Exam 4: NUR257\/ NUR 257 (Latest 2023\/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct| Grade A – Galen<\/p>\n\n\n\n
Exam 4: NUR257\/ NUR 257 (Latest 2023\/
2024 Update) Aging and Chronic Illness in
Nursing Exam Review| 100% Correct| Grade
A – Galen
Q: marked gait disorders are not normally a consequence of aging alone but more likely
indicative of?
Answer:
underlying medical condition
Q: gait disorders:
arthritis of the knee may result in?
Answer:
ligamentous weakness & instability causing legs to give way or collapse
Q: gait disorders:
what disease may cause neuro damage & result in gait problems?
Answer:
Q: diabetes, dementia, parkinson’s
2.stroke, alcoholism
3.vitamin B deficiency
Q: gait disorders:
vitamin B12 deficiency has potentially serious & sometimes irreversible com- plications if
undiagnosed & untreated, these include?
Answer:<\/p>\n\n\n\n
Q: dementia, disorienta- tion, anemia
2.neuro damage, gait disturbance
Q: fall risk reduction programs:
interventions should include what?
Answer:
Q: risk\/footwear assessment, pt\/staff educa- tion
2.bedside signs, wristband alert
3.supervised toileting programs, med reviews
Q: suggested components of fall risk reduction interventions
Answer:
Q: adapt\/modify home
2.withdraw\/minimize psychoactive\/other meds
3.manage orthostatic hypotn,
4.foot problems & footwear
5.cont programs (prompted voiding)
6.exercise, balance, strength, gait training
7.staff\/pt education
Q: describe the following as they related to fall-risk reduction:
environmental modifications?
Answer:
this alone won’t reduce falls but when included in multifactorial program they may be of benefit
in risk reduction<\/p>\n\n\n\n
Q: pt activities that contribute to falls include?
Answer:
walking, transferring, elimination needs
Q: assistive devices?
Answer:
Q: canes, walkers, wheelchairs,
2.new tech (canes that “talk, provide feedback to user)
3.sensors that detect when falls have occurred
4.alert when risk of falling increased
Q: safe pt handling:
what measures are recommended?
Answer:
Q: pt handling equipment\/devices
2.pt-care ergonomic assessment protocols
3.no lift policies\/lift teams
4.train on proper use of equipment\/devices
Q: consequences of restraints:
side rails?
Answer:<\/p>\n\n\n\n
restrains or restrictive devices when used to impede person’s ability to voluntarily get OOB &
person can’t lower them
Q: consequences of restraints:
restrictive side rail use?
Answer:
two full length or four half-length raised side rails
Q: consequences of restraints:
half or quarter length upper side rail use?
Answer:
if pt uses these to assist in getting in\/out if bed it’s not considered restraint
Q: chemical restraint
Answer:
med used as restriction to manage pt’s behavior or restrict pt’s freedom of movement, not
standard tx or dosage for pt’s condition
Q: subjective sensation of physical, psychological, or spiritual distress
Answer:
pain
Q: examples of possible effect of culture on expressions of pain:
stoic and unemotive?
Answer:
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