EAQ MED SURG
The nurse preceptor is teaching a nursing student about minimizing the effects of relocation trauma in older adults. Which of the nursing student's statements indicates a need for further teaching by the nurse preceptor?
'I should not involve the older patient in decision making.'
Nurses must know about the special needs of older adults, especially as that segment of the population grows. By 2050, it is expected that what percentage of people in the United States will be over 65 years old?
25%
Since 1996, the Hartford Institute for Gerontological Nursing has worked to ensure that all hospitalized patients be given quality care. What is the age limit mentioned by the institute?
65+
Which group of older adults is classified as 'old old?'
85 to 99 years of age
What is the most important predictor for falls?
A recent history of falling
If the nurse finds that the patient's arterial blood pH is below 7.35, what term does the nurse document in the patient's electronic health record?
Acidosis
The CAGE questionnaire is a screening tool for what in older adults?
Alcohol use
If the nurse finds that the patient's arterial blood pH is greater than 7.45, what term does the nurse use in the patient's electronic health record?
Alkalosis
What body part loses elasticity as adults age, leading to a decrease in gas exchange?
Alveoli
Evidence shows that the SBAR process improves communication among members of the health care team. What does the 'A' in SBAR stand for?
Assessment
What assessment used by the nurse can be graded types I to IV?
Autoimmune reaction
Evidence shows that the SBAR process improves communication among members of the health care team. What does the 'B' in SBAR stand for?
Background
When the nurse is monitoring the patient's fluid and electrolyte levels, what is the best measure of fluid volume changes?
Body weight
Nurses plan, implement, and evaluate patient care together using an interdisciplinary plan of action. What term best describes this activity?
Collaboration
What process is also referred to as the evidence-based practice improvement (EBPI) process?
Continuous quality improvement
Which of the following statements is accurate regarding RN delegation of nursing tasks?
Delegate turning and positioning tasks to a licensed vocational nurse (LVN).
A nurse manager tasks a special committee with revising a set of standardized patient forms. This is an example of which process?
Delegation
The nurse understands that which complication of decreased mobility in older patients affects the bones?
Disuse osteoporosis
What is the primary collaborative intervention for patients with fluid deficits?
Fluid replacement
Decreased function of which physiologic process causes inadequate transportation of oxygen to body cells and organs?
Gas exchange
Decreased function of which physiologic process causes retention of carbon dioxide?
Gas exchange
Which does the nurse identify as the intentional use of isolation toward older adults in a family?
Emotional abuse
How often should the nurse turn and reposition a patient who is immobile?
Every 1 to 2 hours
What should an older patient avoid to prevent the development of dehydration?
Excessive caffeine
The nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of patient assignments does the nurse expect to see?
Hospitalized adults with acute and chronic illnesses
What level of evidence is a narrative literature review considered?
Level V
Which medication is listed on the Beers Criteria for potentially inappropriate medication use in older adults?
Meperidine
What is the most common type of elder abuse?
Neglect
What term is used for waking up at night to urinate?
Nocturia
What is indicated by a hospital receiving the American Nurses Credentialing Center's (ANCC) Magnet Recognition?
Nurses have demonstrated how best current evidence guides their practice.
The nurse uses which term to describe the inability to pass stool?
Obstipation
After decades of research, the Joint Commission and other organizations determined that who should be the source of control for health care decisions?
Patients
The nurse understands that older adults may experience urinary and bowel incontinence as a result of the weakening of which muscles?
Pelvic floor
What enhances cognitive health?
Physical activity
Which nursing actions reflect nonmaleficence? Select all that apply.
Refusing to administer medication when the nurse believes the side effects may be dangerous Treating a patient who is charged with crimes that are counter to the nurse's values even when the nurse is tempted to refuse treatment
Which activity will help an older patient overcome feelings of depression?
Reminiscing
I-SBAR-R is a modification of the SBAR method of communication. What additional step has been included in the I-SBAR-R method compared to the SBAR method?
Response
What would the nurse use to prevent a patient from falling out of a wheelchair?
Restraint
To improve communication between staff members and health care agencies, procedures for hand-off communication have been established. Which acronym represents a method of hand-off communication used in nursing practice? Select all that apply.
SBAR I-SBAR
For what are the Beers criteria used?
Screening for medication-related risks
Which is a formal method of communication between two or more members of a health care team?
Situation, Background, Assessment, Recommendation (SBAR)
Older adults are at an increased risk for motor vehicle crashes due to several factors. Which factor is common among older adults but is not part of normal aging?
Sleep disturbances
One of the most successful initiatives of the Institute for Healthcare Improvement (IHI) was the creation of the Rapid Response Team (RRT). Which statement about the RRT is correct?
The RRT is also called the medical emergency team.
The SBAR process includes four steps. Which step taken by the nurse refers to Recommendation?
State what is needed at the time or what the desired outcome is.
What was developed to limit the use of physical restraints in hospitals and nursing homes?
The National Patient Safety Goals (NPSGs)
If the nurse working in a hospital suspects physical abuse or neglect of an older patient, who should the nurse notify?
The hospital social worker
The nurse understands that which complication of decreased mobility in older patients affects circulation?
Venous thromboembolism (VTE)
While preparing a patient for surgery, a surgeon explains the positive and negative outcomes of the surgery. Which ethical principle of truth telling is followed?
Veracity
Which physical restraint can cause serious injury and even death?
vests
