sleep a night
b. encouraging an oral intake of 1200 cal/day
c. managing the patient's pain from arthritis
d. supervising medication administration - answer d. supervising
medication administration
Safety is the priority concern for the cognitively impaired pt; safely
taking medication addresses safety needs for the pt. Sleep,
nutrition, and management of pain are important components of the
pt's care and can affect over health, but safety is the highest
priority.
A 90 YO pt is admitted to the hospital. Shortly after admission, the
family notices that the pt is exhibiting disorientation and agitation.
When questioned about the behavior by the family, the nurse states
that the patient is at risk for developing which common
complication of hospitalization in older adults?
a delirium
b dementia
c alzheimer's disease
d sundowner syndrome - answer a. delirium
Delirium, which occurs over hours to a few days, is the most
frequent complication of hospitalization in the elderly population.
,Dementia occurs over a period of months. Alzheimer's disease
develops over months to years. Sundowner syndrome is most
prominent in demetia and becomes worse in the evenings
A community health nurse is preparing a course on protecting
cognitive function. Which population group should the nurse target
for teaching?
a. older male adults with diabetes
b. older female adults who are overweight
c. young adults living in school dormitories
d. adolescents attending summer camps - answer a. older male
adults with diabetes
the primary risk factor for cognitive impairment is advancing age;
males with a history of stroke or diabetes are at significant risk.
Older females with a history of poor health, insomnia, and lack of
social support are at risk for cognitive impairment, not those who
are overweight. Risk factors for young adults include substance
abuse and high-risk behaviors, not crowded living situations.
Adolescents who attend summer camp are not necessarily at risk for
cognitive problems; adolescents who participate in high-risk
behaviors would be at risk.
The nurse is establishing a therapeutic environment for a patient
admitted with dementia and influenza. Which intervention would be
important for the nurse to implement?
a. keep a radio on all the time to provide sound for the patient
b. decrease patient confusion by limiting verbal interactions
c. limit family visits to one person for 30 min per day
d. provide a quiet environment in a private room - answer d. Provide
a quiet environment in a private room.
The pt experiencing dementia needs a quiet environment with a
minimum of unfamiliar stimulation from a roommate. A pt with
, dementia does not need extra stimulation from having a radio on
continually. The nurse should speak clearly and quietly to the pt
before any procedure or assistance to decrease agitation. Family
visits should be encouraged because family members are familiar
with the patient and their presence increases a sense of security.
A patient recently admitted to the hospital has been diagnosed with
delirium. The family of the pt asks the nurse to explain what
delirium is. How should the nurse respond?
a. delirium is reversible with treatment of the underlying cause
b. delirium is progressive and has no known cure
c. delirium affects a specific area of cognitive functioning
d. delirium indicates the onset of a cerebrovascular accident -
answer a. delirium is reversible with treatment of the underlying
cause
Delirium can be reversible with treatment of the precipitating
problem and control of predisposing factors. Dementia is
progressive and irreversible. Focal cognition disorders affect a
single area of cognitive functioning. Memory and orientation may be
affected by a cerebrovascular accident (Stroke), but delirium is not
a sign of stroke
Which of the following is a priority for a nurse to include in a
teaching plan for a pt who desires self-management and alternative
strategies?
a. body alignment and superficial heat and cooling
b. patient controlled analgesia (PCA) pump
c. neurostimulation
d. peripheral nerve blocks - answer a. body alignment and
superficial heat and cooling
Body alignment and thermal management are examples of
nonpharmacologic measures to manage pain. They can be used
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