NUR 242 MED SURG EXAM 3 LATEST ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||GALEN COLLEGE OF
NURSING
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine
now. What action is best for the nurse to take? - (ANSWER)After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A client is in the radiology departmFour Major subgroups of Late Adulthood - (ANSWER)65 - 74 young
old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - (ANSWER)Yearly flu vaccine
pneumococcal vaccine
Shingles vaccine
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
,Common health Issues and Concerns older adults - (ANSWER)Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - (ANSWER)Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - (ANSWER)Most common mental health/behavioral health problem among
older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - (ANSWER)slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - (ANSWER)Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
, Nurse's role in Rehab - (ANSWER)Advocate for the patient and family
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
Safe Patient Handing and Mobility (SPHM) - (ANSWER)-Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while 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
walker - assisted and cane - assisted procedure - (ANSWER)- Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - (ANSWER)- 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
cane teaching - (ANSWER)- 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
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||GALEN COLLEGE OF
NURSING
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine
now. What action is best for the nurse to take? - (ANSWER)After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A client is in the radiology departmFour Major subgroups of Late Adulthood - (ANSWER)65 - 74 young
old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - (ANSWER)Yearly flu vaccine
pneumococcal vaccine
Shingles vaccine
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
,Common health Issues and Concerns older adults - (ANSWER)Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - (ANSWER)Under nutrition
Impaired mobility
Depression
Cognitive impairment
Depression older adults - (ANSWER)Most common mental health/behavioral health problem among
older adults.
Use Geriatric Depression Scale form
Mood disorder having cognitive, affective, physical manifestations
Primary (lack of neurotransmitters)
Secondary or situational
Dementia older adults - (ANSWER)slowly progresses
generally chronic
intellectual impairment
Most common Alzheimer's
Multi-infarct dementia, the second most common resulting from a vascular disorder
Delirium older adults - (ANSWER)Acute and fluctuating onset
results from an unfamiliar place
Symptoms - inattentiveness, disorganized thinking, and altered level of consciousness
, Nurse's role in Rehab - (ANSWER)Advocate for the patient and family
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
Safe Patient Handing and Mobility (SPHM) - (ANSWER)-Maintain a wide, stable base with your feet
-Put the bed at the correct height - waist level while 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
walker - assisted and cane - assisted procedure - (ANSWER)- Apply a transfer belt around patients waist
- guide patient to a standing position
- remind patient to place both hands on the walker
- ensure that the patient's body is well balanced
walker teaching - (ANSWER)- 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
cane teaching - (ANSWER)- 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
