Vsim Edith
A provider orders docusate sodium 100 mg 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?
100mg/1 *15mL/150mg= 1500/150=10mL
Which age-related change(s) increase the risk for complications after illness or injury in the older adult?
Altered pain and pressure perception Decreased skin elasticity Fragile blood vessels Decreased muscle strength and bone demineralization
The nurse preparing to care for Mrs. Jacobson is reviewing the information provided in the SBAR report and recognizes that which of the following require a priority evaluation during the initial shift assessment? Mental status, Circulation, Pain level, Current Position Fall precaution status, Musculoskeletal status
Mental status, Circulation, Pain level, Fall precaution status, Musculoskeletal status
While waiting for assistance in repositioning Mrs. Jacobson, the nurse initiates a neurovascular assessment. Which of the following should be included in an appropriate neurovascular assessment for this client? Assessing for paresthesia, Comparing assessment of the left and right lower extremities, Assessing for capillary refill, Assessing skin temperature above and below fracture site, Assessing for movement of the toes Comparing assessment of lower extremities to upper extremities
Assessing for paresthesia, Comparing assessment of the left and right lower extremities, Assessing for capillary refill, Assessing skin temperature above and below fracture site, Assessing for movement of the toes
Assistance has arrived to reposition Mrs. Jacobson. Which of the following action(s) are included while working together in repositioning the client? Support the body with pillows, Demonstrate proper body alignment for client, Demonstrate proper body alignment for nurses, Lower the height of bed to lowest position Place call light within reach, Educate on fall risk Alternate right and left lying positions
Support the body with pillows, Demonstrate proper body alignment for client, Demonstrate proper body alignment for nurses, Place call light within reach, Educate on fall risk
Prior to surgery, the nurse is discussing expected outcomes with Mrs. Jacobson after surgery. The nurse recognizes that Mrs. Jacobson requires further education when she makes which of the following statement(s)? 'While taking opioid analgesics, I may experience diarrhea.', 'Because I have osteoporosis, I should limit my activity.' My doctor may recommend vitamin D supplements.' 'Certain medications and use of a walker can increase my fall risk.
'While taking opioid analgesics, I may experience diarrhea.', 'Because I have osteoporosis, I should limit my activity.'
The nurse caring for Mrs. Jacobson completes her initial assessment. Which of the following assessment finding(s) are significant in establishing the plan of care for the client? Capillary refill >2 seconds bilaterally lower extremities, Last repositioned 3 hours ago, Pain 5/10 with movement of the left leg, Blood pressure 128/80, Pedal pulses equal, 2+, Alert and oriented to person, place, and time
Last repositioned 3 hours ago, Pain 5/10 with movement of the left leg, Lives alone with two small dogs
The nurse performs a focused musculoskeletal assessment on a patient with a hip fracture. Which of the following should the nurse include for this type of assessment?
Muscle weakness Pain Joint tenderness
Devices such as pillows, trapeze bars, special mattresses, and trochanter rolls are used for what primary purpose?
To alleviate pressure and maintain proper body alignment
The nurse has established a plan of care for Mrs. Jacobson and recognizes that the priority intervention for this client will be ____ in order to ____
administering pain medication, increase comfort during repositioning
An older adult patient has been admitted for a hip fracture. The nurse is assessing fall risk using a fall risk tool. What essential element(s) should the tool assess?
Medications Sensory impairments Mental and emotional status Symptoms of dizziness Altered elimination
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 injury?
Reposition the patient every 2 hours.
Which nursing intervention(s) should a nurse anticipate for an older patient with a hip fracture?
Use logrolling techniques to turn the patient in bed. Maintain non-weight bearing status. Prevent skin breakdown by frequent repositioning. Reassess the affected extremity.
Which subjective question(s) by the nurse assist in identifying common problems experienced in older adults that can lead to negative outcomes?
Is this the first time you have fallen?" "Have you had any difficulty eating?" "How well do you usually sleep?"
