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NUR 211 Exam 3 Review Questions and Answers (2023/2024) (Verified Answers)
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NUR 211 Exam 3 Review Questions and Answers (2023/2024) (Verified Answers)
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NUR 211 Exam 3 Review Questions And Answers1.The nurse is reviewing the needs of a patient with cognitive impairment. What is the priority concern that the nurse should address for
this patient?
a.promoting at least 6 hours of sleep a night
b.encouraging an oral intake of 1200 cal/day
c.managing the patient's pain from arthritis
d.supervising medication administration: d. supervising medication adminis- tration
Safety is the priority concern for the cognitively impaired pt; safely taking medica- tion addresses safety needs for the pt. Sleep, nutrition, and management of pain are important components of the pt's care and can affect over health, but safety is the highest priority.
2.A 90 YO pt is admitted to the hospital. Shortly after admission, the family notices that the pt is exhibiting disorientation and agitation. When ques- tioned about the behavior by the family, the nurse states that the patient is at risk for developing which common complication of hospitalization in older adults?
a delirium b dementia
c alzheimer's disease
d sundowner syndrome: a. delirium
Delirium, which occurs over hours to a few days, is the most frequent complication of hospitalization in the elderly population. Dementia occurs over a period of months. Alzheimer's disease develops over months to years. Sundowner syndrome is most prominent in demetia and becomes worse in the evenings
3.A community health nurse is preparing a course on protecting cognitive function. Which population group should the nurse target for teaching?
a.older male adults with diabetes
b.older female adults who are overweight
c.young adults living in school dormitories
d.adolescents attending summer camps: a. older male adults with diabetes the primary risk factor for cognitive impairment is advancing age;
males with a his- tory of stroke or diabetes are at significant risk. Older
females with a history of poor health, insomnia, and lack of social
support are at risk for cognitive impairment, not those who are
overweight. Risk factors for young adults include substance abuse and
high-risk behaviors, not crowded living situations. Adolescents who
attend summer camp are not necessarily at risk for cognitive problems; adolescents who participate in high-risk behaviors would be at risk.
4.The nurse is establishing a therapeutic environment for a patient
admitted with dementia and influenza. Which intervention would be
important for the nurse to implement?
a.keep a radio on all the time to provide sound for the patient
b.decrease patient confusion by limiting verbal interactions
c.limit family visits to one person for 30 min per day
d.provide a quiet environment in a private room: d. Provide a quiet environment in a private room.
The pt experiencing dementia needs a quiet environment with a minimum of unfamiliar stimulation from a roommate. A pt with dementia does not need extra stimulation from having a radio on continually. The nurse should speak clearly and quietly to the pt before
any procedure or assistance to decrease agitation. Family visits should
be encouraged because family members are familiar with the patient and their presence increases a sense of security.
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