Which of the following are principles of rehabilitative nursing in gerontological nursing care? (Select all that apply.)
A) Increase self-care capacity.
B) If the patient is not returned to his or her pre-illness state, rehabilitative nursing was unsuccessful.
C) Eliminate or minimize self-care limitations.
D) Act for or do for when the person is unable to take action for himself or herself.
Question 2During a nursing history related to a patient's activity-exercise functional health pattern, the patient comments that he cannot bend over and lift an object without becoming dizzy and that he frequently has to stop physical activities because of
dizziness and nausea. Which structure of this patient's ear is most likely to have a dysfunction causing his symptoms? a. Middle ear
b. Organ of Corti
c. Semicircular canals
d. Cochlea
Question 3A nurse on a postsurgical unit is aware of the high incidence of pulmonary embolism (PE) among hospitalized patients. What nursing action has the greatest potential to prevent PE among hospital patients?
A) Passive range of motion exercises for the upper and lower extremities
B) Early ambulation and the use of compression stockings
C) Incentive spirometry and deep breathing and coughing exercises
D) Maintenance of SpO2 levels 90 using supplementary oxygen
Question 4Mrs. Y lives with hemiplegia following an ischemic stroke 8 weeks ago, a disability that has impaired her ability to independently check her blood sugars using a glucometer. What action should the nurse choose to address Mrs. Y's challenge?
A) Reevaluate Mrs. Y's goals for diabetes treatment and the need for random blood glucose monitoring.
B) Enlist the help of Mrs. Y's family and friends in performing the glucose monitoring.
C) Teach Mrs. Y a method of using a glucometer that can be performed using her unaffected hand.
D) Substitute scheduled hemoglobin A1c testing at a medical lab for random blood glucose testing.
Question 5A nurse who works in a critical care setting is caring for an adult female patient who was diagnosed with acute respiratory distress syndrome (ARDS) and promptly placed on positive-end expiratory pressure (PEEP).
When planning this patient's care, what nursing diagnosis should be prioritized?
A) Impaired gas exchange
B) Risk for aspiration
C) Acute pain
D) Anxiety
Question 6After a fall in the supermarket near his home, Mr. G has experienced a slow recovery in hospital from hip replacement surgery 9 weeks prior, enduring a postoperative infection and a slow resumption of mobility.
Consequently, the care team has recommended that Mr. G be moved to a facility better able to meet his rehabilitative needs. Which of the following goals should be prioritized during his rehabilitation? A) Effective pain management
B) A return to pre-fall levels of mobility
C) Improvement in functional capacity
D) Freedom from infection