NUR 242 Med/Surg Exam 1 //LATEST VERSION// 98
QUESTIONS AND ANSWERS WITH STUDY GUIDE
{DETAILED AND VERIFIED FOR GUARANTEED
PASS} LATEST UPDATE 2025 GRADED A
Lifestyle and Practice to Promote Wellness older adults - CORRECT
ANSWER 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
ANSWER 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
ANSWER Under nutrition
Impaired mobility
Depression
Cognitive impairment
,Depression older adults - CORRECT ANSWER 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 ANSWER 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 ANSWER Acute and fluctuating
onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level
of consciousness
Nurse's role in Rehab - CORRECT ANSWER 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 ANSWER -
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
ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER 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 ANSWER 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)
QUESTIONS AND ANSWERS WITH STUDY GUIDE
{DETAILED AND VERIFIED FOR GUARANTEED
PASS} LATEST UPDATE 2025 GRADED A
Lifestyle and Practice to Promote Wellness older adults - CORRECT
ANSWER 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
ANSWER 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
ANSWER Under nutrition
Impaired mobility
Depression
Cognitive impairment
,Depression older adults - CORRECT ANSWER 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 ANSWER 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 ANSWER Acute and fluctuating
onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level
of consciousness
Nurse's role in Rehab - CORRECT ANSWER 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 ANSWER -
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
ANSWER - 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 ANSWER - 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 ANSWER - 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 ANSWER 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 ANSWER 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)
