An older woman has left-sided paralysis from a thrombus formation in the cerebral vasculature.
Rank the nursing goals of this woman's plan of care in order of importance, starting with the most important goal. (Select all that apply.)
A. Instruct her to call for help before moving.
B. Maintain her blood pressure below 120/80 mm Hg.
C. Reinforce occupational therapy for feeding.
D. Use range-of-motion exercises to prevent contractures.
Question 2An older man who had a gastric resection states that he wants to ambulate but the osteoarthritis (OA) in his knees causes too much pain. Which intervention should the nurse implement to in-crease the amount of walking this man can perform?
a. Encourage the patient to keep his leg ele-vated.
b. Instruct him to rest until the pain disap-pears.
c. Suggest taking pain medication before walking.
d. Collaborate with the health care provider to make a walker available.
Question 3Identify the Healthy People 2020 emerging issues in the health of older adults. (Select all that apply.)
a. Coordinating care for the older adult pop-ulation
b. Assisting older adults in the management of their own care
c. Identifying levels of training for those caring for older adults
d. Making community resources available for older adults
e. Increase in health disparities for rural older adults
Question 4The older adult is at a higher risk for acute psychological pain than a younger adult because older adults:
a. Have many ill-nesses. c. Experience more loss.
b. Possess fewer as-sets. d. Live with impair-ments.
Question 5An older female adult has diabetes mellitus. Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
a. Has an amputation of two toes
b. Lives at home with her husband
c. Self-checks blood sugar frequently
d. Changes battery in her glucometer
Question 6According to Healthy People 2020, older adults have been identified as a priority, with a goal to improve their health, function, and quality of life. Identify the targeted chronic focus areas for improvement. (Select all that apply.)
a. Diabetes
b. Arthritis
c. Congestive heart failure
d. Dementia
e. Cancer
f. Pressure ulcers
Question 7The nurse administers an opioid analgesic to an older male postoperative patient in the surgical unit. Which is the most important intervention for the nurse to implement before leaving the pa-tient's room?
a. Place side rails up x 4.
b. Position the patient comfortably.
c. Offer toileting and a sip of water.
d. Instruct him to ask for help before getting up.
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