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Basic Geriatric Nursing Chps. 8,10,11,12 -QUESTIONS AND ANSWERS
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Basic Geriatric Nursing Chps. 8,10,11,12 -QUESTIONS AND ANSWERS
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Basic Geriatric Nursing Chps. 8,10,11,12-QUESTIONS AND ANSWERS
CHAPTER 8 NOTES
Which |assessment |tool |is |most |highly |regarded |and |often |used |to |determine |the |mental
|status |of |the |older |adult? |- |ANSWERS✔✔ |The |Mini-Cog
When |assessing |the |respiratory |system |of |an |older |adult, |the |nurse |hears |continuous,
|coarse, |low-pitched |sounds. |How |would |these |sounds |be |reported? |- |ANSWERS✔✔ |Gurgles
|(low-pitched |wheezes)
When |taking |a |racial |pulse |of |an |older |adult, |the |nurse |finds |it |difficult |to |count |a |weak |and
|thready |pulse. |What |should |the |nurse |do? |- |ANSWERS✔✔ |Take |an |apical |pulse |instead.
When |performing |an |assessment |of |the |gastrointestinal |system |of |an |older |adult, |the |nurse
|would |proceed |in |what |order? |Place |the |parts |of |a |gastrointestinal |system |assessment |in
|sequence |from |first |to |last. |- |ANSWERS✔✔ |1.) |Obtain |a |health |history
2.) |Inspect |the |oral |cavity
3.) |Observe |abdomen |for |scars
4.) |Auscultate |bowel |sounds
5.) |Palpate |abdomen
When |performing |an |interview |with |an |older |adult, |the |nurse |should |consider |physical
|environment |factors |by: |- |ANSWERS✔✔ |*Explaining |what |will |take |place |during |the
|assessment
*Ensuring |privacy |and |minimum |noise |levels
*Selecting |a |room |with |a |comfortable |temperature
*Seeking |a |location |in |close |proximity |to |a |restroom
,The |nurse |is |preparing |to |assess |the |blood |pressure |of |a |patient |and |measures |the |patient |s
|arm |to |determine |the |proper |sized |cuff. |The |diameter |of |the |patient |s |arm |is |50 |cm. |How
|wide |should |the |blood |pressure |cuff |be? |- |ANSWERS✔✔ |60
Older |adults |developing |various |disease |processes |may |present |with |different |symptoms
|from |younger |adults. |The |nurse |would |be |concerned |about |which |disease |if |the |patient
|were |to |demonstrate |a |decreased |appetite, |constipation, |and |changes |to |his |sleep |pattern |in
|which |he |is |awake |at |night |and |sleeps |during |the |day? |- |ANSWERS✔✔ |Depression
The |nurse |is |assessing |a |patient |and |counts |a |respiratory |rate |of |8 |breaths |per |minute. |The
|nurse |should |be |concerned |about |which |condition? |- |ANSWERS✔✔ |Impending |infection
The |71-year-old |patient |presents |to |the |clinic |for |her |routine |exam. |While |reviewing |the
|patient's |chart, |the |nurse |notes |the |patient's |most |recent |blood |pressure |screening,
|mammogram, |and |clinical |breast |exam |were |performed |at |age |70. |She |last |had |her
|cholesterol |levels |checked |at |age |68. |Her |last |guaiac |test |and |colonoscopy |were |performed
|at |age |69. |The |nurse |knows |this |patient |should |have |which |screening |test(s) |performed? |-
|ANSWERS✔✔ |* |Guaiac |test
* |Blood |pressure
* |Screening |for |obesity
The |patient |presents |to |the |clinic |complaining |of |abdominal |pain. |Which |information
|should |be |charted |as |objective |data? |- |ANSWERS✔✔ |Patient |is |hunched |in |her |chair,
|clutching |her |abdomen
The |nurse |is |recording |subjective |data |of |a |patient |recently |admitted |following |a |myocardial
|infarction. |The |patient |states, |"I |have |never |been |so |scared |in |my |life. |On |Tuesday, |it |felt |like
|an |elephant |was |sitting |on |my |chest |and |I |couldn't |catch |my |breath." |How |should |the |nurse
|chart |this |information? |- |ANSWERS✔✔ |"The |patient |stated, |'I |have |never |been |so |scared |in
|my |life. |On |Tuesday, |it |felt |like |an |elephant |was |sitting |on |my |chest |and |I |couldn't |catch |my
|breath'"
, The |nurse |is |interviewing |the |patient |who |has |recently |been |admitted |to |the |long |term |care
|facility |with |the |patient's |son |present. |Although |the |nurse |directly |addresses |the |patient
|with |each |question, |the |patient's |son |interrupts |and |answers |the |question |for |the |patient.
|How |should |the |nurse |best |handle |this |situation? |- |ANSWERS✔✔ |Request |the |patient's |son
|allow |the |patient |to |answer |the |questions
The |nurse |in |the |long |term |care |facility |knows |each |resident |will |be |assessed |using |which
|comprehensive |tool |to |determine |care |needs |and |appropriate |interventions? |-
|ANSWERS✔✔ |Minimum |Data |Set |3.0
The |nurse |palpates |for |the |78-year-old |patient's |radial |pulse |and |counts |82 |beats |in |one
|minute. |Then, |the |nurse |auscultates |the |patient's |apical |pulse |and |counts |94 |beats |per
|minute. |The |nurse |knows |which |term |describes |this |discrepancy? |- |ANSWERS✔✔ |Pulse
|deficit
The |nurse |is |assessing |the |older |adult |patient |using |the |SPICES |screening |tool. |Which
|questions |would |be |helpful |to |complete |the |screening |tool? |- |ANSWERS✔✔ |* |"Have |you
|fallen |in |the |past |3 |months?"
* |"Do |you |have |difficulty |getting |to |the |bathroom |on |time?"
* |"Have |you |noticed |your |sleep |patterns |have |changed |in |the |past |year?"
Health |screenings |are |done |to |- |ANSWERS✔✔ |identify |older |adults |who |need |further
|assessment.
Which |of |the |following |statements |is |an |example |of |objective |data? |- |ANSWERS✔✔ |Blood
|pressure |is |150/65 |mm |Hg.
Why |is |it |essential |to |collect |accurate |and |complete |data? |- |ANSWERS✔✔ |Nursing
|diagnoses |and |plan |of |care |are |formulated |based |on |data
It |is |more |precise |to |- |ANSWERS✔✔ |take |a |temperature |reading.
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