NURS 382 Study Guide - Nurse Practitioner, Try This, Road Scholar

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aquamarinetortoise736

30 Oct 2014

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Nursing education often focuses on the pathology of aging. Many nursing programs do not have a separate gerontological nursing course. Refer to n333 and text table 28-1: physiological age. Old age is a relatively contemporary phenomena. 1900: 3 million, 4% of the population, age 47 life expectancy. Today: almost 38 million, 13% of the population, a child born today has a. Tennessee has one of the highest poverty rates for older adults in the nation. Aging is a natural and lifelong process in which we are all already involved. Centenarians are the most rapidly growing age group in the u. s. today. Adjustment to retirement, reversal or changes in caregiver roles, adapting to changes in health status, maintaining appropriate and satisfying living arrangements, financial security, continuing a social network, maintaining a role in family and community. Health education with an across the lifespan focus. Promoting positive attitudes about aging beginning with young children.

Related Questions

1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

goldworm200

1) The doctor has ordered Nafcillin 225mg q4hr. The nurse is caring for a patient weighing 18kg. Available is Nafcillin 1gm

Is the dose safe and therapeutic?

How much fluid will you use to reconstitute the medication?

How many milligrams per milliliter will there be after reconstitution?

How many milliliters will the nurse draw up?

How much fluid will you dilute it with?

How fast can you give the medication?

What will the fastest rate you could give it at? (in ml/hr)

purplezebra848

Mrs. Tom, a 79 year old female presents to the ER with complaints of a persistent productive cough, fatigue, fever and shortness of breath. Mrs. Tom reports that she has had a persistent cough and shortness of breath with activity for several months. She was given a prescription for antibiotics for a presumed infection 4 weeks ago, with only slight improvement in symptoms. Her past medical history includes stroke 6 months ago. She also smokes 20 cigarettes per day. On exam, she has a fever with decreased lung sounds bilaterally to auscultation with the right side slightly more obvious than the left. She is obviously short of breath and presents with 4-word dyspnea. Her vital signs are BP 110/70, HR 99, SP02 94% on 4 L of oxygen via nasal prongs, Temp 38.9

goldtortoise880

NURS 382 Study Guide - Nurse Practitioner, Try This, Road Scholar

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