Please help!!! ASAP An 80-year-old patient has macular degeneration…
Question Answered step-by-step Please help!!! ASAP An 80-year-old patient has macular degeneration… Please help!!! ASAP An 80-year-old patient has macular degeneration and is seen on the surgical unit for postoperative care after repair of a hip fracture. To prepare the patient for discharge, the adult-gerontology acute care nurse practitioner: gives the patient illustrative pictures that instruct him or her on body alignment during activity. has the patient watch a video about surgeries and preoperative care for hip fractures. provides the patient with an audio tape for care of hip fractures and range-of-motion activities. provides verbal reinforcement to the patient on how to keep proper body alignment following hip surgery.13. When serving as a nurse researcher, the adult-gerontology acute care nurse practitioner is guided by which ethical principle to ensure that research participants are protected from harm or exploitation? Confidentiality. Justice. Nonmaleficence. Right to self-determination.14. The adult-gerontology acute care nurse practitioner is asked to provide evidence to the hospital administration about the safety of nurse practitioners placing central lines. Which resource provides the strongest level of evidence? A nurse practitioner’s journal editorial. A randomized control trial. A systematic review. The American Association of Colleges of Nursing’s Nurse Practitioner Competencies.15. What kind of biopsy does the adult-gerontology acute care nurse practitioner perform to evaluate cytology, only, in the tumor? Core. Excisional. Fine needle. Incisional.16. A patient who has been in the intensive care unit for 17 days develops hypernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and hypotension. The adult-gerontology acute care nurse practitioner’s initial treatment is to: reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride solution. reduce serum sodium concentration by infusing a 0.45% sodium chloride solution. replenish volume by infusing a 0.9% sodium chloride solution. replenish volume by infusing a 5% dextrose in water solution.17. A 32-year-old patient who underwent an open splenectomy for a ruptured spleen is preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the potential complications with the patient. The nurse practitioner emphasizes which instruction to the patient? Continue antibiotics for 14 days. Follow up with primary care provider for vaccinations. No international travel for five years. No weight lifting restrictions.18. A 40-year-old female patient with no previous medical history is admitted with bilateral pulmonary emboli. The workup reveals a positive result for lupus anticoagulant, and anticoagulant therapy is planned. The patient verbalizes concern about her ability to manage the appointments and the follow-up care. The adult-gerontology acute care nurse practitioner’s most effective intervention is to: arrange follow-up appointments for the patient at the warfarin (Coumadin) clinic and with the primary care provider after discharge. engage in active listening and reassure the patient that the patient will be able to manage her own care. reassure the patient that warfarin (Coumadin) therapy is quite manageable and requires infrequent follow-up visits. reinforce to the patient that typically patients with a positive lupus anticoagulant only need warfarin (Coumadin) therapy for six months.19. A 68-year-old patient had surgery three days ago to repair an abdominal aortic aneurysm. The patient remains intubated, is neurologically intact, and has active bowel sounds. The patient’s liver function is within normal limits and the patient has no signs or symptoms of heart failure. The patient’s laboratory values are: blood urea nitrogen of 12 mg/dL, creatinine of 0.8 mg/dL, PaCO2 of 37 mmHg. The preferred form of nutritional support for this patient is: enteral feeding to the duodenum via a nasogastric small-bore tube. enteral feeding to the stomach via a gastrostomy tube. peripheral parenteral nutrition via an 18-gauge IV catheter. total parenteral nutrition via a central venous line.20. A 70-year-old patient with acute systolic heart failure denies any functional limitations, is able to walk five blocks before tiring, and is euvolemic. Which medication is the first-line therapy for this patient? Amlodipine (Norvasc). Digoxin (Lanoxin). Furosemide (Lasix). Lisinopril (Zestril).21. An 80-year-old male patient with dementia requires long-term care placement. To which funding agency does the patient apply after “spending down” to qualify? American Association of Retired Persons. Medicaid. Medicare. United States Social Security Administration.22. Goals set forth in Healthy People 2020 by the United States Department of Health and Human Services include the: elimination of health disparities. empowerment of health care delivery systems. increase in life span of older adults. treatment of acute diseases.23. Based on the individual’s culture, ethnicity, and personal choices, the adult-gerontology acute care nurse practitioner can optimize the therapeutic partnership with the patient by: assuming most patients want to rely on family members or care providers to make treatment decisions. communicating with the patient using minimal to no medical terminology. developing the patient’s communication skills to a more advanced level. tailoring his or her communication style to the patient’s preference.24. Which clinical scenario does the adult-gerontology acute care nurse practitioner evaluate for a quality improvement process change? A new case of necrotizing fasciitis in an immunocompromised patient. A projected increase in the number of influenza cases requiring hospitalization. An expected rate of ventilator-associated pneumonia in pulmonary disease patients. An increased incidence of postoperative sternal wound infections.25. A root cause analysis of a crisis situation in the intensive care unit identifies a lack of clinician-family communication as the basis for the resulting adverse outcome. As part of the performance improvement plan, the adult-gerontology acute care nurse practitioner is asked to develop evidence-based polices to establish clinician-family communication standards in the unit. These policies should include: an evaluation tool to assess the health care surrogate’s decision-making ability and anxiety level. guidelines for having discussions with family members that are geared toward establishing treatment goals. limits on the number of consulting services utilized to prevent sending mixed messages. requirements for a formal family conference within 12 hours of a patient’s admission to the intensive care unit.https://www.youtube.com/watch?v=07Z4ywfmr5yherLg8; what are your views on the co tents in this video. Discuss very briefly. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
