HEALTH ASSESSMENT CASE 9: EDITH JACOBSON (PRE) EXAM QUESTIONS AND ANSWERS 100% ACCURATE!!, Exams of Nursing

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HEALTH ASSESSMENT CASE 9: EDITH JACOBSON

(PRE) EXAM QUESTIONS AND ANSWERS 100%

ACCURATE!!

A patient is being discharged after having hip replacement surgery, and the nurse is providing education regarding safety in the home. Which of the following patient statements would indicate the need for further discussion? (Select all that apply.) - ANSWER It gets pretty lonely without anyone else at home, but I'm hoping my daughter will visit in a few months.', 'I can't wait to be sleeping in my own upstairs bedroom!', 'I'm sure my neighbor will be happy for me to be home. She has been taking care of my 12-week-old puppy while I've been gone.'

An older adult patient who lives alone is hospitalized after falling and sustaining a broken arm. Which information provided by the nursing staff would be the best indicator of the patient's current fall risk? - ANSWER Morse Fall Scale score of 45

Which nursing action(s) are associated with conducting a Glasgow Coma Scale assessment on a patient who has fallen and sustained a possible brain injury? (Select all that apply.) - ANSWER Ask the patient to identify where they are., Request that the patient squeeze the nurse's hand., Ask the patient to open their eyes upon verbal command.

During a routine visit, an older patient shares that recently they have had trouble remembering minor things like where they put their keys. Which interview question will the nurse ask to best identify a possible physical cause for the lapses in memory? - ANSWER 'Have you ever had any kind of head injury during your lifetime?'

Which nursing action(s) would be effective in reducing an older adult patient's risk for fall-related injuries? (Select all that apply.) - ANSWER Encourage the patient to wear prescription glasses., Present the patient with fluids regularly throughout the day., Offer to take the patient to the toilet every 2 to 3 hours., Measure the patient's blood pressure both when sitting and upon standing.

The nurse is reviewing patient data from a neurologic assessment and notes that the patient's history includes several recent falls. Which nursing action will the nurse take immediately to address the patient's risk for injury - ANSWER Implement the facility's universal fall precautions

An older patient reports feeling dizzy right before falling. Which action(s) by the nurse indicate an understanding of what may cause dizziness? (Select all that apply.) -