T1: Acute Care CH 33 Flashcards

1
Q

Acute Care and the older adult population have ___ rates of hospitalization and __ length of stay.

A

higher

longer

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2
Q

Age-related changes increase the risk of __, __, and __.

A

injuries, infections, and complications

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3
Q

Older adults have __ care needs while hospitalized

A

unique

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4
Q

Older adults are the significant consumers of __ __ services.

A

outpatient hospital

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5
Q

Older adults have __ functional status and __ infections.

A

Decreased

Nosocomial

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6
Q

Iatrogenic complications include:

A

delirium, falls, pressure ulcers, dehydration, incontinence, constipation, and loss of function

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7
Q

Relating to illness caused by medical examination or treatment

A

Iatrogenic

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8
Q

Nursing Interventions to Minimize Risk and Promote Optimal Function:

A
  • Assessment to identify problems and risks
  • Early discharge planning
  • Encouragement of independence
  • Monitoring of medications
  • Prevention of complications
  • Environmental safety precautions
  • Education
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9
Q

More adults of advanced age are undergoing ___ procedures

A

surgical

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10
Q

Independent functional status and quality of life (QOL) can be ___

A

improved

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11
Q

___ changes alter normal surgical procedures in the population

A

Age-related

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12
Q

Older adults have a smaller margin of __ __.

A

physiologic reserve

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13
Q

Older adults have less of an ability to adapt to __ changes

A

physiologic

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14
Q

Age changes can cause greater risk of ___

A

complications

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15
Q

Promote proactive strengthening of __

A

capacities

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16
Q

What type of consideration? (preoperative or operative/postoperative)

  • Sensitivity to fears of older adults
  • Understanding of how surgical procedures have advanced
  • Reassurance and support
  • Patient education regarding what to expect before, during, and after the procedure
  • Review of medications
  • Preoperative screening completed
A

Preoperative considerations

17
Q

What type of consideration? (preoperative or operative/postoperative)

  • Use of anesthetics in older adults
  • Prolonged surgery discouraged
  • Careful positioning
  • Close monitoring of body temperature
  • Infection control measures
A

Operative and postoperative care considerations

18
Q

What type of consideration? (preoperative or operative/postoperative)

  • Close observation and monitoring of vital signs
  • Evaluation of the potential for shock and hemorrhage including blood loss
  • Assessment for hypoxia, urinary output, fluid and electrolyte balance, and infection
  • Strict documentation of intake and output
  • Relief of pain is essential
A

Operative and postoperative care considerations

19
Q

Older adult have an increased risk for __ and __ including blood loss.

A

shock and hemorrhage

20
Q

What type of consideration? (preoperative or operative/postoperative)

  • Attention to nutritional status
  • Maintaining regular bowel and bladder elimination
  • Keeping joints mobile
  • Interventions to promote mobilization and prevent postoperative complications
A

Operative/postoperative

21
Q

Emergency care is often because of age-related changes that lower resistance and increase the risk of __ and __.

A

injury and illness

22
Q

There could be an atypical presentation of disease that complicates __.
ex; they are confused due to a UTI, but they’re not burning or having dysuria.

A

diagnosis

23
Q

Older adults are more difficult to treat and ___

A

stabilize

24
Q

Older adults have a greater risk of __ and __

A

complications

death

25
Q

Goals guiding nursing action:

2

A
  • Always stay on the side of safety

- Obtain necessary diagnostic tests

26
Q

Leading causes of infection-related deaths:

A
  • Urinary Tract Infections (UTI)

- Bacterial Pneumonia

27
Q

Early and __ discharge planning is essential

A

competent

28
Q

Goals: prevent ___, reduce risk for ___, and minimize __

A

complications
re-hospitalization
stress

29
Q

Discharge plans must address family and caregiving ___

A

needs