NUR 3610 Exam Review PP Latest Update 2024-2025
Informed Consent
The patient's free will to consent to a particular treatment after being fully informed of
the risks, benefits and alternatives, in writing, signed and dated
What does the nurse have to do regarding informed consent?
witnesses, make sure all parties have signed the documentation, make sure consent is
within the patient's chart before operation
can nurses obtain consent?
NO
Neglect-definition and examples
- caregiver does not give basic needs
- not groomed, poor hygiene, odor, malnourished
physical abuse definitions and examples
use of force to cause bodily injury
hand grip abuse, cigarette burns, frequent fractures and dismissive attitude of injuries
why shouldn't you jump to conclusions about possible physical abuse
elders bruise easily
nurses are mandated reporters and report abuse to?
go to case management to report and the department of health and human services
Musculoskeletal Changes in Older Adults
The natural aging process involves loss of muscle mass, bone density, flexibility and
balance due to which joints become stiff and painful
What are some important nursing interventions for older adults with impaired mobility
Provide the older adult with mobility/ambulatory aids to help them remain independent
to decrease frustrations
Examples of mobility aids
, Glasses, hearing aids, dentures
Osteoporosis
A disease in which there is an actual loss of tissue in the bones leading to fragile bones
Risk factors of osteoporosis
White, Asian, post-menopausal women, small skeletal frame, use of steroid medications,
increasing age, smoking, caffeine
ACCESS- A-alcohol, C-Corticosteroids, C-low calcium, E-low estrogen, S-smoking,
S-sedimentary
Why are these factors of osteoporosis considered risk factors
Because of decreased levels of vitamin D and calcium
What is used to diagnose Osteoporosis
Dexa Scan that measures the bone density
How to prevent Osteoporosis
Diet and dairy products, Restful Sleep, Vitamin D and Calcium supplements, Limit
Coffee, Quit Smoking, Limit Alcohol
Who is at an increased risk for fractures?
pt w osteoporosis
what happens if hip is broken?
blood lost, hemoglobin decreases
pts with fractures may require what?
transfusion
adducted
shorter, external rotation of the involved leg
nsg priorities for patients w/hip fractures
fluids, respiratory support, circ checks, pain management, prevention of complications
related to immobility, meds/chronic discharges
treatment for hip fractures
traction to reduce spasms, rehabilitation, trochanter roll or sand bags, surgery-internal
fixation
Informed Consent
The patient's free will to consent to a particular treatment after being fully informed of
the risks, benefits and alternatives, in writing, signed and dated
What does the nurse have to do regarding informed consent?
witnesses, make sure all parties have signed the documentation, make sure consent is
within the patient's chart before operation
can nurses obtain consent?
NO
Neglect-definition and examples
- caregiver does not give basic needs
- not groomed, poor hygiene, odor, malnourished
physical abuse definitions and examples
use of force to cause bodily injury
hand grip abuse, cigarette burns, frequent fractures and dismissive attitude of injuries
why shouldn't you jump to conclusions about possible physical abuse
elders bruise easily
nurses are mandated reporters and report abuse to?
go to case management to report and the department of health and human services
Musculoskeletal Changes in Older Adults
The natural aging process involves loss of muscle mass, bone density, flexibility and
balance due to which joints become stiff and painful
What are some important nursing interventions for older adults with impaired mobility
Provide the older adult with mobility/ambulatory aids to help them remain independent
to decrease frustrations
Examples of mobility aids
, Glasses, hearing aids, dentures
Osteoporosis
A disease in which there is an actual loss of tissue in the bones leading to fragile bones
Risk factors of osteoporosis
White, Asian, post-menopausal women, small skeletal frame, use of steroid medications,
increasing age, smoking, caffeine
ACCESS- A-alcohol, C-Corticosteroids, C-low calcium, E-low estrogen, S-smoking,
S-sedimentary
Why are these factors of osteoporosis considered risk factors
Because of decreased levels of vitamin D and calcium
What is used to diagnose Osteoporosis
Dexa Scan that measures the bone density
How to prevent Osteoporosis
Diet and dairy products, Restful Sleep, Vitamin D and Calcium supplements, Limit
Coffee, Quit Smoking, Limit Alcohol
Who is at an increased risk for fractures?
pt w osteoporosis
what happens if hip is broken?
blood lost, hemoglobin decreases
pts with fractures may require what?
transfusion
adducted
shorter, external rotation of the involved leg
nsg priorities for patients w/hip fractures
fluids, respiratory support, circ checks, pain management, prevention of complications
related to immobility, meds/chronic discharges
treatment for hip fractures
traction to reduce spasms, rehabilitation, trochanter roll or sand bags, surgery-internal
fixation
