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NUR 242 Med/Surg Exam 1 Questions and Answers 2025

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Four Major subgroups of Late Adulthood -Correct Answer 65 - 74 young old 75 - 84 middle old 85 - 99 old old 100 and older elite old Lifestyle and Practice to Promote Wellness older adults -Correct Answer Yearly flu vaccine pneumococcal vaccine Shingles vaccine tetanus and booster every 10 years wear seat belts alcohol in moderation avoid smoking smoke detectors prevent falls - waxed floors and scattered rugs medications as prescribed avoid OTC medications unless primary care phyisican directs Yearly physicial regular exercise socialization reminisce 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

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NUR 242



NUR 242 Med/Surg Exam 1 Questions
and Answers 2025
Four Major subgroups of Late Adulthood -Correct Answer ✔65 - 74 young old
75 - 84 middle old
85 - 99 old old
100 and older elite old

Lifestyle and Practice to Promote Wellness older adults -Correct Answer ✔Yearly
flu vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce

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


NUR 242

,NUR 242




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


NUR 242

, NUR 242




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


NUR 242

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