NURB 320 Exam #3 Additional Notes
VSim and Study Guide
Which statement is the most important teaching point for family caregivers regarding
administering morphine sulfate to a patient in hospice care? - ✔️✔️The controlled
release tablets should not be crushes, dissolved, or chewed
When administering drugs to older adults, what factors should the nurse consider? -
✔️✔️The biological half-life is increased by as much as 40% in older adults, heat and
massage are measures that can be used to maximize drug absorption in older adults
In patient teaching, the nurse should include which of the following points regarding the
docusate Julia received for constipation? - ✔️✔️Julia should drink water and eat fruits,
vegetables, and whole grain breads and cereals; Julia should stop taking the drug and
notify her HCP if she experiences severe abdominal constipation; Julia should take
docusate daily for up to a week until her bowel movements are no longer firm and are
easily passed
Which of the following recommendations should be made to improve safety in the home
of an older adult with possible sensory deficits? - ✔️✔️Soft, red light in the bedroom
can improve a patient's night vision
When education a family about hospice care, the nurse should reinforce which of the
following points? - ✔️✔️Hospice is a philosophy rather than a facility
Which age-related changes should the nurse consider when teaching a family member
to prevent pressure ulcers? - ✔️✔️Degeneration of elastin fibers
Which teachings should the nurse provide Julia and her caregivers to help them
manage her pain? - ✔️✔️Untreated pain in patients who are nearing the end of life can
increase physiologic stress, thereby potentially perpetuating stress, keeping a daily pain
journal is an effective tool in pain symptom management
Which of the following statements accurately describes what she and Julia Grey can
expect from hospice care? - ✔️✔️An interdisciplinary team, rather than a single person,
will provide hospice care
What must nurses first ensure in order to maintain and bolster the inner strengths of
older adults? - ✔️✔️Physical needs are prioritized
, Which of the following age-related changes in the respiratory system should the nurse
be aware of as potential causes of breathing problems in older adults? -
✔️✔️Increased rigidity in the rib cage and trachea related to calcification of costal
cartilage, loss of elasticity in the alveoli causing the lungs to have diminished recoil,
reduced numbers of cilia and hypertrophy of the bronchi mucous gland reducing ability
to expel mucous and debris
When caring for a patient with a terminal illness, nursing care should include what
teaching about advanced directives? - ✔️✔️In making a living will, a legally competent
patient states which procedures he or she does or not want carried out
Which of the following are important teaching points for patients who are using an
oxygen tank with a nasal cannula at home? - ✔️✔️The patient may ambulate, eat, and
talk while the oxygen is being delivered through a nasal cannula, applying the nasal
cannula too tightly can interfere with oxygen delivery
The nurse understand that which of the following is true related to pain and older
adults? - ✔️✔️Most older adults experience a degree of pain daily
Which of the following statements should the nurse use to most accurately explain the
purpose of the SPICES assessment to a family? - ✔️✔️The SPICES framework assists
the nurse in assessing the patient's function in order to provide an overview of care
given and identify need for further assessment
Which of the following findings would the nurse expect as normal age-related changes?
- ✔️✔️Flattening of teeth-chewing surfaces
Which of the following statements by the patient would indicate a correct understanding
of the differences between hospice care and aggressive treatment? - ✔️✔️Aggressive
treatment can include having blood drawn several times during each day
The nurse can reassure the patient that hospice care, or "palliative care", will include
which of the following? - ✔️✔️Help in managing a potential increase in confusion,
treatment for pain, Treatment of uncomfortable symptoms such as nausea and
shortness of breath
Which of the following are accurate statements about the life review process for older
adult patients? - ✔️✔️Life review reassures older adults that their lives had depth and
meaning; life review provides older adults an opportunity to reflect on obstacles that
were confronted and overcome, life review may result in referrals to counselors to help
older adults cope with unresolved feelings
VSim and Study Guide
Which statement is the most important teaching point for family caregivers regarding
administering morphine sulfate to a patient in hospice care? - ✔️✔️The controlled
release tablets should not be crushes, dissolved, or chewed
When administering drugs to older adults, what factors should the nurse consider? -
✔️✔️The biological half-life is increased by as much as 40% in older adults, heat and
massage are measures that can be used to maximize drug absorption in older adults
In patient teaching, the nurse should include which of the following points regarding the
docusate Julia received for constipation? - ✔️✔️Julia should drink water and eat fruits,
vegetables, and whole grain breads and cereals; Julia should stop taking the drug and
notify her HCP if she experiences severe abdominal constipation; Julia should take
docusate daily for up to a week until her bowel movements are no longer firm and are
easily passed
Which of the following recommendations should be made to improve safety in the home
of an older adult with possible sensory deficits? - ✔️✔️Soft, red light in the bedroom
can improve a patient's night vision
When education a family about hospice care, the nurse should reinforce which of the
following points? - ✔️✔️Hospice is a philosophy rather than a facility
Which age-related changes should the nurse consider when teaching a family member
to prevent pressure ulcers? - ✔️✔️Degeneration of elastin fibers
Which teachings should the nurse provide Julia and her caregivers to help them
manage her pain? - ✔️✔️Untreated pain in patients who are nearing the end of life can
increase physiologic stress, thereby potentially perpetuating stress, keeping a daily pain
journal is an effective tool in pain symptom management
Which of the following statements accurately describes what she and Julia Grey can
expect from hospice care? - ✔️✔️An interdisciplinary team, rather than a single person,
will provide hospice care
What must nurses first ensure in order to maintain and bolster the inner strengths of
older adults? - ✔️✔️Physical needs are prioritized
, Which of the following age-related changes in the respiratory system should the nurse
be aware of as potential causes of breathing problems in older adults? -
✔️✔️Increased rigidity in the rib cage and trachea related to calcification of costal
cartilage, loss of elasticity in the alveoli causing the lungs to have diminished recoil,
reduced numbers of cilia and hypertrophy of the bronchi mucous gland reducing ability
to expel mucous and debris
When caring for a patient with a terminal illness, nursing care should include what
teaching about advanced directives? - ✔️✔️In making a living will, a legally competent
patient states which procedures he or she does or not want carried out
Which of the following are important teaching points for patients who are using an
oxygen tank with a nasal cannula at home? - ✔️✔️The patient may ambulate, eat, and
talk while the oxygen is being delivered through a nasal cannula, applying the nasal
cannula too tightly can interfere with oxygen delivery
The nurse understand that which of the following is true related to pain and older
adults? - ✔️✔️Most older adults experience a degree of pain daily
Which of the following statements should the nurse use to most accurately explain the
purpose of the SPICES assessment to a family? - ✔️✔️The SPICES framework assists
the nurse in assessing the patient's function in order to provide an overview of care
given and identify need for further assessment
Which of the following findings would the nurse expect as normal age-related changes?
- ✔️✔️Flattening of teeth-chewing surfaces
Which of the following statements by the patient would indicate a correct understanding
of the differences between hospice care and aggressive treatment? - ✔️✔️Aggressive
treatment can include having blood drawn several times during each day
The nurse can reassure the patient that hospice care, or "palliative care", will include
which of the following? - ✔️✔️Help in managing a potential increase in confusion,
treatment for pain, Treatment of uncomfortable symptoms such as nausea and
shortness of breath
Which of the following are accurate statements about the life review process for older
adult patients? - ✔️✔️Life review reassures older adults that their lives had depth and
meaning; life review provides older adults an opportunity to reflect on obstacles that
were confronted and overcome, life review may result in referrals to counselors to help
older adults cope with unresolved feelings
