Author Question: Patients who require home care often experience physical alterations that require changes in their ... (Read 59 times)

bcretired · **on:** Jun 25, 2018

Patients who require home care often experience physical alterations that require changes in their home environment. In the case of older adults, what is the best way to make these changes?

a. Make changes quickly to prevent problems.
b. Make changes to limit the patient's need to move around.
c. Make changes to complement the patient's strengths.
d. Make changes regardless of the patient's previous sense of personal space.

Question 2

The nurse is caring for a patient who is 48 hours post bowel resection with creation of a colostomy. This morning, the nurse assessed the return of bowel sounds. In what order would this patient's diet progress?

a. Full liquid diet
b. Regular diet
c. Clear liquid diet
d. NPO
e. Soft diet

rosiehomeworddo · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
In the case of older adults, the progressive physical changes of aging create the same type of need. Changes made should complement the patient's remaining strengths. Making changes too rapidly without the patient's consent will cause more problems than benefits. Appreciate the arrangement of the patient's space within the home, and do not move things or suggest modifications without permission. You also need to respect the concept of personal space.

Answer to Question 2

D, C, A, E, B
The patient has most likely been kept NPO until bowel sounds returned. Once bowel sounds resume, the initial diet will be clear liquids. If clear liquids are tolerated, the patient will advance to a full liquid diet, then to a soft diet, and finally to a regular diet.