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Rnsg 1341 Exam 1 Study Sheet Medsurg Questions With 100% Correct Answers

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RNSG 1341 EXAM 1 STUDY SHEET MEDSURG QUESTIONS WITH 100% CORRECT ANSWERS

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Health promotion for glaucoma in middle aged adults?


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, The current recommendation is for an eye examination every 2 to 4 years
for people between ages 40 and 64 years, and every 1 to 2 years for
people age 65 years or older. Blacks in every age category should have
one more often because of the increased incidence and more aggressive
course of glaucoma.




How does a seeing person guide a blind person?


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Help the patient using a sighted-guide technique. Stand slightly in front and
to one side of the patient and offer an elbow for the patient to hold. Serve
as the sighted guide, walking slightly ahead of the patient with the patient
holding the back of your arm. As you walk, describe the environment to
help orient the patient. For example, "We're going through an open
doorway and approaching 2 steps down." Help the patient sit by placing
one of his or her hands on the seat of the chair.




Pre-op considerations for older adults?


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- requires careful evaluation
- primary HCP is usually not the surgeon
- there are often several HCP involved in care
- be aware of anxieties and fears
- Assess and record baseline sensory and cognitive function
- may need more time to complete preoperative testing and understand
preoperative instructions. These changes also require you to pay more
attention to promote patient safety and prevent injury.
- When older adults live in a long-term care or assisted living facility, you
may need to coordinate transportation from these facilities so that timely
arrival allows for surgery preparation.
- A legal representative of the patient must be present to provide consent

, for surgery if the patient cannot sign for himself or herself.
- Finally, determine the presence of or need for caregiver support for the
older adult undergoing surgery




What should the nurse do to prevent postop syncope?


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Begin treatment of hypotension with O2 therapy to promote oxygenation
of hypoperfused organs. Because the most common cause of hypotension
is fluid loss, give IV fluid boluses to normalize BP. Inspect the surgical
incision to determine if excess bleeding is the cause of volume loss.




Assessment findings with cataracts?


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Assess the patient's distance and near visual acuity. If the patient is going to
have surgery, especially note the visual acuity in the patient's unoperated
eye. Use this information to determine how visually compromised the
patient may be while the operative eye is healing. Assess the psychosocial
impact of the visual disability and the level of knowledge about the disease
process and therapeutic options. After surgery, assess the patient's level of
comfort and ability to follow the discharge plan.




How does the nurse provide care for someone who has old vision loss?


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