NUR 242 Med/Surg Exam 1 S S S S
StudySonlineSatShttps://quizlet.com/_8axrfi
1. Four Major subgroups of Late Adulthood: 65 -
S S S S S S S
S74 young old 75 - 84 middle old
S S S S S S S
85 - 99 old old
S S S S
100 and older elite old
S S S S
2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu vaccine p
S S S S S S S S S S S
neumococcal vaccine S
Shingles vaccine S
tetanus and booster every 10 years wea
S S S S S S
r seat belts
S S
alcohol in moderation S S
Savoid smoking smok S S
e detectors
S
prevent falls - S S
Swaxed floors and scattered rugs medications as prescr
S S S S S S S
ibed
avoid OTC medications unless primary care phyisican directs Yearly
S S S S S S S S
Sphysicial
regular exercise socia S S
lization reminisce S
3. Common health Issues and Concerns older adults: Decreased nutrition and h
S S S S S S S S S S
ydration
Decreased mobility S S S
tress and loss S S
Accidents - S
Sfalls most common/MVA Drug use and
S S S S S S
misuse
Mental health/cognition problems (including substance abuse) Elder
S S S S S S
Sneglect and abuse S S
4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under nutrition I
S S S S S S S S S S
mpaired mobility S
Depression Cognitiv S
e impairment
S
5. Depression older adults: Most common mental health/behavioral health prob- S S S S S S S S
Slem among older adults.
S S S
Use Geriatric Depression Scale form
S S S S
Mood disorder having cognitive, affective, physical manifestations Pr
S S S S S S S
imary (lack of neurotransmitters)
S S S
Secondary or situational S S
6. Dementia older adults: slowly progresses S S S S S
generally chronic S
1S/S18
, NUR 242 Med/Surg Exam 1 S S S S
StudySonlineSatShttps://quizlet.com/_8axrfi
intellectual impairment Mo S S
st common Alzheimer's
S S
Multi-infarct dementia, the second most common resulting from a vascular disorder
S S S S S S S S S S
7. Delirium older adults: Acute and fluctuating onset r S S S S S S S
esults from an unfamiliar place
S S S S
Symptoms - inattentiveness, disorganized thinking, and altered level of conscious-
S S S S S S S S S
Sness
8. Nurse's role in Rehab: Advocate for the patient and family
S S S S S S S S S S
Create therapeutic rehab milieu S S S
provide whole person patient-centered care
S S S S
Collaborate with healthcare team for patient outcome and develop care plan Commu
S S S S S S S S S S S
icate with effectively with all members of the health care team, patient and family
S S S S S S S S S S S S S
Evaluate effe ctivene S
ss of plan of care for the patient and family Use Brade S S S S S S S S S S S
n scale - skin break down risk
S S S S S S
9. Safe Patient Handing and Mobility (SPHM): -
S S S S S S
Maintain a wide, stable base with your feet S S S S S S S
-Put the bed at the correct height -
S S S S S S S
Swaist level while providing direct care and hip level when moving patients
S S S S S S S S S S S
- Keep the patient or work directly in front of you to prevent your spine from rotating
S S S S S S S S S S S S S S S
- Keep the patient as close to your body as possible to prevent reaching
S S S S S S S S S S S S
10. walker - assisted and cane - assisted procedure: -
S S S S S S S S
SApply a transfer belt around patients waist
S S S S S S
- guide patient to a standing position
S S S S S
- remind patient to place both hands on the walker
S S S S S S S S
- ensure that the patient's body is well balanced
S S S S S S S
11. walker teaching: - lift the walker S S S S S
- move the walker about 2 feet forward and set it down on all legs
S S S S S S S S S S S S S
-while resting on the walker, take small steps
S S S S S S S
- check balance S
- repeat sequence S
12. cane teaching: - S S
Sbe sure cane is at the height of the patients wrist when the arm is placed at his or her s
S S S S S S S S S S S S S S S S S S S S
ide
- remind patient to place his or her strong hand on cane
S S S S S S S S S S
- ensure that the patient's body is well balanced
S S S S S S S
- move the cane and weaker leg forward at the same time
S S S S S S S S S S
- move the stronger leg one step forward
