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Questions and Answers
What is the primary purpose of postural drainage?
What is the primary purpose of postural drainage?
Which of the following is NOT a nursing problem of patients with terminal cancer?
Which of the following is NOT a nursing problem of patients with terminal cancer?
What is the purpose of using hard candy in patients with respiratory conditions?
What is the purpose of using hard candy in patients with respiratory conditions?
What is the primary complication that can occur with oxygen administration?
What is the primary complication that can occur with oxygen administration?
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What is the purpose of monitoring respiratory rate and volume in patients with respiratory conditions?
What is the purpose of monitoring respiratory rate and volume in patients with respiratory conditions?
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What is the primary goal of assessing patients with respiratory conditions?
What is the primary goal of assessing patients with respiratory conditions?
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What is the U in the CAUTION mnemonic for?
What is the U in the CAUTION mnemonic for?
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Why is good handwashing and oral hygiene essential in patients with respiratory conditions?
Why is good handwashing and oral hygiene essential in patients with respiratory conditions?
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What is a crucial aspect of using medications safely?
What is a crucial aspect of using medications safely?
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What is a significant consequence of using multiple medications?
What is a significant consequence of using multiple medications?
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What is a common issue with medication use in older adults?
What is a common issue with medication use in older adults?
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What is the primary purpose of the Beers List?
What is the primary purpose of the Beers List?
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What is polypharmacy, and what is its common consequence?
What is polypharmacy, and what is its common consequence?
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Why is it essential to report side effects of medications right away?
Why is it essential to report side effects of medications right away?
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What is a key aspect of safe medication use in older adults?
What is a key aspect of safe medication use in older adults?
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Why is it important to keep an up-to-date list of medications?
Why is it important to keep an up-to-date list of medications?
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What can a nurse do to prevent pressure on an ulcer?
What can a nurse do to prevent pressure on an ulcer?
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What is an important aspect of managing peripheral vascular disease?
What is an important aspect of managing peripheral vascular disease?
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What is a key goal in the management of diabetes mellitus?
What is a key goal in the management of diabetes mellitus?
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What is a complication of diabetes mellitus?
What is a complication of diabetes mellitus?
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What is a key aspect of promoting normality in patients with cardiovascular conditions?
What is a key aspect of promoting normality in patients with cardiovascular conditions?
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What is a type of exercise that can help promote circulation?
What is a type of exercise that can help promote circulation?
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What is an important aspect of home care for patients with cardiovascular conditions?
What is an important aspect of home care for patients with cardiovascular conditions?
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What is a key goal of patient education in diabetes management?
What is a key goal of patient education in diabetes management?
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What is the recommended duration of moderate physical activity per week for optimal health?
What is the recommended duration of moderate physical activity per week for optimal health?
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What is a common cause of hypertension in older adults?
What is a common cause of hypertension in older adults?
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What is a symptom of hypotension?
What is a symptom of hypotension?
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What is a common risk factor for coronary artery disease?
What is a common risk factor for coronary artery disease?
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What is a type of arrhythmia caused by digitalis toxicity?
What is a type of arrhythmia caused by digitalis toxicity?
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What is a complication of varicose veins?
What is a complication of varicose veins?
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What is a recommendation for reducing venous stasis in patients with varicose veins?
What is a recommendation for reducing venous stasis in patients with varicose veins?
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What is a symptom of arteriosclerosis?
What is a symptom of arteriosclerosis?
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What is a type of aneurysm?
What is a type of aneurysm?
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What is a treatment for congestive heart failure?
What is a treatment for congestive heart failure?
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What is one of the complications of applying restraints to elderly clients?
What is one of the complications of applying restraints to elderly clients?
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Which of the following is an alternative to restraints?
Which of the following is an alternative to restraints?
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How much fluid should elderly individuals ingest daily?
How much fluid should elderly individuals ingest daily?
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What is a key aspect of promoting early detection of problems in elderly individuals?
What is a key aspect of promoting early detection of problems in elderly individuals?
