Author Question: Mildred is a 92-year-old nursing home resident. She fell 2 weeks ago and has been on bed rest. She ... (Read 37 times)

notis · **on:** Jul 22, 2018

Mildred is a 92-year-old nursing home resident. She fell 2 weeks ago and has been on bed rest. She has become increasingly fatigued when her caregivers bathe her. Mildred's family is con-cerned about her declining condition.

The best explanation that the nurse can give the family is that Mildred's fatigue is caused by which of the following? A. Decreased muscle endurance caused by immobility
B. Her advanced age
C. That she is not eating as much
D. Increased oxygen demands of the healing process

Question 2

Randy is a 45-year-old obese patient who has been scheduled for cardiac bypass surgery. Rachel is a student nurse who is preparing him for surgery.

One of the questions that she asks him is, Do you have a history of sleep apnea? This is important to know before surgery because pa-tients with sleep apnea: A. are prone to snore after surgery and require a private room.
B. who receive general anesthesia have a greater risk for airway obstruction.
C. generally need additional pain medication.
D. usually require sleep aids to provide more restful sleep.

mk6555 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Muscle endurance decreases as a result of the inability of the cardiopulmonary system to meet the oxygen needs of the body. Reduced metabolism leads to a loss of muscle and body mass, causing fatigue with prolonged activity.

Answer to Question 2

B
If a patient is scheduled for surgery, be sure to ask about a history of sleep apnea. Patients with sleep apnea who receive general anesthesia and pain medications after surgery have increased risk for developing airway obstruction during recovery.