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NUR 242 Med Surg Exam 1 QUESTIONS AND VERIFIED CORRECT ANSWERS .

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NUR 242 Med Surg Exam 1 QUESTIONS AND VERIFIED CORRECT ANSWERS .NUR 242 Med Surg Exam 1 QUESTIONS AND VERIFIED CORRECT ANSWERS .

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NUR 242 Med/Surg Exam 1
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65 - 74 young old

Four Major subgroups of Late 75 - 84 middle old

Adulthood 85 - 99 old old

100 and older elite old


Yearly flu vaccine

pneumococcal vaccine

Shingles vaccine

tetanus and booster every 10 years

wear seat belts

alcohol in moderation

avoid smoking
Lifestyle and Practice to
smoke detectors
Promote Wellness older adults
prevent falls - waxed floors and scattered rugs

medications as prescribed

avoid OTC medications unless primary care phyisican directs

Yearly physicial

regular exercise

socialization

reminisce


Decreased nutrition and hydration

Decreased mobility

Stress and loss
Common health Issues and
Accidents - falls most common/MVA
Concerns older adults
Drug use and misuse

Mental health/cognition problems (including substance abuse)

Elder neglect and abuse


Under nutrition

GFTT ( Geriatric Failure To Impaired mobility

Thrive) Complex Syndrome Depression

Cognitive impairment

, Most common mental health/behavioral health problem among

older adults.

Use Geriatric Depression Scale form

Depression older adults Mood disorder having cognitive, affective, physical

manifestations​

Primary (lack of neurotransmitters)

Secondary or situational


slowly progresses

generally chronic

intellectual impairment
Dementia older adults
Most common Alzheimer's

Multi-infarct dementia, the second most common resulting from

a vascular disorder


Acute and fluctuating onset

results from an unfamiliar place
Delirium older adults
Symptoms - inattentiveness, disorganized thinking, and altered

level of consciousness


Advocate for the patient and family

Create therapeutic rehab milieu

provide whole person patient-centered care

Collaborate with healthcare team for patient outcome and

Nurse's role in Rehab develop care plan

Communicate with effectively with all members of the health

care team, patient and family

Evaluate effe​ctivene​ss of plan of care for the patient and family

Use Braden scale - skin break down risk


-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
Safe Patient Handing and
- Keep the patient or work directly in front of you to prevent your
Mobility (SPHM)
spine from rotating

- Keep the patient as close to your body as possible to prevent

reaching


- Apply a transfer belt around patients waist

walker - assisted and cane - - guide patient to a standing position

assisted procedure - remind patient to place both hands on the walker

- ensure that the patient's body is well balanced


- lift the walker

- move the walker about 2 feet forward and set it down on all

legs
walker teaching
-while resting on the walker, take small steps

- check balance

- repeat sequence


- 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

cane teaching - 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

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