NUR 242 MED/SURG EXAM 1 QUESTIONS WITH CORRECTRY ANALYZED ANSWERS (ACTUAL EXAM) ALREADY GRADED A+ LATEST 2024 TPN Total Parenteral Nutrition - ANSWERS -Nutritional status is monitored by checking protein levels, such as albumin and pre -
albumin levels TPN care and maintenance of - ANSWERS -check each bag of TPN for accuracy by comparing it with the physician's order (2 nurses to check to prevent errors) if the TPN solution is unavailable, give 10% dextrose/water (or 20% D/W) until the TPN solution can be obtained if the TPN administration is not on time, do not increase the rate Change IV tubing every 24 hours when n ew bag is hung dressing change around the IV site should be changed every 48 -
72 hours Lifestyle and Practice to Promote Wellness older adults - ANSWERS -Yearly flu vaccine pneumococcal vaccine Shingles vaccine tetanus and booster every 10 years wear seat belts alcohol in moderation avoid smoking smoke detectors prevent falls - waxed floors and scattered rugs medications as prescribed avoid OTC medications unless primary care phyisican directs Yearly physici al regular exercise socialization reminisce Four Major subgroups of Late Adulthood - ANSWERS -65 - 74 young old 75 - 84 middle old 85 - 99 old old 100 and older elite old Common health Issues and Concerns older adults - ANSWERS -
Decreased nutrition and hydration Decreased mobility Stress and loss Accidents - falls most common/MVA Drug use and misuse Mental health/cognition pro blems (including substance abuse) Elder neglect and abuse GFTT ( Geriatric Failure To Thrive) Complex Syndrome - ANSWERS -Under nutrition Impaired mobility Depression Cognitive impairment Depression older adults - ANSWERS -Most common mental health/behavioral health problem among older adults. Use Geriatric Depression Scale form Mood disorder having cognitive, affective, physical manifestations Primary (lack of neurotransmitters) Secondar y or situational Dementia older adults - ANSWERS -slowly progresses generally chronic intellectual impairment Most common Alzheimer's
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