Exam 2: NUR257/ NUR 257 (Latest 2024/ 2025 Update) Aging and Chronic Illness in Nursing Review |Questions and Verified Answers| 100% Correct| Grade A- Galen

Exam 2: NUR257/ NUR 257 (Latest 2024/ 2025 Update) Aging and Chronic Illness in Nursing Review |Questions and Verified Answers| 100% Correct| Grade A- Galen Q: Musculoskeletal Osteoarthritis is very common, and pain is often undertreat- ed. Ask about pain and function in joints. Conduct very gentle passive range of motion if active range of motion not possible. Do not push past comfort level. Observe for gait disorders. Observe the person get in and out of chair in order to assess independent function and fall risk. Q: Neurological Answer: Although there is a gradual decrease in muscle strength, it should still remain equal bilaterally. Greatly diminished or absent ankle jerk (Achilles) tendon reflex is common and normal. Decreased or absent vibratory sense of the lower extremities is common, making testing unnecessary Q: Genitourinary MALES Answer: Men have pendulous scrotum with less rugae. Have thin and graying pubic hair. Q: Genitourinary FEMALE Answer: Women have nonpalpable ovaries; short, dryer vagi- na; decreases size of labia and clitoris; sparse pubic hair. Note: Use utmost care with internal examination to avoid trauma to the friable tissues. Q: FLUIDS (FANCAPES) Answer: What is the current state of hydration? o Does the person have the functional capacity to consume adequate fluids to maintain optimal health? Include the abilities to sense thirst, mechanically obtain the needed fluids, swallow them, and excrete them o Especially important when working with older adults who are taking psychotropic medications, not able to independently access fluid because of functional limitations, or for anyone with a reduced sense of thirst, a common change with aging. Q: AERATION (FANCAPES) Answer: o Is the person's oxygen exchange adequate for full respiratory functioning? Measurement of the oxygen saturation rate is part of this examination and easily done in any setting with a small, inexpensive fingertip device. o Persons with any amount of peripheral cyanosis will have artificially low readings o Is supplemental oxygen required, if so, is the person able to obtain it and use it properly? o What is the respiratory rate and depth at rest, and during activity, talking, walking, exercising, and while performing activities of daily living? o Which sounds are auscultated, what is learned from palpation and percussion, and what do they suggest? o Important to carefully assess all lung fields including the lateral and apical Q: NUTRITION (FANCAPES) Answer: o Type and amount of food consumed Q: COMMUNICATION (FANCAPES) Answer: o Adequate ability to communicate his or her needs Q: ACTIVITY (FANCAPES) Answer: o Ability to meet basic needs of toileting, grooming, and meal preparation Q: PAIN (FANCAPES) Answer: o Physical, psychological, or spiritual pain Q: ELIMINATION (FANCAPES) Answer: o Difficulty with bladder or bowel elimination Q: SOCIALIZATION (FANCAPES) Answer: o Ability to give and receive love and friendship Q: Absorption • For a drug to effective it must be absorbed into the bloodstream. • Drug movement from GI tract into the bloodstream. Elderly Considerations: Increased gastric pH Delayed stomach emptying