assessments findings the nurse will see for an elderly patient
Correct Answers Decreased metabolism, decreased muscle and
skin elasticity, decreased senses
body's response to pain Correct Answers Pain triggers a stress
response. This response can affect the endocrine system, as well
as the cardiovascular system
changes and expectations of physical and physiological changes
in the reproductive system across the life span from childhood to
the elderly adult Correct Answers Gender assignment and
gender identification; development of gender and ability to
identify one's own gender; increased self-awareness; value
system, development of sexual characteristics; sexual activity;
reduced male and female hormones; interest in sex, but reduced
frequency, mostly due to physiological changes.
contraception and safe sex Correct Answers Too much to write
coping strategies and patterns for stressful situations, life crisis
and new diagnosis Correct Answers Effective coping involves
primary (determine if there is a threat) and secondary appraisal
(evaluate the resources available to overcome, eliminate, or
reduce the stressor). History, past coping patterns, and medical
and social situations will all determine the response to stress
criteria for an unstageable wound Correct Answers necrotic
tissue, or eschar
, dependent interventions for a patient in respiratory distress
Correct Answers meds, O2
dependent interventions for patient with a perfusion concern
Correct Answers prescribed medications
Describe normal wound healing Correct Answers There are 3
phases to wound healing: inflammation, granulation, and
maturation. Color, edema, temp, wound margins, exudate, and
pain can assist the nurse in determining if there is an infection
Describe the various pain scales Correct Answers The FLACC
and NIPS pain scales are used for babies. APPT is used for
adolescents. PAINAD is used for dementia patients. The
numeric, comfort and Wong-Baker faces scale are used for
adults, or children with adept cognitive abilities. The POSS is
used to determine opioid administration
effects of caregiver burden Correct Answers Fatigue,
cognition, lack of sleep, poor nutrition, electrolyte imbalance
Factors that place a patient at risk for infection Correct Answers
age, socioeconomic status, geographic location, and prior health
history
health and illness factors that can affect sexual function Correct
Answers Age, hormone levels, acceptance of sexual orientation,
menstruation, illness, medication, fatigue, pain, and disease
important mobility assessments for a patient Correct Answers
Presence of pain with movement, recent changes to mobility or