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NUR 2214 Module 5: Nursing Care of the Older Adult; Study Guide Questions & Answers 2024
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NUR 2214 Module 5: Nursing Care of the Older Adult;Study Guide Questions & Answers 2024
Health assessment - (answers)It is designed to determine the older adults overall
functional and health state and Identify limitations that can be aligned with the
appropriate interventions to promote health and prevent further decline or injury.
Nursing Process Assessment - (answers)Diagnosis, planning, intervention and
evaluation becomes relevant as one gathers objective and subjective data in order
to direct the plan of care.
Objective data - (answers)Information that can be gathered using the senses of
vision, hearing, touch, and smell
Subjective data - (answers)Subjective means that its context is based on the way
one interprets something.
Vital signs: Rectal - (answers)The rectal route should be used with caution in the
older adult client as one is more prone for rectal bleeding
Vitals signs: axillary - (answers)The axillary route is the least common temperature
site for older adults as environmental temperature plays a major part in older adults
because their thermoregulatory control systems are not as efficient as in younger
individuals.
Temperature: Older Adult - (answers)1. The temperature of an older adult usually
lower than that of young adults.
, Pulse - (answers)Apical and radial readings may be different in the older adult and
this is referred to as a pulse deficit.
When the nurse detects an abnormal pattern to the heart rhythm, it is best to check
________? - (answers)the apical heart rate for a full minute for best accuracy
If the nurse finds a patient with an abnormal pulse rate or if older adult presents
with symptoms, such as a rapid heart rate, dizziness, or change in level of
consciousness, the nurse needs to________? - (answers)assess pulse rate,
medications, and other disease processes than can potentiate changes in the heart
rate.
Respiration - (answers)Older adult clients often have slightly irregular breathing
patters.
What is the common problem in older adults' blood pressure? -
(answers)Hypertension because of renal and cardiovascular changes of aging.
If the nurse finds a client with an abnormal finding outside of the client's baseline
she should _________? - (answers)assess the antihypertensive or cardiac
medication the patient takes and whether the patient is symptomatic, such as
weakness and dizziness, with abnormal readings takes first priority.
SPICES - (answers)Sleep disorders, Problems with eating or feeding, Incontinence,
Confusion, Evidence of falls, and Skin breakdown.
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