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NURB 320 EXAM ADDITIONAL NOTES -VSIM AND STUDY GUIDE- -12
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NURB 320 EXAM ADDITIONAL NOTES -VSIM AND STUDY GUIDE- -12
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NURB 320 EXAM ADDITIONAL NOTES [VSIM AND STUDY GUIDE] #12What must nurses first ensure in order to maintain and bolster the inner strengths of
older adults? - correct answer Physical needs are prioritized
Which of the following age-related changes in the respiratory system should the nurse
be aware of as potential causes of breathing problems in older adults? - correct answer
Increased rigidity in the rib cage and trachea related to calcification of costal cartilage,
loss of elasticity in the alveoli causing the lungs to have diminished recoil, reduced
numbers of cilia and hypertrophy of the bronchi mucous gland reducing ability to expel
mucous and debris
When caring for a patient with a terminal illness, nursing care should include what
teaching about advanced directives? - correct answer In making a living will, a legally
competent patient states which procedures he or she does or not want carried out
Which of the following are important teaching points for patients who are using an
oxygen tank with a nasal cannula at home? - correct answer The patient may ambulate,
eat, and talk while the oxygen is being delivered through a nasal cannula, applying the
nasal cannula too tightly can interfere with oxygen delivery
The nurse understand that which of the following is true related to pain and older
adults? - correct answer Most older adults experience a degree of pain daily
Which statement is the most important teaching point for family caregivers regarding
administering morphine sulfate to a patient in hospice care? - correct answer The
controlled release tablets should not be crushes, dissolved, or chewed
When administering drugs to older adults, what factors should the nurse consider? -
correct answer The biological half-life is increased by as much as 40% in older adults,
heat and massage are measures that can be used to maximize drug absorption in older
adults
In patient teaching, the nurse should include which of the following points regarding the
docusate Julia received for constipation? - correct answer Julia should drink water and
eat fruits, vegetables, and whole grain breads and cereals; Julia should stop taking the
drug and notify her HCP if she experiences severe abdominal constipation; Julia should
take docusate daily for up to a week until her bowel movements are no longer firm and
are easily passed
Which of the following recommendations should be made to improve safety in the home
of an older adult with possible sensory deficits? - correct answer Soft, red light in the
bedroom can improve a patient's night vision
When education a family about hospice care, the nurse should reinforce which of the
following points? - correct answer Hospice is a philosophy rather than a facility
, Which age-related changes should the nurse consider when teaching a family member
to prevent pressure ulcers? - correct answer Degeneration of elastin fibers
Which teachings should the nurse provide Julia and her caregivers to help them
manage her pain? - correct answer Untreated pain in patients who are nearing the end
of life can increase physiologic stress, thereby potentially perpetuating stress, keeping a
daily pain journal is an effective tool in pain symptom management
Which of the following statements accurately describes what she and Julia Grey can
expect from hospice care? - correct answer An interdisciplinary team, rather than a
single person, will provide hospice care
Which of the following statements should the nurse use to most accurately explain the
purpose of the SPICES assessment to a family? - correct answer The SPICES
framework assists the nurse in assessing the patient's function in order to provide an
overview of care given and identify need for further assessment
Which of the following findings would the nurse expect as normal age-related changes?
- correct answer Flattening of teeth-chewing surfaces
Which of the following statements by the patient would indicate a correct understanding
of the differences between hospice care and aggressive treatment? - correct answer
Aggressive treatment can include having blood drawn several times during each day
The nurse can reassure the patient that hospice care, or "palliative care", will include
which of the following? - correct answer Help in managing a potential increase in
confusion, treatment for pain, Treatment of uncomfortable symptoms such as nausea
and shortness of breath
Which of the following are accurate statements about the life review process for older
adult patients? - correct answer Life review reassures older adults that their lives had
depth and meaning; life review provides older adults an opportunity to reflect on
obstacles that were confronted and overcome, life review may result in referrals to
counselors to help older adults cope with unresolved feelings
The nurse knows a patient understands safe medication administration when he or she
states which of the following? - correct answer I am keeping track of when my
medication patches are changed because I know the drugs are used up after a while
Which of the following interventions should care providers implement to protect skin
integrity in an older adult patient with decreased mobility? - correct answer Lift sheets
should be used when moving the patient to avoid shearing force from dragging the
patient in bed
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