NURS 242 MED SURG FINAL EXAM COMPLETE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS 100%

Four Major subgroups of Late Adulthood - Correct Ans-65 - 74 young old 75 - 84 middle old 85 - 99 old old 100 and older elite old Lifestyle and Practice to Promote Wellness older adults - Correct Ans-Yearly flu vaccine pneumococcal vaccine Shingles vaccine tetanus and booster every 10 years wear seat belts alcohol in moderation avoid smoking smoke detectors prevent falls - waxed floors and scattered rugs medications as prescribed avoid OTC medications unless primary care phyisican directs Yearly physicial regular exercise socialization reminisce Common health Issues and Concerns older adults - Correct Ans-Decreased nutrition and hydration Decreased mobility Stress and loss Accidents - falls most common/MVA Drug use and misuse Mental health/cognition problems (including substance abuse) Elder neglect and abuse GFTT ( Geriatric Failure To Thrive) Complex Syndrome - Correct Ans-Under nutrition Impaired mobility Depression Cognitive impairment Depression older adults - Correct Ans-Most common mental health/behavioral health problem among older adults. Use Geriatric Depression Scale form Mood disorder having cognitive, affective, physical manifestations Primary (lack of neurotransmitters) Secondary or situational Dementia older adults - Correct Ans-slowly progresses generally chronic intellectual impairment Most common Alzheimer's Multi-infarct dementia, the second most common resulting from a vascular disorder Delirium older adults - Correct Ans-Acute and fluctuating onset results from an unfamiliar place Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness Nurse's role in Rehab - Correct Ans-Advocate for the patient and family Create therapeutic rehab milieu provide whole person patient-centered care Collaborate with healthcare team for patient outcome and develop care plan Communicate with effectively with all members of the health care team, patient and family Evaluate effectiveness of plan of care for the patient and family Use Braden scale - skin break down risk Safe Patient Handing and Mobility (SPHM) - Correct Ans--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 - Keep the patient or work directly in front of you to prevent your spine from rotating - Keep the patient as close to your body as possible to prevent reaching walker - assisted and cane - assisted procedure - Correct Ans-- Apply a transfer belt around patients waist - guide patient to a standing position - remind patient to place both hands on the walker - ensure that the patient's body is well balanced walker teaching - Correct Ans-- lift the walker - move the walker about 2 feet forward and set it down on all legs -while resting on the walker, take small steps - check balance - repeat sequence cane teaching - Correct Ans-- 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 - 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 Adaptive equipment - Correct Ans-buttonhook extended shoehorn plate guard and spork gel pad foam buildups hook and loop fasteners long-handled reacher elastic shoelaces or velcro shoe closure SCIP infection - 1 - Correct Ans-Prophylactic antibiotic received within one hour prior to surgical incision (to establish bactericidal blood and tissue levels by the time the surgical incision is made) SCIP infection - 2 - Correct Ans-Prophylactic antibiotic selection for surgical patients (increased risk for surgical infections) SCIP infection - 3 - Correct Ans-Prophylactic Antibiotics discontinued within 24 hours after surgery end time (provides benefit without risk) SCIP infection - 4 - Correct Ans-Cardiac surgery patients with controlled 6 am postoperative blood glucose (cardiac patients only) To avoid hyperglycemia SCIP infection - 6 - Correct Ans-Surgery patients with appropriate hair removal (removal is performed with electric clippers or chemical depilatories) to avoid skin abrasions and increase risk of surgical site infections SCIP infection - 9 - Correct Ans-Urinary catheter removed on postoperative day 1 or postoperative day 2 with day of surgery being day zero ( to avoid urinary tract infections) SCIP infection - 10 - Correct Ans-Surgery patients with preoperative temperature management (prevent prolonged hyperthermia, which is associated with wound healing, serious cardiac complications, altered drug metabolism, coagulation problems, and higher surgical infections. SCIP CARD - 2 - Correct Ans-Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period ( receive beta-blocker prior and continue immediately after surgery) SCIP Venous Thromboembolism - 1 - Correct Ans-Surgical patients with recommended venous thromboembolism prophylaxis ordered (reduce complications from postoperative VTE) SCIP Venous Thromboembolism - 2 - Correct Ans-Surgery Patients who received appropriate Venous thromboembolism prophylaxis within 24 hours of prior to surgery to 24 hours after surgery ( reduce complications from postoperative VTE particularly among patients undergoing the types of surgeries in which the risk was highest Chapter 24 - skin layers - Correct Ans-- Epidermis - dermis - subcutaneous - hypodermis Epidermis - Correct Ans-- protection - keratin provides protection from injury by corrosive material - inhibits proliferation of microorganisms because of dry external surface -mechanical strength through intercellular bonds Dermis - Correct Ans--provides cells for wound healing - provides mechanical strength - collagen fibers - elastic fibers - ground substance - sensory nerve receptors signal skin injury and inflammation Subcutaneous tissue - Correct Ans-- mechanical shock absorber -energy reserve - insulation Skin assessment - lesions - Correct Ans-Primary lesions - direct result of a disease process Secondary lesions - evolve from primary or develop as a consequence of a patient's activity Skin assessment - Color - Correct Ans-- is affected by blood flow, gas exchange, body temperature, and pigmentation. describe by their appearance. Are changes general or confined to one body region Skin assessment - ABCDE - Correct Ans-A - Asymmetry B- border irregularity C- color variation within one lesion D- Diameter greater than 6 mm