S S S S S S
- check balance and repeat the sequence
S S S S S
2S/S18
, NUR 242 Med/Surg Exam 1 S S S S
StudySonlineSatShttps://quizlet.com/_8axrfi
13. Adaptive equipment: buttonhook S S S
extended shoehorn S
plate guard and spork g S S S S
el pad S
foam buildups S
hook and loop fasteners S S S S
long-handled reacher S
elastic shoelaces or velcro shoe closure
S S S S S
14. SCIP infection - S S
S1: Prophylactic antibiotic received within one hour prior to surgical incision (to est
S S S S S S S S S S S S
ablish bactericidal blood and tissue levels by the time the surgical incision is mad
S S S S S S S S S S S S S
e)
15. SCIP infection - 2: Prophylactic antibiotic selection for surgical patients (in-
S S S S S S S S S S
Screased risk for surgical infections) S S S S
16. SCIP infection - S S
S3: Prophylactic Antibiotics discontinued within 24 hours after surgery end time (pro
S S S S S S S S S S S
vides benefit without risk) S S S
17. SCIP infection - S S
S4: Cardiac surgery patients with controlled 6 am postoperative blood glucose (cardia
S S S S S S S S S S S
c patients only) To avoid hyperglycemia
S S S S S
18. SCIP infection - S S
S6: Surgery patients with appropriate hair removal (removal is performed with electric
S S S S S S S S S S S
Sclippers or chemical depilatories) to avoid skin abrasions and increase risk of surgical
S S S S S S S S S S S S
Ssite infections S
19. SCIP infection - 9: Urinary catheter removed on postoperative day 1 or postop-
S S S S S S S S S S S S
Serative day 2 with day of surgery being day zero ( to avoid urinary tract infections)
S S S S S S S S S S S S S S S
20. SCIP infection - 10: Surgery patients with preoperative temperature manage-
S S S S S S S S S
Sment (prevent prolonged hyperthermia, which is associated with wound healing, ser
S S S S S S S S S S
ious cardiac complications, altered drug metabolism, coagulation problems, and hig
S S S S S S S S S
her surgical infections.
S S
21. SCIP CARD - 2: Surgery patients on beta- S S S S S S S
blocker therapy prior to arrival who received a beta-
S S S S S S S S
blocker during the perioperative period ( receive beta-
S S S S S S S
blocker prior and continue immediately after surgery)
S S S S S S
22. SCIP Venous Thromboembolism - S S S
S1: Surgical patients with recommended venous thromboembolism prophylaxis orde
S S S S S S S S
red (reduce complications from postop- erative VTE)
S S S S S S
23. SCIP Venous Thromboembolism - 2: Surgery Patients who received appro-
S S S S S S S S S
Spriate Venous thromboembolism prophylaxis within 24 hours of prior to surgery to
S S S S S S S S S S S S
24 hours after surgery ( reduce complications from postoperative VTE particularly a
S S S S S S S S S S S
3S/S18
StudySonlineSatShttps://quizlet.com/_8axrfi
1. Four Major subgroups of Late Adulthood: 65 -
S S S S S S S
S74 young old 75 - 84 middle old
S S S S S S S
85 - 99 old old
S S S S
100 and older elite old
S S S S
2. Lifestyle and Practice to Promote Wellness older adults: Yearly flu vaccine p
S S S S S S S S S S S
neumococcal vaccine S
Shingles vaccine S
tetanus and booster every 10 years wea
S S S S S S
r seat belts
S S
alcohol in moderation S S
Savoid smoking smok S S
e detectors
S
prevent falls - S S
Swaxed floors and scattered rugs medications as prescr
S S S S S S S
ibed
avoid OTC medications unless primary care phyisican directs Yearly
S S S S S S S S
Sphysicial
regular exercise socia S S
lization reminisce S
3. Common health Issues and Concerns older adults: Decreased nutrition and h
S S S S S S S S S S
ydration
Decreased mobility S S S
tress and loss S S
Accidents - S
Sfalls most common/MVA Drug use and
S S S S S S
misuse
Mental health/cognition problems (including substance abuse) Elder
S S S S S S
Sneglect and abuse S S
4. GFTT ( Geriatric Failure To Thrive) Complex Syndrome: Under nutrition I
S S S S S S S S S S
mpaired mobility S
Depression Cognitiv S
e impairment
S
5. Depression older adults: Most common mental health/behavioral health prob- S S S S S S S S
Slem among older adults.
