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Nursing Care of Older Adults (NCOA) Mrs. Blazek / Quiz 2 - NCOA

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Nursing Care of Older Adults (NCOA) / Quiz 2 - NCOA Activity is anything that requires an expenditure of ______________? (ans)- Energy Dexterity (ans)- the ability to perform fine manipulative skills Coordination of multiple activities is likely to decrease with aging. True or false? (ans)- True Why is exercise important for older adults? (ans)- 1. balance 2. stamina 3. social connection Pickleball promotes community and exercise. True or False? (ans)- True Osteoporosis risk (ans)- A. Female B. Male C. African American D. Asian E. Post menopause F. Petite body frame Benefits of exercise (ans)- 1. Weight loss 2. improved glucose control 3. Lowered blood pressure 4. Decreased risk for falls Phase advance (ans)- go to bed earlier, wake up earlier Phase delay (ans)- go to bed later, stay up later Cognitive abilities (ans)- all essential mental skills to perform any daily task How often should older adults exercise? (ans)- 150 minutes a week - can be broken up into 30 minutes 5x - or longer sessions You want to educate individuals to have proper footwear. True or false? (ans)- True Isotonic (ans)- lifting of weights (increase muscle strength and muscle tone) Isometric (ans)- tightening and relaxing of the muscle group (buttox, abdominal) Presbyopia (ans)- unable to see close up or a hard time seeing close up Presbycusis (ans)- hearing impairment (can't hear high pitch) Braden scale (ans)- Pressure ulcers lower the number, higher the risk Runs from 6-23 Low risk Braden scale (ans)- 19-23 Mild Risk (ans)- 15-18 Moderate Risk (ans)- 13-14 High Risk (ans)- 10-12 Very high risk (ans)- less than 9 What two things are good for tissue repair? (ans)- 1. Protein 2. Vitamin C Integumentary System includes (ans)- 1. skin 2. hair 3. nails 4. sweat glands 5. sebaceous glands seborrheic keratosis (ans)- chest up aging change; thick/waxy/benign seborrheic dermatitis (ans)- flakey scalp//less sebaceous excretion senile lentigo (ans)- sun damage, spots senile purpua (ans)- when you have big purple areas//bleeding that's happening under the skin Xerosis (ans)- dry skin Petechiae (ans)- small red dots Less melanocyte activity occurs as we age resulting in a greater risk for sun burn. True or false? (ans)- True. Epidermis and dermis thin out as we age which contributes to crows feet and wrinkles. True or false? (ans)- True! Integumentary system functions (ans)- 1. Protective covering 2. protects the body against pathogens 3. waterproof 4. blocks the harmful effects of sunlight (melanin) 5. regulates body temperature 6. provides sensory info about the environment 7. Important for Vitamin D conversion Pressure Ulcers (ans)- any lesion caused by unrelieved pressure that results in damage to underlying tissues (localized, develop when soft tissue is compressed) 5 Mechanisms (ans)- -pressure -shearing -friction -moisture -nutrition (please share fries manic nurse) Shearing (ans)- skin stays in one spot the deep fascia moves in another direction example...when we get someone in high fowlers Good nutrition prevents: (ans)- - poor skin integrity -delayed wound healing -decreased resistance to infection Impact of Pressure Ulcers (ans)- pain, disability, death, nursing time, money Eschar (ans)- black, brown, devitalized tissue Granulation tissue (ans)- pink, red, moist, comprised of new blood vessels *beefy red tissue* Induration (ans)- localized hardening of soft tissue Necrotic (ans)- dead cells Staging (ans)- tissue damaged from pressure Sinus track (ans)- narrow elongated channel Tunneling (ans)- channel extends into the subcutaneous fat or more Undermining (ans)- underlip Slough (ans)- devitalized tissue that is whitish/yellowish in appearance. Caused from dead white cells. Wound measurement (ans)- -length will always be head to toe orientation -width will always be the other way (east to west) -depth you will explain it clockwise (head will be 12 o clock) Wound measurement example (ans)- Patient's wound is 7cm by 5cm has 50% necrotic tissue, has 3 o clock tunneling that is 8 cm in length Stage 1 Ulcer (ans)- skin surface is unbroken, but inflamed, non-blachable Stage 2 pressure ulcer (ans)- shallow crater, partial thickness tissue loss, out lay of skin is broken, red, and painful. With patients with dark skin color observe for -erythema -discoloration of skin -hardness stage 3 pressure ulcer (ans)- full thickness tissue loss, potential necrotic tissue, black and white, may have foul-smelling drainage, maybe less painful at its base stage 4 pressure ulcer (ans)- full thickness skin loss (you are seeing bone) extensive tissue destruction damage to underlying muscle and supporting structures undermining sinus tracks possible will be very painful if bone infection present Braden scale (ans)- assess the risk of skin breakdown; should be done weekly, if not daily Advanced Directive consists of (ans)- living will health care proxy Advanced Directive (ans)- - A written statement of instruction that addresses the provision of health care in the event of incapacity - Advanced Directive may vary in form from state to state, but they typically include the living will, the medical power of attorney and the Health Care Proxy (medical power of attorney) MOLST (ans)- mass medical order for life sustaining treatment the MOLST form is not an advance directive because it is a medical document that contains actionable medical orders that are effective immediately based on a patient's current medical condition. Advance directives, including health care proxies and living wills, are legal documents that are effective only AFTER the patient has lost capacity. A health promotion program for older adults is.... (ans)- enhancing of quality of life Who is at high risk for the FLU? (ans)- Elderly Update tetanus (ans)- every 10 years Ineffective Health Care Maintenances (ans)- characteristics of older adults likely to experience ineffective HCM/noncompliance -altered cognitive or perceptual functioning -decreased financial resources -lack of support systems -differing cultural or religious beliefs The nurse who understands the normal aging of the nervous system would plan to: (ans)- reduce environmental hazards What is our role as a health care provider? (ans)- 1. facilitate the conversation 2. determine whether the client has a health care proxy in effect 3. honor valid health care proxy DNR order (ans)- Do-no-resuscitate order - a DNR order is a physician's written order instructing healthcare providers not to attempt CPR in case of cardiac or respiratory arrest. A person with a valid DNR order will not be given CPR under these circumstances. Although the DNR order is written at the request of a person or his or her family, it must be signed by a physician to be valid. Can a guardian make all decisions