NUR 2214 / NUR2214 Final Exam – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A

NUR 2214 / NUR2214 Final Exam – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: What type of pain is burning sharp and shooting Answer neuropathci Q: What do the Chinese use for nonpharm methods? Answer herbs, vitamins, tai chi Q: Patient given morphine PCA is sleeping and unresponsive. First thing to do? Answer stop the PCA; don't give narcan just yet Q: what is palliative care? What does it not do? Answer manages symptoms, provide psychosocial support, coordinate care to relieve suffering and improve quality of life for pts with serious illnesses; does not promote a cure for chronic disease Q: How much value is pain assessment in children Answer Limited value as a sole indicator of pain Q: How do nonpharmacological method pain strategies help with pain management Answer they may reduce pain perception Q: How do you know if someone has an alteration intracranial regulation Answer there's a change in LOC Q: What is a priority intervention for someone with osteoporosis? Answer do a home safety evaluation Q: What it a patient with a fracture at risk for? What are the interventions? Answer Fat embolism; bedrest, supplemental oxygen, immobilization of fracture Q: s/s acute compartment syndrome Answer Edema, pain (severe), pallor, unequal pulses, cyanosis, tingling or numbness, paralysis Q: What is one thing that is continuous from infancy to death? Answer Growth and development Q: What do you educate to a patient if the hand is swollen and fingers are puffy with the cast on the arm? Answer Come in asap Q: unrelieved pain can cause what? Answer increased stress, depression, can have a systemic effect Q: what medication do you give for multiple sclerosis? Answer Methylprednisolone (medrol) Q: early sign for multiple sclerosis Answer nystagmus Q: What are the main goals for someone with Parkinson's disease? Answer being able to swallow, be independent as much as possible Q: What is the main complication of tetralogy of Fallot? Answer decreased pulmonary blood flow Q: What is indomethacin used for? Answer close PDA Q: what is prostaglandin E-1 given for? Answer To keep PDA open until surgical intervention Q: if CHD is suspected, what is the priority assessment? Answer Take BP on all extremities Q: What heart sound is auscultated on someone with a PDA Answer machine-like murmur Q: how do you determine trisomy 21 in a baby before birth? Answer amniocentesis Q: What is normal the first 24-48 hours after surgery? Answer temperature is increased Q: Should children with CHD play with others? Answer of course Q: what are some risk factors for DVT Answer Immobility, oral contraceptives, pregnancy , surgery , increased coagulability state, smoking Q: What do you do prior to putting on a new pain patch? Answer throw out the old pain patch and rotate sites Q: what is osteoarthritis? Answer -Non-inflammatory -Cartilage destruction -Progressive -Usually occurs due to old age Q: classic finding in aortic coarctation Answer disparity in pulses and BP between upper and lower extremities Q: what is a concern for a TBI patient? Answer bradycardia and hypertension high fiber foods Answer fresh fruits and veggies, peanut butter, bran flakes dietary components affecting osteoporosis Answer caffeine, lack of vitamin D, carbonated beverages, tobacco Fat contributes to osteoporosis Answer false secondary drugs that can cause osteoporosis Answer loop diuretics, corticosteroids, barbiturates nonpharmacological methods for fibromyalgia Answer tai chi, acupuncture, stretching, low-impact aerobics What are some plans for a patient with fibromyalgia uninterrupted rest time, no strong sleeping pills nursing interventions to lower ICP stool softener, high fiber diet who is in the palliative care team clergy, nurse, medicine, social worker, patient's family mind-body therapies meditation, relaxation, pets, music, prayer What is Tetralogy of Fallot (TOF)? Ventricular Septal Defect, Pulmonary stenosis, Overriding aorta, Right ventricular hypertrophy how do you give actonel? what age does thermoregulation decrease and why? 70 years old; loss of subcutaneous fat deposition what is the anterior hypothalamus responsible for in thermoregulation? vasodilation and sweating what is the posterior hypothalamus responsible for in thermoregulation? shivering what is osteoporosis loss of bone density; new bone doesn't keep up with removal of old bone Cushing's triad three classic signs—bradycardia, hypertension, and bradypnea—seen