vSIM for Nursing

Which age-related change increase the risk for complications after illness or injury in the older adult? (select all that apply)

a) Decreased skin elasticity, b) Fragile blood vessels, c) Decreased muscle strength & bone demineralization e) Altered pain & pressure perception

Which subjective questions by the nurse demonstrate a familiarity with commonly occurring disorders that can put an older patient at risk for unnecessary iatrogenesis? (select all that apply)

a) Is this the first time you have fallen? b) How well do you usually sleep? c) Have you had any difficulty eating?

An older adult patient has been admitted for a hip fracture. The nurse is assessing fall risk with a fall risk tool. What essential elements should the tool assess? (select all that apply)

b) Altered elimination c) High-risk medications d) Mental & Emotional status e) Symptoms of dizziness

A provider orders docusate sodium 100mg, PO twice a day for an older patient. The pharmacy provides docusate sodium liquid 150 mg/ 15 mL. How much medication should the nurse administer?

10 mL 100/150 * 15 = 10 mL

The nurse performs a focused musculoskeletal assessment on a patient with a hip fracture. Which should the nurse include for this type of assessment? (select all that apply)

a) pain c) Range of motion d) Joint tenderness e) Muscle weakness

Which nursing interventions should a nurse anticipate for an older patient with a hip fracture? (select all that apply)

a) Reassess the affected extremity. b) Maintain non-weight bearing status. d) Prevent skin breakdown by frequent repositioning. e) Use logrolling techniques to turn the patient in bed.

An older adult is admitted for a hip fracture and is confined to bed. What is the priority action by the nurse to decrease the risk of pressure ulcer?

d) Reposition the patient every two hours

Devices such as pillows, trapeze bars, special mattresses, and trochanter rolls are used for what primary purpose?

d) To alleviate pressure & maintain proper body alignment