for the ward? (ans)- Extraordinary decisions must be made by a court. -antipsychotic medication -commencement to psych facility -end of life Does a person lose all rights as a ward (ans)- - right to free association - right to privacy - right to vote - right to marry is a guardianship permanent (ans)- -temporary, ninety day term -permanent, as long as need exists -can be terminated, restricted, modified over time Who can be appointed a Guardian or Conservator (ans)- -reasonable person -competent and over 18 What happens if there is no alternative decision-maker appointed? (ans)- -inadequate medical care and/or financial protection -probate court-appointed fiduciary -conservator -guardian (of person of of a person and estate) Noncompliance (ans)- failure of a person to follow through with recommended health care practices Objective data (ans)- information that can be gathered using the senses of vision, hearing, touch, and smell Subjective (ans)- info gathered from the older person's point of view, best described in the individual's own words inspection (ans)- used to detect the need for more specific inspection; what you see, hear, smell palpation (ans)- sense of touch and hands on auscultation (ans)- sounds within the body - use your stethoscope (heart, lungs, bowels) percussion (ans)- tapping of borders Healthy older adults that live alone are likely to have eating problems due to (ans)- lack of social contact Factors that increase the risk of someone developing a pressure ulcer (ans)- ility tinence ished sensation 5. requires minimal assistance with movement MDS (ans)- minimum data set -Enables state and federal agencies to evaluate the performance of an individual institution in any number of categories Compares various LTC (long term care)providers with one another internal risk factors (ans)- aging changes chronic illnesses changes in functional abilities mental status changes external risk factos (ans)- environmental hazards are everywhere -people vehicles -home environment STEADI (ans)- stopping elderly accidents, deaths and injuries physical restraint (ans)- equipment or device to restrict chemical restraint (ans)- pharmacological before restraints (ans)- -try every other means possible -make sure there is a doctor's order What type of restraint should you use on a patient? (ans)- Quick release! Fire Hazards (ans)- RACE Rescue Alarm Confine Extinguish How to put out a fire in health care facility (ans)- PASS Pull Aim Squeeze Sweep PSDA (ans)- Patient Self-Determination Act of 1990 -the right to facilitate their own health care decisions -the right to accept or refuse medical treatment -the right to make an advance health care directive Code of Ethics for Nurses (ans)- A formal statement by the ANA of the nursing profession's code of ethics. As a practical nurse you are required to function under the mandates of the ________________. (ans)- nurse practice act self neglect (ans)- failure to provide for the self because of a lack of ability or lack of awareness What is a major sign of self neglect? (ans)- Reduced personal hygiene If you don't provide medical care due to a lack of finances it's neglect. True or false? (ans)- True When it comes to the older adults in regards to sleep cycle they experience most of stage ______ and less of stage _____ and stage ______. (ans)- 1 3 4 Deepest stage of sleep (ans)- Stage 4 Minerals / vitamins lost during urination (ans)- -calcium -magnesium -sodium -electrolytes -potassium Sleep apnea (ans)- a disorder in which the person stops breathing for brief periods while asleep caused by collapse of the airways REM sleep behavior disorder (RBD) (ans)- - Muscle activity normally inhibited during REM does not operate effectively and older adults may thrash around in bed, jump or fall out of bed, or sustain injury as they attempt to protect themselves from vivid or violent dreams Our internal clock shift, producing lowering of hormones. True or false. (ans)- True. The older adults potassium level is 2.3 meq / L The nurse will: select all that apply (ans)- 1. Give the patient their diuretic medication 2. Hold their diuretic medication 3. Notify the doctor 4. Encourage the patient to eat banana, baked potato, apricot, drink orange juice 5. Give the patient a calcium supplement. Answer: 2,3,4 Genopharmacology (ans)- the study of how older adults respond to medication is new but growing area Polypharmacy (ans)- - The prescription, administration, or use of more medications than are clinically indicated, is more common problem in older adults - The more medications taken, the greater the risk for untoward reactions, drug interactions, and drug toxicities If you have a patient on nitroglycerin it causes heart attack when taken with erectile function medication. True or false? (ans)- true Before administering a medication, nurses should have the following information: (ans)- 1. the therapeutic effects of the medication 2. Reasons why the person is taking the med 3. The normal therapeutic dosage of medication 4. The normal route or 5. The special precautions related to administration Patient's Rights in regards to medication (ans)- -Right to know what medication they are receiving it -Right to refuse to take medication -Right to privacy during injections or any other such procedures Self-medication and older adults Risks for Noncompliance (ans)- - Cognitive and sensory limitations - Special precautions and complicated time schedules - To reduce the risk for noncompliance, nurses should encourage older adults to talk to the physician and or the pharmacist to see whether there is any safe way to reduce the number of medications or simplify the medication schedule - Saving money OBRA (ans)- Omnibus Budget Reconciliation Act of 1987. Purpose is to improve the quality of life of nursing center residents. Sleep is not a uniform state of unconsciousness; rather, it is divided into a series of cycles of lighter and deeper stages of sleep. True or false? (ans)- True. How do levels of cortisol and growth hormone affect sleep? (ans)- cortisol is suppressed growth hormone is increased What medical conditions may be related to having insomnia? (ans)- - Pain - Chronic respiratory or cardiovascular problems - Anxiety, depression, or delirium - Drugs likely to interfere with sleep - Excessive environmental stimuli - Excessive caffeine, alcohol, or tobacco use - Sedentary lifestyle Sleep-inducing medications are likely to have deleterious effects on older adults, such as: (ans)- urinary retention, drowsiness, fatigue, confusion, and disturbed coordination, which increase the risk for falls. In which population is sleep apnea more common and more severe? (ans)- -Men are more likely to experience sleep apnea, but obesity, hypertension, and diabetes have also been correlated with its occurrence -Signs of sleep apnea include excessively loud snoring interspersed with periods of apnea lasting 10 to 30 seconds