S S S
Use Geriatric Depression Scale form
S S S S
Mood disorder having cognitive, affective, physical manifestations Pr
S S S S S S S
imary (lack of neurotransmitters)
S S S
Secondary or situational S S
6. Dementia older adults: slowly progresses S S S S S
generally chronic S
1S/S18
, NUR 242 Med/Surg Exam 1 S S S S
StudySonlineSatShttps://quizlet.com/_8axrfi
intellectual impairment Mo S S
st common Alzheimer's
S S
Multi-infarct dementia, the second most common resulting from a vascular disorder
S S S S S S S S S S
7. Delirium older adults: Acute and fluctuating onset r S S S S S S S
esults from an unfamiliar place
S S S S
Symptoms - inattentiveness, disorganized thinking, and altered level of conscious-
S S S S S S S S S
Sness
8. Nurse's role in Rehab: Advocate for the patient and family
S S S S S S S S S S
Create therapeutic rehab milieu S S S
provide whole person patient-centered care
S S S S
Collaborate with healthcare team for patient outcome and develop care plan Commu
S S S S S S S S S S S
icate with effectively with all members of the health care team, patient and family
S S S S S S S S S S S S S
Evaluate effe ctivene S
ss of plan of care for the patient and family Use Brade S S S S S S S S S S S
n scale - skin break down risk
S S S S S S
9. Safe Patient Handing and Mobility (SPHM): -
S S S S S S
Maintain a wide, stable base with your feet S S S S S S S
-Put the bed at the correct height -
S S S S S S S
Swaist level while providing direct care and hip level when moving patients
S S S S S S S S S S S
- Keep the patient or work directly in front of you to prevent your spine from rotating
S S S S S S S S S S S S S S S
- Keep the patient as close to your body as possible to prevent reaching
S S S S S S S S S S S S
10. walker - assisted and cane - assisted procedure: -
S S S S S S S S
SApply a transfer belt around patients waist
S S S S S S
- guide patient to a standing position
S S S S S
- remind patient to place both hands on the walker
S S S S S S S S
- ensure that the patient's body is well balanced
S S S S S S S
11. walker teaching: - lift the walker S S S S S
- move the walker about 2 feet forward and set it down on all legs
S S S S S S S S S S S S S
-while resting on the walker, take small steps
S S S S S S S
- check balance S
- repeat sequence S
12. cane teaching: - S S
Sbe sure cane is at the height of the patients wrist when the arm is placed at his or her s
S S S S S S S S S S S S S S S S S S S S
ide
- remind patient to place his or her strong hand on cane
S S S S S S S S S S
- ensure that the patient's body is well balanced
S S S S S S S
- move the cane and weaker leg forward at the same time
S S S S S S S S S S
- move the stronger leg one step forward
S S S S S S
- check balance and repeat the sequence
S S S S S
2S/S18
, NUR 242 Med/Surg Exam 1 S S S S
StudySonlineSatShttps://quizlet.com/_8axrfi
13. Adaptive equipment: buttonhook S S S
extended shoehorn S
plate guard and spork g S S S S
el pad S
foam buildups S
hook and loop fasteners S S S S
long-handled reacher S
elastic shoelaces or velcro shoe closure
S S S S S
14. SCIP infection - S S
S1: Prophylactic antibiotic received within one hour prior to surgical incision (to est
S S S S S S S S S S S S
ablish bactericidal blood and tissue levels by the time the surgical incision is mad
S S S S S S S S S S S S S
e)
15. SCIP infection - 2: Prophylactic antibiotic selection for surgical patients (in-
S S S S S S S S S S
Screased risk for surgical infections) S S S S
16. SCIP infection - S S
S3: Prophylactic Antibiotics discontinued within 24 hours after surgery end time (pro
S S S S S S S S S S S
vides benefit without risk) S S S
17. SCIP infection - S S
S4: Cardiac surgery patients with controlled 6 am postoperative blood glucose (cardia
S S S S S S S S S S S
c patients only) To avoid hyperglycemia
S S S S S
18. SCIP infection - S S
S6: Surgery patients with appropriate hair removal (removal is performed with electric
S S S S S S S S S S S
Sclippers or chemical depilatories) to avoid skin abrasions and increase risk of surgical
S S S S S S S S S S S S
Ssite infections S
19. SCIP infection - 9: Urinary catheter removed on postoperative day 1 or postop-
S S S S S S S S S S S S
Serative day 2 with day of surgery being day zero ( to avoid urinary tract infections)
S S S S S S S S S S S S S S S
20. SCIP infection - 10: Surgery patients with preoperative temperature manage-
S S S S S S S S S
Sment (prevent prolonged hyperthermia, which is associated with wound healing, ser
S S S S S S S S S S
ious cardiac complications, altered drug metabolism, coagulation problems, and hig
S S S S S S S S S
her surgical infections.
S S
21. SCIP CARD - 2: Surgery patients on beta- S S S S S S S
blocker therapy prior to arrival who received a beta-
S S S S S S S S
blocker during the perioperative period ( receive beta-
S S S S S S S
blocker prior and continue immediately after surgery)
S S S S S S
22. SCIP Venous Thromboembolism - S S S
S1: Surgical patients with recommended venous thromboembolism prophylaxis orde
S S S S S S S S
red (reduce complications from postop- erative VTE)
S S S S S S
23. SCIP Venous Thromboembolism - 2: Surgery Patients who received appro-
S S S S S S S S S
Spriate Venous thromboembolism prophylaxis within 24 hours of prior to surgery to
S S S S S S S S S S S S
24 hours after surgery ( reduce complications from postoperative VTE particularly a
S S S S S S S S S S S
3S/S18
