The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:
69-year-old with peripheral vascular disease who is visited by home health care weekly.
73-year-old with a history of chronic bronchitis who lives with family.
86-year-old who lost a spouse and is moving into an assisted living facility.
79-year-old with moderate Alzheimer disease who requires assistance with all activities of daily living (ADLs)
The Correct Answer is D
A. Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B. Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C. This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D. Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B. Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C. While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D. To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.
Correct Answer is ["2044"]
Explanation
Approximately 29.5735 mL in a fluid ounce. So, the patient drank about 118.294 mL of orange juice (4 fl oz), 177.441 mL of apple juice (6 fl oz), and 147.8675 mL of cranberry juice (5 fl oz). Adding these amounts to the 1600 mL of water gives us a total of 2043.6025 mL.
Therefore, the nurse should document the patient's total intake as 2044 mL.
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