Test 7 Ch10+33

Question 1

What is claudication and how is it relieved

Answer 1

inadequate circulation to the muscles, resulting in cold feet, numbness, and intermittent claudication/cramping pain in the calves.
nursing interventions, promote circulation like walking to stimulate venous return, use ted hose avoid standing in one place, crossing legs,

Question 2

What is a major fear of the dying patient-young or old

Answer 2

fears of abandonment/dying alone, loss of control, pain and discomfort, and the unknown

not said all their goodbyes leaving unfinished business

Question 3

What is a nocturia and what causes it or makes it worse

Answer 3

excessive urination at night
age related decrease in bladder capacity
nursing interventions: decrease fluid intake at night, take diuretics in the morning, and keep walkways clear

Question 4

Do not assume that all family want to take care of their dying relative, so what should you clarify first?

Answer 4

assess whether family members want to assist in daily care. clarify what the family will do and what the nursing staff will do

Question 5

What will benefit older adults as it relates to the prevention of falls, cardiac disease, and depression?

Answer 5

.

Question 6

What type of exercise helps in the prevention of falls

Answer 6

.

Question 7

Know the stages of death and dying according to Kubler-Riss

Answer 7

Denial
Anger
Bargaining
Depression
Acceptance

Question 8

Old-old adults are at risk of what type of respiratory infection?

Answer 8

75+/frail elderly

Question 9

Which soap is drying and should be avoided if pt C/O pruritis ?

Answer 9

Alcohol based soaps

Question 10

What is orthostatic hypotension and is symptoms?

Answer 10

25/10 drop in bp
Occurs when a person rises too quickly.
Note bp lying sitting and standing

Question 11

At what age does older adulthood begin?

Answer 11

Young old. 55-74
Old old 75+ frail elderly
Older adult begins at 65 till death

Question 12

What is the leading cause of accidental death over age 65 and why?

Answer 12

Falls

Question 13

What is ego integrity

Answer 13

.

Question 14

What is the best test for osteoporosis?

Answer 14

? Bone density test

Question 15

Does the older adult require fewer or more calairies?

Answer 15

Fewer

Question 16

What are he interventions for older adults with arthritis

Answer 16

ROM range of motion exercises 
Joint protection/exercise
Energy conservation/rest
Warm water
Gentle massage

Question 17

What breathing technique should be used to help a pt w COPD

Chronic obstructive pulmonary disease

Answer 17

Deep diaphragmatic breathing and a variety of coughing techniques. Pursed lip breathing help empty the lungs of used air.

Question 18

When a pt is HOH/hard of hearing what technique should the nurse use w her voice when speaking to the pt?

Answer 18

Face the pt 
Speak at a normal or slightly slower pace, 
Lower tone of voice
Eliminate background noise 
Nonverbal communication

Question 19

What is shearing?

Answer 19

Pressure against skin impairs circulation. Friction tears skin
Injures small blood vessels by slidi g in rough surface

Question 20

What contributes to constipation?

Answer 20

Decreased peristalsis, tone of intestines,
Medications
Lack of fluids, fiber, exercise

Question 21

What are the signs that effective grief work has taken place?

Answer 21

.

Question 22

What is passive vs euthanasia?

Answer 22

.

Question 23

What is meant by the DPOA

Answer 23

Durable power of attorney

Question 24

Integumentary system

Answer 24

Skin hair nails

Question 24

5 aspects of human functioning

Answer 24

Physical emotional intellectual sociocultural spiritual

Assess to fully understand pts needs and support family and pt

Question 25

Maturational loss

Answer 25

Normal life transition

Question 26

Situational loss

Answer 26

Loss occurs suddenly

Car accident

Question 27

Age related concept of death

Answer 27

0-5 doesn’t understand. Death is reversible
5-9 wishes unrelated actions is responsible
9-12
12-18 death can be defied
18-45 religious influence
45-65 acceptance
65+ fears prolonged illness