Exam 3: NUR257\/ NUR 257 (New 2023\/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct- Galen<\/p>\n\n\n\n
Exam 3: NUR257\/ NUR 257 (New 2023\/ 2024
Update) Aging and Chronic Illness in
Nursing Exam Review| 100% Correct- Galen
QUESTION
Symptoms of relocation syndrome and what do we want to help with that?
Answer:
\u25aa Sleep disturbances, GI upset, anger, anxiety,
depression. Carefully explain all procedures before they occur
o Ask family to provide familiar objects at the patient’s
bedside
o Ask about expectations during hospital stay
o Ask about normal routines, activities, foods
o Frequently reorient patient to their location.
o Encourage family to visit often
o Avoid unnecessary room changes
QUESTION
What to look at with Managing Stress and what to help with.?
Answer:
Look at personality traits and coping skills
o Reduce isolation
o Support groups
o Part-time employment
o Exercise or other relaxation techniques
QUESTION
Falls; Causes, Scale?
Answer:
falls during transitions, multi-tasking,
medication use, health conditions (hypotension,<\/p>\n\n\n\n
anemia, pain, neuropathy, frailty)
o Morse Falls Scale – most common assessment scale
used for assessing falls risk
QUESTION
fallophobia
Answer:
fear of falling; may avoid leaving their home
QUESTION
Presbyopia
Answer:
farsightedness that worsens with age;
may make walking more difficult; the person is less
aware of the location of each step.
QUESTION
Fall prevention
Answer:
Wear proper shoes and glasses
\u25aa Rise slowly; wait before walking
\u25aa Use assistive devices correctly
\u25aa Remove obstacles from the home; rugs and clutter
\u25aa Install railing and grab bars
\u25aa Practice resistance and balance exercises
QUESTION
Why is drving a risk?
Answer:<\/p>\n\n\n\n
Reaction time slows
o Peripheral vision reduces with age
o Less range of motion in head and neck
QUESTION
How to improve driving safety and what to discuss and teaching?
Answer:
Assess physical and mental status
\u25aa Discuss driving concerns with patient
\u25aa Driving refresher course
\u25aa Avoid high-risk conditions: wet roads, night
driving
\u25aa Properly use vehicle safety features
\u25aa Suggest other forms of transportation instead of
driving.
QUESTION
What is some Drug Use in Older Adults:
Answer:
Polypharmaycy, polymedicine, hyperpharmcy.
QUESTION
Polypharmacy
Answer:
The use of multiple medications on a regular basis., duplicative therapies, high dose medications.
QUESTION
Polymedicine
Answer:<\/p>\n\n\n\n
use of many drugs to treat multiple
conditions\/problems
QUESTION
Hyperpharmacy
Answer:
The excessive use of drugs to treat disease
-most older adults use otc drugs and herbal supplements without consulting their PCP
QUESTION
Age related changes with drugs:
Answer:
Absorption, Distrubution, metabolism, excretion.
QUESTION
Absorption (drugs)
Answer:
increased gastric pH, decreased gastric
blood flow, decreased motility
QUESTION
Distribution (drugs)
Answer:
decreased total body water, increased
body fat
QUESTION
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