NUR 242 MED SURG EXAM 3 LATEST ACTUAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
1. Four Major sub- 65 - 74 young old
groups of Late 75 - 84 middle old
Adulthood 85 - 99 old old
100 and older elite old
2. Lifestyle and Yearly flu vaccine
Practice to Pro- pneumococcal vaccine
mote Wellness Shingles vaccine
older adults tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican
directs
Yearly physicial
regular exercise
socialization
reminisce
3. Common health Decreased nutrition and hydration
Issues and Con- Decreased mobility
cerns older adults Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance
abuse)
Elder neglect and abuse
4. GFTT ( Geri- Under nutrition
atric Failure To Impaired mobility
Thrive) Complex Depression
Syndrome Cognitive impairment
5. Depression older Most common mental health/behavioral health problem
adults among older adults.
Use Geriatric Depression Scale form
, Mood disorder having cognitive, affective, physical mani-
festations
Primary (lack of neurotransmitters)
Secondary or situational
6. Dementia older slowly progresses
adults generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common result-
ing from a vascular disorder
7. Delirium older Acute and fluctuating onset
adults results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and
altered level of consciousness
8. Nurse's role in Re- Advocate for the patient and family
hab Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and
develop care plan
Communicate with effectively with all members of the
health care team, patient and family
Evaluate effectiveness of plan of care for the patient and
family
Use Braden scale - skin break down risk
9. Safe Patient -Maintain a wide, stable base with your feet
Handing and Mo- -Put the bed at the correct height - waist level while
bility (SPHM) providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent
your spine from rotating
- Keep the patient as close to your body as possible to
prevent reaching
10. walker - assisted - Apply a transfer belt around patients waist
and cane - assist- - guide patient to a standing position
ed procedure - remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
, 11. walker teaching - lift the walker
- move the walker about 2 feet forward and set it down on
all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
12. cane teaching - be sure cane is at the height of the patients wrist when
the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
13. Adaptive equip- buttonhook
ment extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
14. SCIP infection - 1 Prophylactic antibiotic received within one hour prior to
surgical incision (to establish bactericidal blood and tis-
sue levels by the time the surgical incision is made)
15. SCIP infection - 2 Prophylactic antibiotic selection for surgical patients (in-
creased risk for surgical infections)
16. SCIP infection - 3 Prophylactic Antibiotics discontinued within 24 hours after
surgery end time (provides benefit without risk)
17. SCIP infection - 4 Cardiac surgery patients with controlled 6 am postop-
erative blood glucose (cardiac patients only) To avoid
hyperglycemia
18. SCIP infection - 6
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
1. Four Major sub- 65 - 74 young old
groups of Late 75 - 84 middle old
Adulthood 85 - 99 old old
100 and older elite old
2. Lifestyle and Yearly flu vaccine
Practice to Pro- pneumococcal vaccine
mote Wellness Shingles vaccine
older adults tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican
directs
Yearly physicial
regular exercise
socialization
reminisce
3. Common health Decreased nutrition and hydration
Issues and Con- Decreased mobility
cerns older adults Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance
abuse)
Elder neglect and abuse
4. GFTT ( Geri- Under nutrition
atric Failure To Impaired mobility
Thrive) Complex Depression
Syndrome Cognitive impairment
5. Depression older Most common mental health/behavioral health problem
adults among older adults.
Use Geriatric Depression Scale form
, Mood disorder having cognitive, affective, physical mani-
festations
Primary (lack of neurotransmitters)
Secondary or situational
6. Dementia older slowly progresses
adults generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common result-
ing from a vascular disorder
7. Delirium older Acute and fluctuating onset
adults results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and
altered level of consciousness
8. Nurse's role in Re- Advocate for the patient and family
hab Create therapeutic rehab milieu
provide whole person patient-centered care
Collaborate with healthcare team for patient outcome and
develop care plan
Communicate with effectively with all members of the
health care team, patient and family
Evaluate effectiveness of plan of care for the patient and
family
Use Braden scale - skin break down risk
9. Safe Patient -Maintain a wide, stable base with your feet
Handing and Mo- -Put the bed at the correct height - waist level while
bility (SPHM) providing direct care and hip level when moving patients
- Keep the patient or work directly in front of you to prevent
your spine from rotating
- Keep the patient as close to your body as possible to
prevent reaching
10. walker - assisted - Apply a transfer belt around patients waist
and cane - assist- - guide patient to a standing position
ed procedure - remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
, 11. walker teaching - lift the walker
- move the walker about 2 feet forward and set it down on
all legs
-while resting on the walker, take small steps
- check balance
- repeat sequence
12. cane teaching - be sure cane is at the height of the patients wrist when
the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
13. Adaptive equip- buttonhook
ment extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
14. SCIP infection - 1 Prophylactic antibiotic received within one hour prior to
surgical incision (to establish bactericidal blood and tis-
sue levels by the time the surgical incision is made)
15. SCIP infection - 2 Prophylactic antibiotic selection for surgical patients (in-
creased risk for surgical infections)
16. SCIP infection - 3 Prophylactic Antibiotics discontinued within 24 hours after
surgery end time (provides benefit without risk)
17. SCIP infection - 4 Cardiac surgery patients with controlled 6 am postop-
erative blood glucose (cardiac patients only) To avoid
hyperglycemia
18. SCIP infection - 6
