303 Final
Which statement about the coronavirus is incorrect (select all that apply)?
"Coronaviruses are rarely zoonotic in transmission." "The coronavirus is only transmitted to older adults."
What aspect of caregiving does the acronym TLC evaluate? (Select all that apply.)
Ability to recognize changes in the patient's physical needs. Ability to spend time away from the caregiving role Ability to provide the necessary care effectively Ability to attend to personal, physical, and emotional needs.
The nurses comes into the room and observes Edith Jacobson moaning and guarding her leg. What should the nurse do next?
Administer pain medication
How is COVID-19 primarily spread to others?
Airborne
The SPICES assessment tool is intended to focus on which older adult population?
All older adults
What would be a priority nursing diagnosis for Edith Jacobson related to her psychosocial needs?
Anxiety
When older adults experience disruptions in their usual routines, which emotion are they most likely to experience?
Anxiety
Which of the following nursing interventions would be the priority when preparing Millie Larsen's daughter, Dina, for her mother's discharge?
Assessing Dina's knowledge and ability to carry out he caregivers role
The nurse is providing education to Ms. Morrow and her daughter on nutrition. What is the best dietary choice to promote wound healing?
Baked chicken
Which factor is most likely to affect a person's perception of the impact of his or her caregiving role both physically and psychologically?
Caregivers ethnic and cultural background
Severe Acute Respiratory Syndrome (SARS) started in ______________ and was transmitted from _________ to humans.
China; civet cat
The nurse is completing an admission assessment on a patient admitted for an infected, non healing wound. What are factors that could contribute to this condition?
Diabetes mellitus Obesity Poor circulation Poor hygiene
Millie Larsen states that when she has trouble sleep, she takes diphenhydramine (Benadryl). When considering the patient's safety, what response should the nurse make?
Don't take Benadryl because it can cause you to experience memory problems and even make you confused.
Furosemide (Lasix) has been ordered for Millie Larsen. The nurse should instruct her to take this medication at what time?
During the morning hours
Millie Larsen's daughter is concerned about not being able to assure her mother's safety during the day once she is discharged to her home. What suggestions(s) could the nurse make to help her daughter with this concern? (Select all that apply.)
Engage a telephone reassurance program Enroll Millie in an adult day service program
What is the priority nursing intervention when preparing Millie Larsen for her discharge instructions?
Evaluate Millie's ability to learn
The signs and symptoms of COVID-19 include (select all that apply)
Fever Sore throat Fatigue Cough
The nurse assesses a wound and documents it as stage III. What did the nurse observe when the wound was assessed
Full thickness tissue loss with possible visible subcutaneous fat.
A deficiency in which blood factor is likely to indicate a possible cause of shortness of breath (dyspnea)?
Hemoglobin
Which statement by the nurse indicates a need for further education related to a focused neurovascular assessment on Edith Jacobson?
I am going to check the pulses in your unaffected limb.
Antiembolism stockings often have an inspection window. Which statement by the nurse indicates understanding of the purpose of the inspection window?
I will place the inspection window on top of the foot so I can easily assess capillary refill, temperature, and pulses of the patient's feet.
Which patient statements support the nurse's initial assessment that the patient is experiencing an adverse reaction to albuterol.
I've had heartburn every day this week. I get leg cramps so bad; they wake me up at night. I don't know why I'm getting so many nosebleeds. I've been getting headaches since I started this medicine.
Edith Jacobson has been taking raloxifene for her osteoporosis. What is the priority nursing consideration for raloxifene related to the patient's current hip fracture?
Monitor for blood clot formation.
The nurse is preparing to irrigate a patient's wound. Upon assessment, the wound appears be healing and the wound bed is beefy red. What solution should the nurse select for this procedure?
Normal Saline
The nurse is performing an assessment of Ms. Morrow's wound. What should be included in the documentation? (Select all that apply.)
Odor Drainage Tunneling Location
A diagnosis of respiratory acidosis is supported by which laboratory data? (Select all that apply.)
