An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

Constipation

Poor solid food intake

Poor liquid intake

Diarrhea

Answer and Explanation

The Correct Answer is A

A. Constipation.

Explanation: Constipation is a common side effect of opioid medications like morphine. Older adults, particularly those on bed rest or with reduced mobility, are already at an increased risk of constipation. Morphine further contributes to this risk by slowing down bowel motility. Preventive measures such as promoting adequate hydration, encouraging fiber intake, and considering stool softeners can help prevent constipation in this scenario.

B. Poor solid food intake.

Explanation: While monitoring and addressing poor solid food intake are important for overall nutritional status, it may not be the immediate priority related to morphine use and postoperative care.

C. Poor liquid intake.

Explanation: Ensuring adequate fluid intake is important for overall hydration, but constipation is a more specific and immediate concern associated with opioid use.

D. Diarrhea.

Explanation: Diarrhea is not a common side effect of morphine and is less likely to be the priority for preventive care in this situation. Constipation is a more anticipated concern when opioids are prescribed.

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Correct Answer is A

Explanation

A. Sub-acute care is more intensive than traditional nursing home care.

Explanation: Sub-acute care is generally more intensive and focused on providing specialized, short-term medical care and rehabilitation services. It is designed for individuals who require a higher level of care than what is typically provided in traditional nursing home settings.

B. Sub-acute care and nursing home care are identical.

Explanation: This statement is incorrect. Sub-acute care and nursing home care serve different purposes. Sub-acute care is typically provided for individuals recovering from acute medical conditions or surgeries, while nursing homes often cater to individuals with chronic illnesses or long-term care needs.

C. Sub-acute care is reimbursed by either Medicaid or private pay.

Explanation: This statement is not entirely accurate. Sub-acute care may be reimbursed by a variety of sources, including Medicare, private insurance, and, in some cases, Medicaid. The reimbursement sources can vary based on the specific circumstances and the services provided.

D. Professional nursing staff levels are the same as those in traditional nursing home settings.

Explanation: This statement is generally incorrect. Sub-acute care settings often have a higher ratio of skilled healthcare professionals, including nurses and therapists, compared to traditional nursing homes. This higher level of staffing is necessary to meet the more intensive medical and rehabilitation needs of sub-acute care patients.

A. It provides monetary benefits to American citizens and legal residents to prevent their dependency on their families B. It provides a minimum level of economic support. C. It is designed to help the states defray the expenses for the poor. D. It is meant to provide insurance coverage for medical care to the older adult and disabled populations, regardless of their financial situations

Correct Answer is C

Explanation

A. This statement is not entirely accurate. While Medicaid does provide assistance to eligible individuals, its primary focus is on healthcare coverage rather than offering general monetary benefits.

B. Medicaid is more focused on providing healthcare support rather than offering a minimum level of economic support. Its primary aim is to help cover medical expenses for eligible individuals.

C. Medicaid is designed to help the states defray the expenses for the poor.

Medicaid is a joint federal and state program that assists with medical costs for people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities.

D. This statement is partially correct but doesn't encompass the full scope of Medicaid. Medicaid provides healthcare coverage for low-income individuals, including the older adult and disabled populations, but it also includes other eligible groups.

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An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?

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Naxlex Comprehensive Predictor Exams

An older client is being discharged from the hospital to a sub-acute unit. The client says to a nurse, "I am not sure I understand the difference between a sub-acute unit and a nursing home. Can you help me understand?" The nurse considers which of the following in formulating a response:

Correct Answer is A

Explanation

In reviewing an older adult's insurance history, you find that he is on Medicaid. What do you know that Medicaid is used for?

Correct Answer is C

Explanation

Which option is part of a program that addresses bowel incontinence in an older adult client?

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