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Nursing 240 Exam 1 With Correct Updated Solutions 2024
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Nursing 240 Exam 1 With Correct Updated Solutions 2024
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Nursing 240 Exam 1 With Correct UpdatedSolutions 2024
trigger .vent .setting .- .correct .answer.initiates .the .change .between .exhalation .and
.inspiration.
high .acuity .care .of .elderly .- .correct .answer.Older .adults .are .a .vulnerable .population
.needing .skilled .care. .Physiological .changes .occur .as .a .normal .part .of .aging-don't .cause
.illness .or .disability .but .put .older .adults .at .risk .for .complications .and .negative .outcomes
.while .hospitalized. .Nurses .need .to .be .aware .of .these .changes .to .properly .assess .these
.patients. .Appropriate .application .of .interventions .and .protocols .improves .care, .promotes
.optimal .function, .prevents .complications .and .provides .for .the .best .possible .outcomes.
neuro .system .changes .for .the .elderly .- .correct .answer.Prone .to .falls. .Slower .cognition.
.Senses .(hearing, .vision) .may .be .affected. .Memory .loss .not .a .normal .part .of .aging.
.Memory .processes .are .slower
learning .takes .longer. .Blood .brain .barrier .more .permeable. .Meds .cross .easier .into .brain;
.SE/toxicity. .Decrease .in .brain .volume.
Nursing .implications .(neuro) .for .the .elderly .- .correct .answer.Changes .affect .safety.
.Increased .vulnerability .to .confusion, .depression, .falls .and .traumatic .injury. .Pain
.sensation .is .reduced. .Sight .and .hearing .changes .increase .vulnerability .to .sensory
.perceptual .alterations.
cardiovascular .and .pulmonary .changes .- .correct .answer.82% .of .people .who .die .of .CAD
.are .65 .or .older. .Changes .in .heart .rhythm, .cardiac .output, .contractility, .hypertrophy,
.increased .afterload .and .impaired .endothelial .function. .Changes .in .the .peripheral
.vascular .system .can .cause .Systolic .blood .pressure .to .rise .until .80 .years .of .age; .Diastolic
.BP .is .less .affected. .Changes .in .lung .volumes, .chest .expansion .(compliance). .Reduced
.mucus .clearance.
nursing .implications .CV .system .for .elderly. .- .correct .answer.ACS/MI .in .elderly .may
.present .with .atypical .chest .pain, .syncope, .failure .to .thrive, .confusion .or .falls. .ECG
.changes .may .not .be .specific .for .ACS/MI. .Biomarkers .not .elevate .as .expected. .Elderly
.more .sensitive .to .hypovolemia .(orthostatic .hypotension) .and .pulmonary .edema.
nursing .implications .of .pulmonary .system .- .correct .answer.Assess .for .aspiration,
.atelectasis, .pneumonia .or .any .hospital .acquired .infection. .Encourage .coughing .and .deep
,.breathing. .At .higher .risk .for .VAP, .follow .care .bundles. .Assess .gas .exchange, .ventilation
.and .perfusion. .Typical .PaO2 .for .healthy .adult .>65 .years .= .89mm .Hg .compared .to .100
.mm .Hg .when .younger.
integumentary .and .musculoskeletal .system .for .the .elderly. .- .correct .answer.Skin .more
.friable .and .vulnerable .to .injury. .Muscular .system .loses .mass .and .strength .-> .to .stiffness
.and .increased .risk .of .falls .and .fracture. .Changes .in .integumentary .function .predisposes
.to .hypo/hyperthermia .and .F/E .imbalances. .Perform .passive .or .active .ROM. .Encourage
.early .mobility.
nursing .implications .for .integumentary .and .musculoskeletal .system .elderly. .- .correct
.answer.Assess .for .rashes .and .cellulitis. .Assess .and .prevent .skin .breakdown; .wound
.healing .often .impaired. .Threat .to .mobility .is .the .most .important .challenge—ambulate
.quickly .or .perform .ROM. .Functional .ability .is .a .key .factor .in .D/C .planning.
chnages .in .GI/GU .system .in .elderly. .- .correct .answer.GI .changes .can .alter .nutritional
.status. .Swallowing .ability .needs .assessed. .Diminished .liver .function .decreases .capacity
.to .metabolize .medications. .Kidney .function .decreases .with .age. .Changes .in .bladder
.muscles .lead .to .changes .in .urination. .Incontinence .can .be .problematic: .is .not .a .normal
.part .of .aging.
nursing .implications .for .GI/GU .system .elderly .- .correct .answer.Ensure .hydration.
