Author Question: The nurse is caring for an older adult who has dementia. The patient has just returned from recovery ... (Read 31 times)

debasdf · **on:** Jul 11, 2018

The nurse is caring for an older adult who has dementia. The patient has just returned from recovery after a percutaneous endoscopic gastrostomy (PEG) tube placement. Which interven-tion(s) should the nurse implement? (Select all that apply.)

a. Place IV tubing behind the patient.
b. Hang the IV bag behind the patient's field of vision.
c. Cover the PEG tube with an abdominal binder.
d. Use wrist restraints.

Question 2

Several organizations collaborated in 2001 to publish Scope and Standards of Geronto-logical Nursing Practice by the American Nurses Association. What is the significance of the collaborative effort to gerontological nurses?

a. Changes the health care delivery to increasing numbers of elders
b. Mandates gerontological certification for nurses who care for elders
c. Standardizes gerontological nursing practice among various organizations
d. Ensures minimum gerontological competencies for all graduating students

meganlapinski · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C
Placing the tube behind the patient, hanging the IV bag behind patient's field of vision, and cov-ering PEG tube with an abdominal binder decrease the likelihood of the patient accidently pull-ing out the lines. Soft mitts should be used instead of hand restraints.

Answer to Question 2

C

Feedback
A Incorrect. The collaboration between multiple organizations potentially improves the quality of gerontological nursing care as the number of elders grows.
B Incorrect. This document establishes criteria for gerontological nursing practice.
C Correct. Various gerontological nursing organizations collaborated to define the criteria for gerontological nursing practice, demonstrating agreement among the various organizations on these standards.
D Incorrect. To improve health care to older adults, all graduating students should master minimum competencies in gerontological nursing; however, many stu-dents continue to receive little specialty training and education in the care of elders.