Medical-Surgical Nursing Study Set 1

Nursing

Quiz 5 :

Rehabilitation Concepts for Chronic and Disabling Health Problems

Quiz 5 :

Rehabilitation Concepts for Chronic and Disabling Health Problems

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A 61-year-old widower is admitted to an inpatient facility for rehabilitation after a right knee replacement for severe osteoarthritis that resulted from his carpentry job. He lives alone in a one-story house and has two daughters nearby who visit every week. After his wife died 10 years ago, the patient was diagnosed with diabetes mellitus type 2 and hypertension. His serum cholesterol is elevated, and he is overweight. His favorite foods are fried chicken, mashed potatoes and gravy, and homemade buttermilk biscuits, which his daughters frequently prepare for him. As his nurse, you complete his admission assessment. What are this patient's priority problems?
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A 61 year old widower was admitted after his right knee cap was replaced after severe osteoarthritis. He was diagnosed with diabetes and hypertension after his wife died. This occurred 10 years ago. He is overweight and his serum levels contain more than the limited amount of cholesterol.
This patient's priority problems are:
• Diabetes
• High cholesterol
• Hypertension
• Overweight
Diabetes and hypertension need to be under control. The patient needs to be careful in his diet and reduce fattening items and also sweets. The high cholesterol will lead to heart failure eventually. Also, being overweight after a certain age is also not good. The body weight will also lead to accumulation of fat in the body. The body will become weak since it cannot bear such weight.

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An older adult is admitted for rehabilitation after a total hip replacement. Which statement by the nursing assistant will require follow-up by the nurse?
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An old person is admitted after having her hip replaced. The nursing assistant gives a statement which indicates that the nurse has to follow up on the patient.
Option A cannot be correct as having a pillow between the legs does not cause any harm to the patient.
Option B cannot be correct as being tired is not a problem. Elderly people tire easily and that is not a problem at all.
Option C cannot be correct as the patient is only resting in bed. This shows that there is no problem.
Option D is the correct option as the reddening of the sacrum is questionable after a hip replacement surgery. It shows that the patient is uncomfortable and may need some medication or change in position.
Hence, the correct option is D. reddening of sacrum is questionable.

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A 61-year-old widower is admitted to an inpatient facility for rehabilitation after a right knee replacement for severe osteoarthritis that resulted from his carpentry job. He lives alone in a one-story house and has two daughters nearby who visit every week. After his wife died 10 years ago, the patient was diagnosed with diabetes mellitus type 2 and hypertension. His serum cholesterol is elevated, and he is overweight. His favorite foods are fried chicken, mashed potatoes and gravy, and homemade buttermilk biscuits, which his daughters frequently prepare for him. As his nurse, you complete his admission assessment. With what health care team members will you need to collaborate?
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Answer:

A 61 year old widower was admitted after his right knee cap was replaced after severe osteoarthritis. He was diagnosed with diabetes and hypertension after his wife died. This occurred 10 years ago. He is overweight and his serum levels contain more than the limited amount of cholesterol.
The health care team members who need to help out with this patient are:
• Nutritionist
• General physician
The nutritionist can give the patient a specific diet for the control of diabetes, hypertension, and high cholesterol. The general physician can help to control the level of cholesterol and for control of fat and weight by medicine.

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Physiological Integrity Which statement by a quadriplegic client indicates a need for the nurse to provide further teaching about bowel retraining?
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A 61-year-old widower is admitted to an inpatient facility for rehabilitation after a right knee replacement for severe osteoarthritis that resulted from his carpentry job. He lives alone in a one-story house and has two daughters nearby who visit every week. After his wife died 10 years ago, the patient was diagnosed with diabetes mellitus type 2 and hypertension. His serum cholesterol is elevated, and he is overweight. His favorite foods are fried chicken, mashed potatoes and gravy, and homemade buttermilk biscuits, which his daughters frequently prepare for him. As his nurse, you complete his admission assessment. What safe patient handling practices would you need to use?
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A 61-year-old widower is admitted to an inpatient facility for rehabilitation after a right knee replacement for severe osteoarthritis that resulted from his carpentry job. He lives alone in a one-story house and has two daughters nearby who visit every week. After his wife died 10 years ago, the patient was diagnosed with diabetes mellitus type 2 and hypertension. His serum cholesterol is elevated, and he is overweight. His favorite foods are fried chicken, mashed potatoes and gravy, and homemade buttermilk biscuits, which his daughters frequently prepare for him. As his nurse, you complete his admission assessment. What type of ambulatory assistive device would be most appropriate for him at this time?
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A 61-year-old widower is admitted to an inpatient facility for rehabilitation after a right knee replacement for severe osteoarthritis that resulted from his carpentry job. He lives alone in a one-story house and has two daughters nearby who visit every week. After his wife died 10 years ago, the patient was diagnosed with diabetes mellitus type 2 and hypertension. His serum cholesterol is elevated, and he is overweight. His favorite foods are fried chicken, mashed potatoes and gravy, and homemade buttermilk biscuits, which his daughters frequently prepare for him. As his nurse, you complete his admission assessment. What health teaching does the patient need regarding his mobility and nutrition?
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