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Nursing Care of Older Adults (NCOA) /
Quiz 2 - NCOA
Activity is anything that requires an expenditure of ______________?
(ans)- Energy

Dexterity (ans)- the ability to perform fine manipulative skills

Coordination of multiple activities is likely to decrease with aging. True or
false? (ans)- True

Why is exercise important for older adults?
(ans)- 1. balance
2. stamina
3. social connection

Pickleball promotes community and exercise. True or False?
(ans)- True

Osteoporosis risk
(ans)- A. Female
B. Male
C. African American
D. Asian
E. Post menopause
F. Petite body frame

Benefits of exercise (ans)- 1. Weight loss
2. improved glucose control
3. Lowered blood pressure
4. Decreased risk for falls

Phase advance (ans)- go to bed earlier, wake up earlier

Phase delay (ans)- go to bed later, stay up later

Cognitive abilities (ans)- all essential mental skills to perform any daily task

How often should older adults exercise? (ans)- 150 minutes a week

, - can be broken up into 30 minutes 5x
- or longer sessions

You want to educate individuals to have proper footwear. True or false? (ans)-
True

Isotonic (ans)- lifting of weights (increase muscle strength and muscle tone)

Isometric (ans)- tightening and relaxing of the muscle group (buttox,
abdominal)

Presbyopia (ans)- unable to see close up or a hard time seeing close up

Presbycusis (ans)- hearing impairment (can't hear high pitch)

Braden scale (ans)- Pressure ulcers
lower the number, higher the risk
Runs from 6-23

Low risk Braden scale (ans)- 19-23

Mild Risk (ans)- 15-18

Moderate Risk (ans)- 13-14

High Risk (ans)- 10-12

Very high risk (ans)- less than 9

What two things are good for tissue repair? (ans)- 1. Protein
2. Vitamin C

Integumentary System includes (ans)- 1. skin
2. hair
3. nails
4. sweat glands
5. sebaceous glands

seborrheic keratosis (ans)- chest up aging change; thick/waxy/benign

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Aantal pagina's
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I know how frustrating it can get with all those assignments mate. Nursing Being my main profession line, i have essential guides that are A graded, I am a very friendly person so 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Niet tevreden? Kies een ander document

Geen zorgen! Je kunt voor hetzelfde geld direct een ander document kiezen dat beter past bij wat je zoekt.

Betaal zoals je wilt, start meteen met leren

Geen abonnement, geen verplichtingen. Betaal zoals je gewend bent via iDeal of creditcard en download je PDF-document meteen.

Student with book image

“Gekocht, gedownload en geslaagd. Zo makkelijk kan het dus zijn.”

Alisha Student

Bezig met je bronvermelding?

Maak nauwkeurige citaten in APA, MLA en Harvard met onze gratis bronnengenerator.

Bezig met je bronvermelding?

Veelgestelde vragen