A nurse is caring for a frail older adult in a long-term care ...

[soccerdreamer_17]

A nurse is caring for a frail older adult in a long-term care facility and is concerned about pre-venting hypothermia. Which of the following interventions should the nurse implement? (Select all that apply.)
 
  a. Make sure that the temperature in the res-ident's room is at least 65 degrees Fahr-enheit.
  b. Cover residents well when in bed and while bathing.
  c. Provide a head covering for the resident.
  d. Maintain resident in bed covered with heavy blankets at all times.
  e. Provide hot, high-protein meals and bed-time snacks.

Question 2

A nurse is caring for an older adult who is in the pre-trajectory phase of the Chronic Illness Tra-jectory. The nurse knows that this phase is characterized by which of the following:
 
  a. The absence of signs or symptoms of the illness
  b. Diagnostic testing being conducted
  c. A progressive decline in physical and or mental status
  d. A period of temporary remission from the crisis

[Anonymous]

Answer to Question 1

ANS: A, B, C, E
Interventions to prevent hypothermia in frail elders include maintaining an ambient temperature of no lower than 65 degrees Fahrenheit, providing a head covering whenever possiblein bed, out of bed, and particularly out-of-doors, covering patients well when in bed and when bathing, and providing hot, high-protein meals and bedtime snacks to add heat and sustain heat produc-tion throughout the day and as far into the night as possible. In addition, it is important to get the patient out of bed and provide as much exercise as possible to generate heat from muscle activity.

Answer to Question 2

ANS: A
The pre-trajectory phase is characterized by the absence of signs or symptoms of the illness. The trajectory onset includes the diagnostic period. The downward phase is characterized by a pro-gressive decline in physical/mental status, characterized by increasing disability/symptoms. The comeback phase is characterized as a period of temporary remission from the crisis.

[soccerdreamer_17]

Excellent

[phuda]

TYSM