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Table of Contents
Week 1 Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chronic Illness and Older Adults 3
Cultural Awareness 10
Older Adult 18
Communication 28
Patient Education 39
Infection Prevention and Control 51
Sexuality 69
Spiritual Health 78
Week 2 Critical Thinking, The Nursing Process, Loss, Death, and Grief
Critical Thinking in Nursing Practice 86
Nursing Assessment 94
Nursing Diagnosis 102
Planning Nursing Care 110
Implementing Nursing Care 119
Evaluation 128
The Experience of Loss, Death and Grief 136
Week 3 Safety and Fall Prevention among Older Adults, Preventing
Complications of Immobility
Patient Safety and Quality 146
Immobility 163
Activity and Exercise 181
Week 4 Skin and Wound Care Hygiene, Introduction to Pharmacology and
Medication Administration
Medication Administration 194
Hygiene 212
Skin Integrity and Wound Care 231
Week 5 Fluid & Electrolytes, Dehydration
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Fluid, Electrolyte and Acid-Base Balance 251
Week 6 Pain and Sleep
2
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Pain Management 268
Sleep 280
Week 7 Concepts related to Oxygenation, Circulation, and Tissue Perfusion,
Chronic Obstructive Pulmonary Disease
Oxygenation 295
Obstructive Pulmonary Diseases 314
Week 8 Diabetes Mellitus
Diabetes Mellitus 331
Week 9 Hypertension, Stroke
Hypertension 341
Stroke 356
Week 10 Documentation and Informatics
Documentation and Informatics 368
Week 11 Nutrition, Dysphagia 382
Week 12 Care of the Surgical Patient 398
Week 1
Care of Older Adults: Culture, Spirituality, Communication,
Sexuality, Infection Control
Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing,
10th Edition
MULTIPLE CHOICE
1. When caring for an older patient with hypertension who has been hospitalized after a transient
ischemic (TIA), which topic is the most important for the nurse to include in the discharge
teaching?
a) Effect of atherosclerosis on blood vessels
b) Mechanism of action of anticoagulant drug therapy
c) Symptoms indicating that the patient should contact the health care provider
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d) Impact of the patient’s family history on likelihood of developing a serious stroke
ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a crisis. The patient
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