Julia Morales andLucy Grey지역사회간호학vsim 시나리오Julia Morales and Lucy Grey, Part 11. What must nurses first ensure in order to maintain and bolster the inner strengths of older adults?▶ Physical needs are prioritized.2. Which of the following age-related changes in the respiratory system should the nurse be aware of as potential causes of breathing problems in an older adult? (Select all that apply)▶ Increased rigidity of the rib cage and trachea related to calcification of costal cartilage.▶ Loss of elasticity in the alveoli causing the lungs to have diminished recoil.▶ Reduced numbers of cilia and hypertrophy of the bronchial mucous gland reducing ability to expel mucus and debris.3. When caring for a patient with a terminal illness, nursing care should include what teaching about advance directives?▶In making a living will, a legally competent patient states which procedures he or she does or does not want carried out.4. The home health nurse should teach the patient and family about safscriptions→Do you know what medications have been prescribed to your partner?6) 질문하기: “방광에 대한 통제력을 상실한 적이 있습니까?”communication→ communication& education→ ask a question related to an assessment tool→ katz lndex of independense in activities of daily living(adl)→ continence→ do you lose control of your bladder all of the time?7) 가족 지원하기communication→ communication& education→ support the patient or the patient’s family→ support family members8) assesments→ assessment tools→informal caregivers of older adults at home: let’sprescriptions : nopartnership among the home health care team : norealistic expectations and goals : noeducation and empowerment : no나머지 yes9) assesments→ assessment tools→ katz lndex of independense in activities of daily livingBathing 1Dressing 1Tolleting 0Transferring 1Continence 1Feeding 110) 질문하기: “적시에 의료 후속 약속을 잡는 것과 같은 재택 간호 요구를 관리 할 준비가 되었다고 느끼십니까?“communication→ communication& education→ ask a question related to an assessment tool→ informal caregivers of olderDegeneration of elastin fiber5. As Julia Morales's disease progresses, she may experience increased pain. Which teachings should the nurse provide Julia and her caregivers to help them manage her pain? (Select all that apply.)▶ Keeping a daily pain control diary is an effective tool in pain symptom management.▶ Untreated pain in patients who are nearing the end of life can increase physiologic stress, thereby potentially accelerating death.6. Julia Morales has decided to discontinue her cancer treatment and returns home to receive hospice care. Which of the following statements accurately describes what she and Lucy Grey can expect from hospice care?▶An interdisciplinary team, rather than a single person, will provide hospice care.7. In a home visit with an older adult, a nurse could use a tool such as SPICES to assess a patient's overall health and function. Which of the following statements should the nurse use to most accurately explain the purpose of the SPICES assessment to a fami because I know the drugs are used up after a while.3. ▶0.25ml4. older adults are at high risk for pressure ulcer development related to skin fragility and decreased sensantion to pressure. which of following interventions should care providers implement to protect skin integrity in an older adult patient with decreased mobility?▶ lift sheets should be used when moving the patient to avoid shearing forces from dragging the patient in bed.5. which of the following is most important for the nurse to consider when addressing pain in the nonverbal patient or a patient unable to self-report pain?▶ use of only one atrategy with this population does not sufficiently assess pain.6. which of the following statements is most accurate in teaching a cancer patient’s family about his or her pain management?▶sedation from pain medications usually lessens as a patient’s tolerance to a drug increases7. transdermal patches require proper patient teaching in order to assure safe medication administratio she is nonresponsive.2. which of the following procedures should the nurse and caregivers be prepared to implement after julia morales’s death in her home?▶ provide the family with the option of leaving jewelry on the body or removing it.3. according to elisabeth kubler-ross, the dying patient progresses through five psychological stages in preparation for death. when patients withdraw and prefer to sit alone in tears, what is the nurse’s best approach?▶listen to and comfort the patient with touch, if appropriate.4. family members and care providers need to know how to handle fentanyl transdermal patches safely. which of the following statements indicate a need for further clarification and teaching?▶ we should change the patch every 24 hours.5. the scopolamine patch may be useful for julia morales in treating which side effects of her pain medication?▶ nausea and vomiting6. when a patient has a do-not-resuscitate(DNR) order in the chart, the nurse knows that which of the following co.
