Edith Jacobson - VSIM - Pre-Questions

A provider orders docusate sodium 100 mg, PO twice a day for an older patient. The pharmacy provides docusate sodium liquid 150 mg/mL. How much medication should the nurse administer? a) 30 mg b) 0.6 mL c) 10 mg d) 10 mL

d

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) Have you had any difficulty eating? c) Are you still able to drive? d) How active are you? e) How well do you usually sleep?

a, b, e

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? a) Reposition the patient every 2 hours b) Use a draw sheet to slide the patient c) Sit the patient up in a chair d) Provide rest and comfort measures

a

Which nursing interventions should a nurse anticipate for an older patient with a hip fracture? (Select all that apply.) a) Use logrolling techniques to turn the patient in bed. b) Prevent skin breakdown by frequent repositioning. c) Maintain non-weight bearing status. d) Reassess the affected extremity. e) Increase the patient's activity level before surgery.

a, b, c, d

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) Joint tenderness b) Pain c) Gait d) Muscle weakness e) Range of Motion

a, b, d, e

Which age-related change(s) increase the risk for complications after illness or injury in the older adult? (Select all that Apply.) a) Fragile blood vessels b) Altered pain and pressure perception c) Heightened senses of taste and smell d) Decreased skin elasticity e) Decreased muscle strength and bone demineralization

a, b, d, e

Devices such as pillows, trapeze bars, special mattresses, and trochanter rolls are used for what primary purpose? a) To facilitate ROM b) To alleviate pressure and maintain proper body alignment c) To provide patient comfort d) To facilitate activities of daily living

b

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.) a) Mental and emotional status b) High-risk medications c) Nutritional status d) Symptoms of dizziness e) Altered elimination

b, d, e