PaCO2 50 pH 7.34 HCO3 28
Which factor(s) is considered a risk factor for the development of depression? (Select all that apply.)
Personal history of alcohol abuse Recent retirement Prescribed beta-adrenergic blocker therapy Chronic illness diagnosis
Which complications is Edith Jacobson at risk for because of her age and hip fracture?
Pressure Ulcer Pneumonia Mental deterioration
The nurse is caring for a patient with lower extremity edema resulting from chronic venous insufficiency. What should the nurse include in the plan of care for this patient? (Select all that apply.)
Provide meticulous skin care. Perform neurovascular checks to look for changes. Monitor patient for signs of skin breakdown. Assist with range of motion exercises to lower extremities.
The nurse is providing education to Ms. Morrow and her daughter on management of venous stasis in the lower extremities. What would be appropriate for the nurse to include in the teaching sessions?
Put an anti embolism stockings as soon as you get up in the morning and wear them all day.
Which intervention will help Millie Larsen reduce medication errors and increase medication compliance once she is discharged to her home? (Select all that apply.)
Recommend that medications have large-print labels and bottle caps that can be easily removed. Instruct MIllie to notify her provider immediately if any adverse reactions develop. Provide a detailed written description of the medication's names, dosage, and route of administrations.
Which fall precautions should the nurse establish for Edith Jacobson after repositioning? (Select all that apply)
Remind the patient that she is at high risk for falls due to her medications. Educate the patient to use the call light if she needs to get up. Make call light easily accessible.
COVID-19 is genetically similar to what other coronavirus?
SARS
What is the name of the virus that causes COVID-19?
SARS-CoV-2
Middle East Respiratory Syndrome (MERS) started in ______________ and was transmitted from _________ to humans.
Saudi Arabia; camels
The nurse is irrigating a patient's wound when the patient complains of pain. What is the appropriate action by the nurse?
Stop the procedure and administer the ordered analgesic.
The nurse has received an order to apply a hydrocolloid dressing to Ms. Morrow's right lower extremity. Which statement, if made by the nurse, would indicate the need for further education?
The dressing will need to be held in place by surgical tape.
What is the priority outcome for Edith Jacobson in relationship to her hip fracture?
The patient will be able to walk with assistive device without fear of falling.
Ms. Morrow's daughter asks the nurse why it is necessary to irrigate her mother's wound. What is the appropriate response by the nurse?
The procedure helps remove drainage and debris from the wound.
Edith Jacobson needs to be frequently repositioned. Why should the task take two people?
To prevent additional injury to the patient
What is the major indication for the use of albuterol sulfate?
Treatment of bronchospasms in patients with reversible obstructive airway disease.
Which condition(s) is an early indicator of a Urinary Tract Infection (UTI) in the older adult? (Select all that apply.)
Urgency Burning Fever
What should the nurse anticipate needing to teach Edith Jacobson before discharge in relationship to her hip fracture and mobility?
Use of assistive devices such as a walker
What is the proper order of nursing actions when preparing to administer oxygen to a patient via a nasal cannula?
Verify the provider's order for oxygen therapy. Perform hand hygiene Gather the equipment Confirm the patient's identity Assess and document the patient's vital signs Explain the procedure to the patient
Discharge instructions for Millie Larsen recommend that she be sent home with a walker. Why is a walker more appropriate for Millie than a cane would be?
Walkers provide a broader base of support
During a respiratory assessment of an older adult experiencing an exacerbation of chronic obstructive pulmonary disease (COPD), what abnormality would be detected by auscultation?
Wheezes
COVID-19 started in
Wuhan
Millie Larsen's daughter, Dina, wants to know how to minimize her mother's risk of becoming confused. What is the nurse's best response?
You need to be able to recognize the signs and symptoms of a urinary tract infection that your mother usually experiences
The most cost effective and easiest infection control method is
handwashing.
When a virus is transmitted from an animal to a human this is termed as a(n)
zoonotic spillover event.