with pressure on the medulla as a result of brain stem herniation Interventions to decrease ICP HOB =or 30 degrees to prevent jugular compression airway management bowel management nutrition management hyperventilation (not recommended in TBI patients) what is the first priority for a person suspected of stroke get them to a stroke center s/s of child with CHD poor feeding, failure to thrive, frequent upper respiratory infections, murmurs, unusual pulses what is a reason to cancel a cardiac cath. in a child? if there is a rash on the groin/surgical site what could be an indication of arterial obstruction? cooling/blanching what is D transposition of the great arteries 2 main arteries carrying blood away from the heart (pulmonary artery and aorta) are reversed What is L-transposition of the great arteries? lower section of the heart is fully reversed what is the purpose of immunosuppressants during organ transplantations it prevents rejection of organ transplant Which vaccines are live? MMR and varicella which vaccines are not live? HPV, Tdap, meningococcal, pneumococcal What is leukemia? A cancer of white blood cells/leukocytes; unrestricted proliferation of WBC Type 1 hypersensitivity mediated by which immunoglobulins? IgE mediated Examples of Type 1 Hypersensitivity Reactions Anaphylactic shock, allergic rhinitis, allergic asthma What are the s/s of anaphylaxis? respiratory distress, dyspnea, bronchospasm, cyanosis, hypotension What are people with latex allergies also highly allergic to? banana, avocado, chestnuts, kiwi What is type 2 hypersensitivity? CYTOTOXIC; body makes special antibodies directed against self cells that have some form of foreign protein attached to them Examples of Type 2 hypersensitivity reactions hemolytic anemia, ITP, transfusion reactions, drug-induced hemolytic anemia Type 3 hypersensitivity excess antigens causing immune complex to form in the blood. Examples of Type 3 hypersensitivity reactions SLE, RA Type IV hypersensitivity reaction T-cell mediated disorders examples of type IV hypersensitivity tissue transplant rejection, poison IV, contact dermatitis Type V hypersensitivity reaction excess stimulation of normal cell surface receptor by auto antibody Example of type V hypersensitivity •Graves disease (hyperthyroidism) What are the warning signs of cancer? C A U T I O N Change in bowel or bladder habits A sore that does not heal Unusual bleeding or discharge Thickening or lump in breast or elsewhere Indigestion or difficulty swallowing Obvious change in wart or mole Nagging cough or hoarseness How does CAGE questionnaire work? if 2 or more answers are yes, person is likely an alcholic what is a hallmark characteristic of SLE? butterfly rash describe pathology of sickle cell disease less normal RBC and increased RBC destruction which sex is lupus more prevalent in women clinical manifestations of lupus lymphadenopathy, N/V, diarrhea, general weakness, arthritis, joint pain, renal impairment, Raynaud's what does the CBC show in a person with SLE pancytopenia gold standard procedure for leukemia diagnosis bone marrow aspiration SLE self-management (3 things) instruct them to identify and avoid stressors that can worsen the disease stress importance of protection from sun exposure reinforce that health needs come first to enable them to maintain their involvement in desired activities for as long as possible Most important lifestyle change for patient with SLE protect themselves from prolonged exposure to sunlight and other forms of UV light; make sure to wear sunscreen what diagnostic procedure confirms lupus diagnosis? skin biopsy oral care for leukemia use a toothette local anesthetic soft foods ways to prevent complications related to decreased platelet count in leukemic patients oral hygiene avoiding rectal trauma positioning foods for thrombocytopenia alopecia skin care protect scalp keep the scalp clean sun exposure protection COTTON caps/scarves How do you minimize N/V related to treatment for leukemia? Give antiemetic 1 hr prior to treatment How do parents handle a child with leukemia that can't eat due to sores in their mouth? tell them to not force the child to eat offers some bland foods use local anesthetics care for acute exacerbation of lupus 24-hour care possibly needed for ADLs and for monitoring What gene mutation causes increased risk for breast cancer? BRCA 1 and 2 where do you take blood pressure on breast cancer patients? on unaffected side what is the main diagnostic procedure for skin cancer punch biopsy