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A resident who needs 24-hour nursing supervision and care for IV therapy and wound care would be placed in which of these living situations?
- A. Intermediate care
- B. Memory care
- C. Assisted living
- D. Skilled care
Correct Answer: A
Rationale: Skilled care provides 24-hour nursing supervision for complex medical needs like IV therapy and wound care, unlike other options.
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A recliner with side arms, a lap belt, and wheels used for people who cannot sit unassisted is called a
- A. Geri-chair
- B. Wheelchair
- C. Hospital bed
- D. Lift chair
Correct Answer: A
Rationale: A geri-chair is specifically designed with side arms, a lap belt, and wheels to support individuals who cannot sit unassisted, providing safety and mobility.
Which of the following are interventions that address the issues of osteoporosis and the risk for broken bones?
- A. Make sure stairs are well lighted and that handrails are present.
- B. Suggest the patient lift light weights and wear ankle weights on his or her daily walk.
- C. Tell the patient which foods are high in potassium.
- D. Suggest the patient use an emergency help signaling device.
Correct Answer: A,B
Rationale: Proper lighting and handrails prevent falls, while weight-bearing exercises strengthen bones, reducing osteoporosis-related fracture risk.
Mr. Kaufmann, a 77-year-old man with Alzheimer's disease, has become combative with the nursing staff. You assign a male UAP to his care. Choose the best answer from the following possible explanations about this delegation decision.
- A. It is a good delegation decision because the male UAP can handle a patient who is combative better than a female UAP can.
- B. It is not a good delegation decision because two UAPs will be needed to provide his care.
- C. It is a good delegation decision only if you make yourself available to help if the patient is confused.
- D. It is a good delegation decision only if the patient who is combative is in wrist restraints.
Correct Answer: C
Rationale: The delegation is appropriate if the nurse ensures availability to assist, as combative behavior in Alzheimer's patients may require additional support, regardless of the UAP's gender or restraints.
List several nursing responsibilities related to providing meals to residents in long-term care facilities.
- A. Ensure meals meet dietary restrictions; prevents adverse health effects.
- B. Assist with feeding if needed; ensures adequate nutrition.
- C. Monitor food intake; identifies nutritional deficiencies.
- D. Provide a pleasant dining environment; promotes appetite and social interaction.
Correct Answer: A,B,C,D
Rationale: These responsibilities ensure nutritional needs are met while promoting resident comfort and health.
Older adults often have trouble with constipation. What is the physiological reason for constipation that is associated with old age?
- A. Changes in appetite
- B. Decreased peristalsis
- C. Insufficient fiber in the diet
- D. Using supplements such as Ensure
Correct Answer: B
Rationale: Decreased peristalsis, a common age-related change, slows intestinal motility, leading to constipation.