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Author Question: The nurse is completing her assessment of an older adult and notices some cognitive impairment not ... (Read 109 times)

luvbio

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on: Jul 23, 2018
The nurse is completing her assessment of an older adult and notices some cognitive impairment not normally associated with aging. Which of these alterations would prompt further follow-up? (Select all that apply.)
 
  a. The patient does not remember where her son lives.
  b. The patient is unable to balance her checkbook.
  c. The patient got lost in a city she never traveled to before.
  d. The patient often has difficulty remembering words.
  e. The patient got lost going to her usual grocery store.

Question 2

The nurse is caring for a patient who suffered a stroke on the right side of the brain. The nurse is careful to implement what safety measures? (Select all that apply.)
 
  a. Make sure to put a picture board in the room to communicate with the patient.
  b. Place the call light on the patient's left side.
  c. Leave on a light in the bathroom at night for good visibility.
  d. Place the call light on the patient's right side.
  e. Make sure there are no trip hazards in the patient's room.


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ashely1112

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, B, D, E
Symptoms of cognitive impairment include disorientation, loss of language skills, loss of the ability to calculate, poor judgment, and memory loss. If a patient exhibits these symptoms, further investigation is needed. Some decline in cognitive function occurs with aging, such as the ability to navigate easily in new areas.

Answer to Question 2

ANS: C, D, E
If the damage is on the right side of the brain, there is loss of sensation and motor function in the extremities on the left side of the body and visual-spatial problems occur. Therefore placing the call light on the side where the patient is likely to be strong is important. The patient will not necessarily have communication problems but might have visual problems, so the bathroom light is helpful. If the damage is on the left side of the brain, there is loss of sensation and motor function in the extremities on the right side of the body and problems with speech occur.


luvbio

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Reply #2 on: Jul 23, 2018
TY


ashely1112

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Reply #3 on: Jul 23, 2018
You're welcome


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