NUR 242 Med/Surg Exam 1 //LATEST VERSION// 98
QUESTIONS AND ANSWERS WITH STUDY GUIDE
{DETAILED AND VERIFIED FOR GUARANTEED
PASS} LATEST UPDATE 2025 GRADED A
Common health Issues and Concerns older adults - CORRECT
ANSWER Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - CORRECT
ANSWER Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - CORRECT ANSWER Most common
mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - CORRECT ANSWER slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a
vascular disorder
Delirium older adults - CORRECT ANSWER Acute and fluctuating
onset
,results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level
of consciousness
Nurse's role in Rehab - CORRECT ANSWER Advocate for the
patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop
care plan
Communicate with effectively with all members of the health care
team, patient and family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - CORRECT ANSWER -
Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct
care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your
spine from rotating
- Keep the patient as close to your body as possible to prevent
reaching
walker - assisted and cane - assisted procedure - CORRECT
ANSWER - Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - CORRECT ANSWER - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - CORRECT ANSWER - be sure cane is at the
height of the patients wrist when the arm is placed at his or her side
, - remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Adaptive equipment - CORRECT ANSWER buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - CORRECT ANSWER Prophylactic antibiotic
received within one hour prior to surgical incision (to establish
bactericidal blood and tissue levels by the time the surgical incision
is made)
SCIP infection - 2 - CORRECT ANSWER Prophylactic antibiotic
selection for surgical patients (increased risk for surgical infections)
SCIP infection - 3 - CORRECT ANSWER Prophylactic Antibiotics
discontinued within 24 hours after surgery end time (provides benefit
without risk)
SCIP infection - 4 - CORRECT ANSWER Cardiac surgery patients
with controlled 6 am postoperative blood glucose (cardiac patients
only) To avoid hyperglycemia
SCIP infection - 6 - CORRECT ANSWER Surgery patients with
appropriate hair removal (removal is performed with electric clippers
or chemical depilatories) to avoid skin abrasions and increase risk of
surgical site infections
QUESTIONS AND ANSWERS WITH STUDY GUIDE
{DETAILED AND VERIFIED FOR GUARANTEED
PASS} LATEST UPDATE 2025 GRADED A
Common health Issues and Concerns older adults - CORRECT
ANSWER Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - CORRECT
ANSWER Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - CORRECT ANSWER Most common
mental health/behavioral health problem among older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - CORRECT ANSWER slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a
vascular disorder
Delirium older adults - CORRECT ANSWER Acute and fluctuating
onset
,results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level
of consciousness
Nurse's role in Rehab - CORRECT ANSWER Advocate for the
patient and family
Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and develop
care plan
Communicate with effectively with all members of the health care
team, patient and family
Evaluate effectiveness of plan of care for the patient and family
Use Braden scale - skin break down risk
Safe Patient Handing and Mobility (SPHM) - CORRECT ANSWER -
Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while providing direct
care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent your
spine from rotating
- Keep the patient as close to your body as possible to prevent
reaching
walker - assisted and cane - assisted procedure - CORRECT
ANSWER - Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - CORRECT ANSWER - lift the walker
- move the walker about 2 feet forward and set it down on all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
cane teaching - CORRECT ANSWER - be sure cane is at the
height of the patients wrist when the arm is placed at his or her side
, - remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Adaptive equipment - CORRECT ANSWER buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
SCIP infection - 1 - CORRECT ANSWER Prophylactic antibiotic
received within one hour prior to surgical incision (to establish
bactericidal blood and tissue levels by the time the surgical incision
is made)
SCIP infection - 2 - CORRECT ANSWER Prophylactic antibiotic
selection for surgical patients (increased risk for surgical infections)
SCIP infection - 3 - CORRECT ANSWER Prophylactic Antibiotics
discontinued within 24 hours after surgery end time (provides benefit
without risk)
SCIP infection - 4 - CORRECT ANSWER Cardiac surgery patients
with controlled 6 am postoperative blood glucose (cardiac patients
only) To avoid hyperglycemia
SCIP infection - 6 - CORRECT ANSWER Surgery patients with
appropriate hair removal (removal is performed with electric clippers
or chemical depilatories) to avoid skin abrasions and increase risk of
surgical site infections