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What is the primary goal of the Beers Criteria?
What is the primary goal of the Beers Criteria?
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Why is it essential to review the necessity and effectiveness of prescribed drugs in elderly individuals?
Why is it essential to review the necessity and effectiveness of prescribed drugs in elderly individuals?
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What is a key aspect of promoting safe and effective administration of medications in elderly individuals?
What is a key aspect of promoting safe and effective administration of medications in elderly individuals?
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What is a common effect of aging on medication use?
What is a common effect of aging on medication use?
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What is a potential consequence of polypharmacy in elderly individuals?
What is a potential consequence of polypharmacy in elderly individuals?
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What is the primary purpose of the Morse Fall Scale?
What is the primary purpose of the Morse Fall Scale?
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Study Notes
Nursing Considerations for Older Adults with Cancer
- Pain, reduced physical activity, malnutrition, sleep disturbance, irritation of oral cavity, risk for infection, disruption in family relationships, social isolation, inability to engage in meaningful activities, depression, grief, and need for information/education are possible nursing problems of patients with terminal cancer.
Polypharmacy and Interactions
- Polypharmacy is the use of multiple medications, which increases the risk of drug-food interactions.
- Cardiovascular agents, antihypertensive, analgesics, antiarthritic agents, sedatives, tranquilizers, laxatives, and antacids are commonly used medications in older adults.
Preventing Complications
- Monitor closely to minimize disability and prevent mortality.
- Assess to detect respiratory complications, including respiratory rate and volume, pulse, blood pressure, temperature, neck veins, patency of airway, cough, secretions, and mental status.
Ensuring Safe Oxygen Administration
- Use oxygen prudently to prevent carbon dioxide narcosis.
- Monitor blood gases and assess oxygen equipment.
- Ensure home oxygen safety and evaluate the home environment.
Promoting Productive Coughing
- Coughing is important for removal of secretions.
- Measures to promote productive coughing include hard candy to increase secretions, breathing exercises, use of humidifier, expectorants, and increase fluid intake.
Reducing Risks to Safety
- Restraints can lead to serious complications, such as aspiration, circulatory obstruction, cardiac stress, skin tears, ulcers, anorexia, dehydration, constipation, incontinence, and fractures and dislocations.
- Alternatives to restraints include placing clients in rooms near the nursing station, 1 to 1 supervision or companionship, electronic devices, repositioning, soothing communication, touch, comfort measures, frequent reality orientation, and reassurance.
Nutrition
- The elderly should ingest 1500 mls of fluid daily.
- Adequate intake is very important to prevent fatigue, weakness, and dizziness.
Vision and Hearing Aids
- Check if clients need glasses or hearing aids.
- Ensure hearing aids are turned on.
Mobility Limitations
- Eliminate clutter, poorly fitting shoes, and advise against taking risks like climbing ladders or sitting on ledges.
Preventing Infection
- Vaccines, such as influenza and pneumococcal, are important for older adults.
Safe Medication Use
- The Beers Criteria identify drugs that carry high risks for older adults and provide criteria for potentially inappropriate medication use.
- Medications act differently in older adults and require careful dosage adjustment and monitoring.
Cardiovascular Disease
- Hypertension, congestive heart failure, coronary artery disease, and hyperlipidemia are common cardiovascular diseases in older adults.
- Symptoms may be less evident in older adults, leading to delayed treatment.
- Education and promotion of cardiovascular health are important.
Terms to Know
- Polypharmacy, Beers Criteria, and geriatric-specific drug therapy are important terms to know.
Endocrine Function
- Diabetes mellitus, hypothyroidism, and hyperthyroidism are common endocrine disorders in older adults.
- Patient education and management are crucial for diabetes mellitus.
Care Plan Goals
- Goals for care plans include preventing complications, promoting health, and improving quality of life.
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Description
This quiz focuses on the nursing considerations and potential problems that patients with terminal cancer may face, including pain, malnutrition, and social isolation. It is essential for nurses to be aware of these issues to provide quality care.
