Prioritization of Care® v.2: Geriatric Care Interventions & Evaluations Arizona College of Nursing Latest Update with complete solution

Patient: Joyce Cochran Correct Selected Interventions Evaluate the patient’s ability to swallow. Assess neurological status by performing a neuro check. Administer anticoagulant per orders. 4/4 Discuss anticoagulation therapy with the patient. Patient: Manuel Dejesus Correct Selected Interventions Reassess serum electrolytes. Replace potassium IV. Administer magnesium IV. 4/4 Review strategies for controlling blood sugar. Patient: Akako Ryu Correct Selected Interventions Implement seizure precautions. Administer an IV benzodiazepine. Observe and document the characteristics of the seizure. 3/4 Incorrect Selected Interventions Place the patient in supine position. Feedback: Placing the patient in a supine position during or after a seizure increases the risk of airway obstruction due to tongue displacement or aspiration of saliva. Instead, positioning the patient laterally with the neck slightly flexed promotes drainage of secretions and helps maintain airway patency, reducing the risk of respiratory complications and enhancing safety (Schachter & Sirven, 2024). Missed Interventions Monitor the postictal state. Feedback: Next, the nurse should monitor the postictal state to evaluate the patient’s recovery following a seizure. During this phase, the nurse should assess for lingering neurological deficits, confusion, or complications such as airway obstruction or aspiration. Close observation ensures timely intervention, 1 Patient: Isabell Prestes Level of Care 2: Medium / Low Patient: Anna Lupe Score: 18/20 (90%) Correct Selected Interventions Evaluate the effectiveness of the conversation to determine actual and potential patient needs. Assess the patient’s and her spouse’s readiness for transfer. Remove the peripheral IV line. 4/4 Devote specific time for the patient and spouse to verbalize their wishes for future care. 2 3 Patient: Ai Goh Correct Selected Interventions Give the patient an opportunity to express her feelings about the ostomy. Use active listening to assess the patient’s health beliefs and cultural practices. Incorrect Selected Interventions 2/4 Teach the patient to use sterile techniques when changing the colostomy pouch. Feedback: Ostomy care is considered a clean procedure rather than a sterile one. The nurse should teach the patient to use proper clean technique when changing the colostomy pouch and disposing of supplies. This approach helps prevent infection while promoting independence and confidence in managing ostomy care at home (Mareila & Thomas, 2024). Instruct the patient to empty the colostomy pouch when it is three-quarters full. Feedback: The nurse should instruct the patient to empty the colostomy pouch when it is no more than one third full. Overfilling increases the weight of the pouch, which can compromise the seal and lead to leakage of fecal matter, causing discomfort and skin irritation (Potter et al., 2025). Missed Interventions Suggest an ostomy support group if there is one nearby. Feedback: A patient with a new ostomy may face emotional, physical, and lifestyle adjustments. Connecting with a support group offers a sense of community, shared experiences, and practical advice from others who understand these challenges. Encouraging participation can improve coping, reduce isolation, and promote confidence in managing ostomy care and daily activities (Mareila & Thomas, 2024; Potter et al., 2025). Demonstrate to the patient how to care for the peristomal skin. Feedback: An effective teaching method is return demonstration, in which the nurse first demonstrates the skill and then observes the patient perform it. This approach allows the nurse to assess the patient’s understanding while reinforcing learning through practice (Mareila & Thomas, 2024; Potter et al., 2025).