.Advocate .for .early .enteral/parenteral .nutrition. .Constipation .is .of .significant .concern .in
.elderly.
UTI's .are .responsible .for .most .- .correct .answer.cases .of .bacteremia.
UTI .symptoms .atypical .of .infection. .shows .signs .of .- .correct .answer.mental .status
.changes, .confusion, .N&V, .abdominal .pain.
endocrine .and .immune .system .changes .- .correct .answer.Decrease .hormone .production.
.Decrease .insulin .production. .Increased .insulin .resistance. .Thyroid .dysfunction. .Develop
.autoantibodies .(autoimmune .disorders). .Decreased .temperature .(lack .of .fever .in
.response .to .infection). .Decrease .T .& .B .cell .function.
nursing .implications .for .endocrine .and .immune .system .elderly. .- .correct .answer.Monitor
.blood .sugar. .Watch .for .hypoglycemia .with ."tight .glucose .control". .Pneumonia .and
.influenza .remain .in .top .10 .causes .of .death .for .older .adults. .Infections .in .elderly .hard .to
.treat...best .to .prevent. .Sepsis .develops .easily .and .has .high .mortality .rate. .S&S .of
.infection .are .not .as .normally .expected, .be .vigilant .in .assessment; .changes .in .mental
.status, .anorexia, .incontinence, .generalized .weakness .or .falls.
cognitive .changes .in .the .elderly .- .correct .answer.Dementia. .Depression. .Delirium.
Assess .mental .status .- .correct .answer.Mini-Cog .mental .status .test.
,delirium .assessment .scales .- .correct .answer.Richmond .Agitation .& .Sedation .Scale
.(RASS). .Confusion .Assessment .Method(CAM, .CAM-ICU).
geriatric .depression .scale .- .correct .answer.elderly .can .be .suicidal
Geriatric .assessment .tools .for .all .- .correct .answer.assess .mental .status. .delirium
.assessment. .geriatric .depression .scale. .bradens .scale. .falls .and .mobility. .pain
.assessment.
trauma .and .the .elderly .- .correct .answer.Trauma .is .a .leading .cause .of .death .in .the .elderly.
.Falls .are .most .common .cause .of .injury. .MVC's .account .for .most .fatalities. .Burns .also
.have .a .high .mortality .rate.
steps .to .better .care .of .the .older .high .acuity .patient .- .correct .answer.Find .out .functional
.status .of .patient .was .prior .to .current .illness .(demetia?). .Identify .preadmission .conditions
.and .medications .that .may .impact .response .to .current .illness. .Pay .attention .to .subtle
.changes .in .condition. .Pay .attention .to .providing .basic .nursing .care. .Maximize .patient's
.ability .to .communicate. .Use .appropriate .geriatric .assessment .tools. .Develop .and .use
.interdisciplinary .teams.
contemporary .critical .care .- .correct .answer.Provided .by .an .inter-professional .team .of
.health .care .providers .with .in-depth .education .in .the .specialty .field .of .critical .care:
.Physician .intensivists, .RN's, .APRN/PA's, .pharmacists, .respiratory .therapists, .social
.workers, .clergy .and .others. .Nurses .are .highly .vigilant .and .quickly .pull .together .multiple
.data .to .make .decisions .regarding .subtle .and/or .deteriorating .conditions. .Patients .are .at
.high .risk .for .actual .or .potential .life-threatening .health .problems.
continuum .of .care .with .efficient .transition .from .one .setting .to .another. .- .correct
.answer.Adult, .Pediatric, .Neonatal, .PACU, .Intermediate .(PCCU, .PICU, .telemetry).
AACN- .American .Association .of .Critical-Care .Nurses: .CCRN .- .certified .Critical .Care
.Registered .Nurse. .- .correct .answer.Beacon .Award .for .excellence .- .critical .care .unit .who
.demonstrates .exceptional .care .through .improved .outcomes .and .greater .overall
.satisfaction.
Society .of .Critical .Care .Medicine .(SCCM) .- .correct .answer.Interdisciplinary,
.multispecialty .organization .that .secures .highest .quality, .cost-efficient .care .for .all .critically
.ill .patients.
Inter-professional .Collaborative .Practice .- .correct .answer.Collaboration .and .partnerships
.increase .quality .of .care .and .services .while .containing .or .decreasing .costs. .Core
.Competencies. .Values/ethics .for .inter-professional .practice. .Rules/responsibilities .for
.collaborative .practice. .Inter-professional .communication. .Inter-professional .teamwork
.and .team-based .care. .Mercy .College .STEPPS .program.
, evidenced .based .nursing .practice .- .correct .answer."Practice .Alerts" .Clinical .information
.with .references .to .support .the .practice. .Examples: .Non-invasive .blood .pressure
.monitoring. .ST .segment .monitoring...risk .for .development .of .dysrhythmias. .Oral
.Care...prevention .of .VAP. .Consider .the .best .research .for .care .along .with .patient
.preferences. .Music .helps .patients .recovery...music .the .patient .likes.
technology .in .critical .care .- .correct .answer.Allows .continuous .patient .monitoring .looking
.for .subtle .changes .to .avert .full-blown .complications; .Assists .in .making .critical .decisions
.related .to .care. .It .can .help .to .diagnose .conditions. .Provides .quick .access .to .drug .and
.diagnostic .information. .Remember .the .patient!! .Don't .let .the .machines .take .over .your
.delivery .of .care. .Technology .is .used .to .enhance .patient .care .not .take .the .place .of .the
.nurse's .knowledge .and .skills. .Don't .rely .solely .on .data .from .machines; .if .data .doesn't
.match .your .assessment/observations, .investigate .the .patient .further. .Staff .must .be
.competent .with .the .equipment .used. .Computerized .order .entry .systems: .interface
.physician .order .entry .with .the .pharmacy .to .reduce .errors. .Barcode .point .of .care: .reduces
.errors .during .the .administration .of .medications. .Equipment .and .point .of .care .devices:
.must .know .how .to .operate; .remove .from .service .if .device .fails.
quality .and .safety .education .for .nurses .(BSN .and .masters) .- .correct .answer.1. .Patient
.Centered .Care
2. .Team .work .and .Collaboration
3. .Evidence .based .practice .
4. .Quality .Improvement
5. .Safety
6. .Informatics
healthy .work .environment .- .correct .answer.A .healthy .and .productive .work .environment
.allows .the .nurse .to .give .excellent .care .to .patients .while .achieving .job .satisfaction. .AACN
.'s .standards .for .healthy .work .environments. .Skilled .communication. .True .collaboration.
.Effective .decision .making. .Appropriate .staffing. .Meaningful .recognition. .Authentic
.leadership.
stressor .and .satifying .factors .- .correct .answer.Feelings .of .stress .and .burnout .can .lead
.nurses .to .change .jobs .or .leave .the .profession. .Implementation .of .healthy .work
.environment .standards .leads .to: .improved .patient .safety. .enhanced .recruitment .and
.retention. .positive .patient .outcomes.
holistic .critical .care .nursing .- .correct .answer.Role .of .the .nurse .in .providing .holistic .care .in
.critical .care .includes: .*Impact .of .acute .illness .on .patient .and .family. .*Principles .of .family
.centered .care .and .educational .needs .of .the .patient .and .family. .*Cultural .competence .in
.critical .care. .*Complementary .and .Alternative .Therapies. .*Palliative .care .for .the .critically
.ill .patient. .*Environmental .stressors .and .their .impact .on .the .critical .care .patient. .*End .of
.life .care .and .assessment .of .sources .of .
.conflict.
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